fl66cffinagpurpolice.gov.in/media/accidents_compensation/33-2018...Name ilil".Y and aoor € with r{r.ol ;:il$''"ni'in" !1? ::1"1"^,11:-bivisionat officer of the 8/ 005042 From 31

r-t\.rB-

FORM COMP AA(c)l 25a (c) (iii)l 254

Rules 253(80255 (1Xiv))

T

e{Gld fl66cffi

99q(3flr),99O alqlmt'€.;i.;t'".eg /qcliaio 'qzI oeIeci qq'sqdRNoFARfd/sDE No

ESqloqlqc'd o9-?o st'

;ir"* a;tr , snqaqr 6Tdq qaad:F'@heaccident@(q?tsasil'qfiiraff@eased

aa-Eajtr alfiqt eE?'

@ichhe/shewasd<+G. Mtttbs-261 5 qr qro6

Pe of theNumber of venlc

ffiq-qcqrq qgq qzT Qe at ' x't- '

d;#=;;S ** ou"t no-- qg qr-'qr q]€'er of the

""niil *iit particulars or Driving !i:?i::

"i'in" triO Driver and the addre"ss^of the

;rJiil-Auihoritv, of the said Drivins

License. The number of Badge]i,t:- :lFffiHter"'""'v"nitie ano the address of

l#i 5s u-l r'l c ntt' "

titv= q ffi dq?qaqil'qrftrafti ner of the

vehicle as it stands on the date of the

RANCE

COMPANY

said lnsurance

-

the lnsuranceName and aoor€

ilil".Y with r{r.ol !1? ::1"1"^,11:;:il$''"ni'in"

-bivisionat officer of the

8/ 005042

From 31/ 0B 12017 to

30/ 08 /18 midnight-

-oticy/

lnsuranceNumber of lnsurat

i"itin."t" and the Date "f

v1'^d:Y,:j-I";il;;;; lpoti.v / Insurance certificate'

aot udEtffi gaaqtflq1 q€{IA 3{Iilqtd cotctct QtvtL r((' (-r-'-

il:*H .*.1. oJre* dqzlq qe 61ela ttiEt

*n*o ioa i*gitJ€t *{a* *e-here of"

llqoc

,.,9,'.'q4'+&Rrffi

/fr\ r,/

nl

I, '::

r. District tfiiart,'ri'fiu rrar

rtn ruo' (g.*l.ft. S.)t 0033

flnsrl N ro nMATto l'i,REPoRL(Under Section 154 Cr'P'C') '

qQ{q qr{r F{qlf, ;"

(qr{r 154 <is g|itgl qfrai.b d6d)

:

Year (s{)t

iziouzolB

2018

17:09 ir$ *..l;:.

1;

3 ' i5qh'estiffilZqo . t*'t:. ' ':.l

r ::,ffiffi1i#_"tt:'"*

(sirnle dr m{r): out" r,om'i*.m i i,oa^uro+, ,, ::: :: .,H do ): oe/01/2018

rime perr.d lvrn cal-d):c-a*, ;*' "',n t* t

"ontio u-o'

't li

, TtT jl lT"h:0e:20 {$

(bI tnformatton iecatved at P.5, (at'r odi gan rruOatu 1ft'<io tt'iZlOflZgiti " ''-ii*" (srr'r):10:30 q-S

(c) Generar Diaiy Rererence (cttr{rro, tntrv n,o.'tX'#'"';;; "."*-11't"

a ri'li lu*

crr eroz totizo.* 16:4e {$

4. Type of tntormalia.p tqffiI 6I lr6R)t Oral - \l

5. Place of Occurrdncp (El6{r{e{$):'

;;l,*"*" ""0 dlstanc€ from Pns'(srnr* q0 orkftvn)q6' 2 fs{

(b) Addreis {qdr)$Tqqlfl 6lqi "ir6or

o*s wro'gsbssi nFlS i

ren (qR "lHi dtqr b qlfl t dX

(c) tn case-,'cititslde the llmit of this Police Statiori' tFDlstiict(State) (rsrfir ' r

Name of. P.s,'(pJr'fl iFI 4F1)l ii' i"'

,l'| -"1 '

!,.

6. comptain#t i lhformant tfir"6rs-dddf/{q-{r6-df l:

(a) Name (rlFI): tr{gr{lq $g+rifr qld lrsn*

)-*, i".n..: vnusband's t'ta me (qdlet /

,., fl.$#rLr 814; 1u;n rirrs / s{ )rtgre

(e) ulD r'r;..tqcri{S €"1:

{f) Passport No'tqrq#

..'..-

(d) NatlonalitY lirguqilt"nrc '. .r.t, .

. Date of Isiue ('Trit TC ff\".,t

ifr.

i

Place of lssue (iilrff 4-{i qfl affFl ): ! .'

