Accident Detail Receipt
Date And Time 22-Aug-2017 / 7:30 am
Place of Accident NEAR PALASNER GOAN ON MUMBAI TO AGRA HAIGWAY ROAD , SOUTH OF BIJASAN CHAUKI IN ROAD
CR NO/ TAR No/ SDE NO 79/2017 IPC 279,337,338,427, R/W MV ACT- 184,134/177
Name of the Injured/ Deceased 1) ESARAS MUSTAK AHAMUM MANSURY AGE 31 ADD 4/45 RAU INDOR M.P 2) HAJINUR CUCO KURESHE AGE 48 ADD CHOTTI KALALI MAHOW MAKAN NO 2582 TAL MAHOW DIST INDOR
Name of The Hospital to which he/she was removed COTTAGE HOSPITAL SHIRPUR( DHULE)
Number of vehicle and type of the vehicle 1) MP 09 HF 9160 MALTRUCK (ACUSE VEHICLE) 2) MH 12 KP 0748 EICER VEHICLE
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. RAKESH VISHNU TANWAR ADD- H.NO.431 SHRAMIK COLONY A B ROAD INDORE MP LICENCE- INDORE RTO LICENCE NO- MP09R-2017-0426764
Name of the owner of the vehicle as it stand on the date of the accident 1) ABDUL KADIR ABDUL VAHID ADD- 86-7 A.B.ROAD RAU DIST INDORE MP ( ACUSE VEAHICLE)
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. NATIONAL INSURANCE COMPANY LIMITED
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate 321700/31/17/6300005237 VALID DATE-02/08/2018
Action Taken if any, and the result thereof. SUBMITED CHARGSHEET TO COURT RESULT COURT PEANDING
FIR COPY Download Document 1
PANCHNAMA COPY Download Document 2
MEDICAL CERT. Download Document 3

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