Accident Detail Receipt
Date And Time 06-Nov-2017 / 3:30 pm
Place of Accident NEAR PALASNER GOAN, ON MUMBAI TO AGRA HAIGWAY ROAD, PAWRA DHABA BEHIND
CR NO/ TAR No/ SDE NO 77/2017 IPC 279,337,338,427 R/W MV ACT 184
Name of the Injured/ Deceased NERAYAN RAMDAS GOPAL
Name of The Hospital to which he/she was removed COTTAGE HOSPITAL SHIRPUR
Number of vehicle and type of the vehicle MP 14 TB 0931 MALTRUCK 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. NAME JAGDISH BALU SAWAADD- KUMBHARE POST RANJANE TAL SHINDKHEDA DIST DHULE ISSUING AUTHORITY- MH18201592C LICENCE NO- MH1820120018103
Name of the owner of the vehicle as it stand on the date of the accident MINOO FARUKH MANSOORI ADD-B-6 WARD NO6 AMBER COMPLEX DASHRATH NAGAR MANDSAUR
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. 1) IFFCO TOKIO GENRAL INSURANCE CO. LTD. SALUTO YAMAHA 2) UNITED INDIA INSURANCE COMPANY LIMITED ( ACUSE VEHICLE)
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate 1) YIT/992201153 VALID DATE- 18 JUL 2018 2) 1904043116P114850671 VALID DATE 05/02/2018
Action Taken if any, and the result thereof. FULL UP CHARGESHEET TO COURT RESULT COURT PEANDING
FIR COPY Download Document 1
PANCHNAMA COPY Download Document 2
MEDICAL CERT. Download Document 3

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