(g}|ddeta||s(R?ttoncard,VoterlDc,ard,Pas5port,u|DNo.'Dr|vln9Is'uci.(m.d') ld Type (r6trr{ w{ 6I rtrr{) 'fd llumfler 1o* @

(q{r}..

na wr{gr, e di;b,ut ,5qftiq{'ffi enr'{6T{rq'ffi

. ---. .,x- = =l:;*.-A#";tir ;i*i ?Iflffi,ffi.-

(i) OccuPationf-"rtnrral: .

(j) phone.nurnber (Tr{Ts 1i,): ' xl-flq srfqgd tr,r,lt fiqw qFra sst{):

Detaif s of known/suspectect/unknown accused wlth full particulars (dliI / qqq i |. :,, -'=*--,=i:*

(j) Phone.nurnber (TqTs s'):

;;;;;. ""* rhdn 13qlr ytsd t3.-i;-"9T--*t

i.H;,rm. Jllini" ('cIq):

Ji,tiiiios-iois amo ae !

I -:',,:

.,.

Type (q6r 6r

7.,

1q6gi1s f ita6o €.):

a'

t:i1'

,f

1l:..,1 -':...

, :. . ,.i," ,

:

+{.*.. -* '.,*-'l' ''"rt:l" '"=:-l;:=4:sa*: -l';l -

9. Particulars of Brspcl'.i'6 l'f lrlterest (tis[=]-d g'cfi 6r fi{qq;3 .' .'. , .

l.O. Total value of property (tn Fs/-)-qqrft 6'r ga {s{r(F ti):l.L. Inquest Report / U.D" case No,, tf any (IFg qrften Rvld I qdi"ro.rur d-., uR ot{ e} l:

S.No. (m,{i.)iUlOB Number (X"S.e-firor €.) 1 .

iL2, First Information contentq (qe{q qr{{r nsq )l r^i

3rq at 33lL8 s"6{q 279,338 ,427tPCq rn to ft -fr og/orlre t}ogtzo dr € ar qr'ffi,R 0911/18i 10/30 sr. qcqR-ire - qrqqmela-):rr.fqr ofut q+.,;a 6vbear lr'rqr ftqffi rn n{i rroRrq 11eEr$ cH sq ,lOq{ fiEr it.* ui, € 6.sheq{ qirtgc oed qtEa e5frtvrit'Jl . sr-rqerq effil a"dv 6rfi oMH31/Ds-26r58 qrcro flit 'rcqrsfif't

qnrsrc r{<r s40st {r tiisteq{ nq{ +rE ige"t3'ine;-rffii1..165i ire arqr <ru-ol 3rf*.Fr{ {flt4qq. c{i t}d ql, *< rdfisrfl lr,rqs hqtsr }dt c'nu} fi,sTd-d q€4 iln 3rrcr rirfirn ds6s 6riuru irrt::nrlli'{ sr"r+{161 qlg iD MH4OBH-794qjf R-{ia 09/1/i8*i,1t q( -{ric q. ar. i-d q l}sr,.ul} rnqd} rn'4rqr,j ts-l'as* ie) :)'fr sr.rrdiflgrg+uut *s q*'-r siutlqr o*i{o3 rrrw-qr 3{rat?R ti,q4dl c'-d-.i .1il tr MH3ilDs-261.5{t -'T{E tlrcrori iq qr6Ei f,lq rzrrdii qFrqra-,firrd

"r€nq i'TTq qrcrsr urgflqr ffieer trnjlcn cnsrd u.E-o qrceff effielTSn ToT{rc iti q 3Rfd m-S6{ it,ilflra rffi qgr}ilai cr-aflqr sqsn giirrF-o -6*r*fte?r AE gF 3{gr rtrq n)'srn,p{u,q fi{ erFrcqr.i qrrdiiiq6o rr+d -'tr$ q+q qfrrfl,i+r qR wg1 -qi {qro1tnqrrr sqfte qri 3rh wrerd$f\crq P.Fqri it a6- ft"zfCi igq 3nqqn srcror frrw *r,<r+r y-trr <l€a bfl

t3.Action taken:Since.the above informatlon reveals commission of offence(s) u/s as mentloned at ltem t{o. 2.

t$l .rdlortrqrdl ;rlfd;'owloqiJqrrflAqflsffildfi,qqrrqoriorrsoFrq'$.2.qsdsqKIbfr-€rdtl) ;../,(1) Registered the case and took up the

investigatiot: (q-fiqul -<d fh-qlrqr 3ftq qis b.t

No.( (i.)r'POBN39414

{3) Refused investigation due to (.riq b

or (b'qrqq ion faur ar1i ..(4) Transferred to P.S.{qr'il):

