Accident Detail Receipt
Date And Time 13-Nov-2017 / 12:30 am
Place of Accident NEAR PALASNER GOAN, ON MUBAI TO AGRA HAIGWAY ROAD BIJASAN CHAUKI OPPOSITE
CR NO/ TAR No/ SDE NO 78/2017 IPC 279,337,427,R/W MV ACT 184 185
Name of the Injured/ Deceased MAHESH VIRENDASINGH JAT AGE 34 ADD- NAGLE BIRWAL TAL SADABAD DIST HATHRAS UP
Name of The Hospital to which he/she was removed COTTAGE HOSPITAL SHIRPUR
Number of vehicle and type of the vehicle HR 74 B 8658 MALTRUCK CUNTENER
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. MAHESH BUEDRA SINGH NAGLE BIRWAL TAL SADABAD DIST- HATHRAS UP LICENCE- UNION OF INDIA DRIVING LICENCE LICENCE NO- UP8620100008406
Name of the owner of the vehicle as it stand on the date of the accident M/S MAHAVIR TRANSPORT PVT. LTD ADD- OPP. HERO HONDA FACTORY DHARUHERA DIST REWARI
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. UNITED INDIA INSURANCE COMPANY LIMITED
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate 0404003116P112473612 VALID DATE- 15/01/2018
Action Taken if any, and the result thereof. SUBMITED CHARGESHEET TO COUT RESULT- COURT PEANDING
FIR COPY Download Document 1
PANCHNAMA COPY Download Document 2
MEDICAL CERT. Download Document 3

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