Accident Detail Receipt
Date And Time 11-Aug-2017 / 8:00 am
Place of Accident NEAR HEDRYAPADA GOAN, BETWEEN MALWAN TO PALASNER ROAD ,
CR NO/ TAR No/ SDE NO 64/2017 IPC, 304A, 279, R/W MV ACT 184
Name of the Injured/ Deceased VISHWAS KESHYA PAWRA AGE 21 ADD- BKTARYA TAL SENDHAWA JIST BADWANI M.P.
Name of The Hospital to which he/she was removed CIVIL (COTTEAGE) HOSPITAL SHIRPUR
Number of vehicle and type of the vehicle 1) MH15 DK 5884 ASHOK LEYLAND PIK-UP
Name of address of driver of the vehicle with perticuler ordriving license of the said driver and the address of the issuing Authority of the said driver license. The number of badge in case of public service vehicle and the address of the issuing Authority of the said badge. SITARAM LALSING PAWRA AGE-26 ADD- PALASNER TAL- SHIRPUR DIST DHULE
Name of the owner of the vehicle as it stand on the date of the accident MEGHRAJ NARAYANDAS JAIN ADD- A/P- H NO 04 UMRALE KH DINDORIWALKHD TAL DINDORI DIST- NASHIK
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. THE ORIANTAL INSURANCE COMPANY LIMITED
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate 182600/31/2017/5195
Action Taken if any, and the result thereof. FILLUP CHARGESHEET TO COURT RESULT COURT PEANDING
FIR COPY Download Document 1
PANCHNAMA COPY Download Document 2
PM NOTES COPY Download Document 3

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