Accident Detail Receipt
Date And Time 10-Jul-2017 / 3:30 am
Place of Accident NEAR PALASNER GOAN , ON MUMBAI TO AGRA ROAD BIJASAN CHAUKI
CR NO/ TAR No/ SDE NO 58/2017 IPC 279,337,338,427 R/W MV ACT 184
Name of the Injured/ Deceased 1)DEVARAM CHANDRYA SOLANKI 2) ANITA DEORAM SOLANKI
Name of The Hospital to which he/she was removed AANAND HOSPITAL SENDHAWA
Number of vehicle and type of the vehicle 1) HUNCE TRAVHELS LUXIRY BUS NO UP 75 AT 0315
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. YOGENDRA GULABSINGH KUSWAHJA ADD- INDOR
Name of the owner of the vehicle as it stand on the date of the accident NITIN KUMAR GUPTA( HUF) A/P- 15/3 SOUTH TUKOGGANJ
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. NATIONAL INSURANCE COM. LTD
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate 321100/31/16/6300109
Action Taken if any, and the result thereof. FILLUP CHARGESHEED IN COURT RESULT COUR IN PEANDIR
FIR COPY Download Document 1
PANCHNAMA COPY Download Document 2
MEDICAL CERT. Download Document 3

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