(2) Directerl (Nalne of t.o,) (qis qfMl irr cFr)i Ashok Daulatrao Mule ;. nant (ti<); Asst. Sl (Assi

to take up the Investigatibn fo\ qis orh rrrt+ {

-+ill*ti.ir rlia:'ir,r ... I;:r-. -, '

:

on ppint of jdrisdiction (o1 dmftrors fi ;nrqor ewnrR-a).. i

F"l.R. read over to the complainant / infornrarrt,admitted to be correctly iecorded and ? copy given to theconrptainant / infoi-mant free of 6esg. lffa6rrraonf / qq{r6-rf fr}'qrqfffr rrd ol grr{ .rS', wff <-d 5$ $TI itlR So olfi frsJco.flrorrrqroof ol di nd) l)R;O.A.C.{affi, 3il .C .S}.) . }'

t.tDlstrict (f$6r):

15. Date and timfof dispaich.3ttq crqq): :lt'::.:'it ''::

' i:i:::.,

?:iii.._,. .. , Slgnatur^e.of Officer In chirge, Police Statlon{eflqr cqril A ffi,iflsn)

{AME (;TTTI): ARVIND NIVRUTI GHODKE

. iRank(rK): sl (sub-lnspector!

..:l;. No.(*i.):1120700095ANGM8001L ' r''

.:, .l. l':.i ..

' ' il'i."t' ..

. f ...,: .

,;.

ft' 'q

..!i. ,r .: ,.

'l

irfr

Reasons for del*y &rr rtporting by the complainant/informant (fYoroafi-ef 7 qa-rroa{ am Rs}d td fr c.f oqi b anq): '

@

CRIMF DETAILS FORMnflr{il-c{tw ;t'gqTiqffirwffrqT qil{Fn

2. Act aniJ Sectioris : .......*trqft* q-*#-,"-, L)s, 4ge,' 4i)

3. The Place of Occurrencd. shown bv :

trr.iq fro.rq <nef!r'n-qq r

Name :

1tq:

Addressr.{ilT :

fifirryK.!. TYPE OF CRtMElAil inctuding M.O

T€rat mn (Xqp2;t wd c-€ft,$6) ,

. etr|{ rft{ :

(iii) -Method(s):qq.ft

'

(ii) Classification of Major Head (Minor Head),.........gEffi Yftd'qT ftFTrr

i:J

2 ........,,.,.,.....

3...............,.,.

(iv) *Conveyance$q1ry-.L'{i'q6-.} :

I rcpal

(v) .Character assumed: ........ffi.i -.)si.T{ / td,ff irfrrquft :

(vi) .Language / Slang used :qmrardt r11tn 7 qpfi qqi :

(vii) "Speciai Feature-1fr$s ilyn:tr-q ,

..Special Feat$fib;2fHq ?firqq-l ,

1.,..'.....;.,.;',., r..,..:r,,,...,, : ,: . .,:: ,,tt ' ,t..:'r, r :

-Special -Feature-3' ::

Fnry3 {',f.;..,;:,:;

(ix) .TJp.e of Prop.erty invotVed 4 Types (Mefa,fiqpsq6 non, .

5. Palticuliirs rf 4he victims (Rttacil sep€iraie sheet, if tequired) ;

rifi1r1-<r#tt'i (narr;-o 31Ti-e'4mt q'q-ril ?FlrK ahsle) :

Nationality

tiEtq?,i

.(5)

ne'avirtiz65v-7

'(6)

\ Jhether

sc/sT

qKfri

qryfi.(7.j

/4 Fir-el "€#

DateJ Occupatlcn

cq{rjfII

1(8)

{raSnT.,rrtE-

""k*.^-o,g

n$^k

6. Motive of Crime :

{€rertq:

7 . Details of properties $tolen/lnvolved I tJse appropriatre prescrlbedfort'n (s) and aRrch ]:-*{tqr i oia{a nradei accfrd (?i'c rgci qt.r{rsT q qtq-a tfrsrqr) :

Description of the place of occurrence :

14T Gii? q"h ,i ' 'l' ,

l

\// |

!,i

q R*h T'.tailz7a

.*> ffircr{ral61}5_

\ ::-fifriF rf',/Sr_ r+rrfitur-'cqa\Fiq{.1-T .\- .v.\\'rr::\L

To i M10. Dc:sci'iption of .physical evidence from the scene of'crime for the property recovered I stiizeo tor ti6purpolfii*dfifi

investigation :.

n'lrw.r,tfi vecrei grirr r6uJ-.{ r_F.ITrqT vniqs-c FraR 'frq ar*trr q-qp;S{ qrfq :

44IL

12.

Date and Time Of p6;16hnama

r-*;;qr** t-"#+" o$ '-o\' -\6

Name of Panchas :

riqFft qTd :

(1)

Aif - Br{

j"! ;.

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--T,ffiruffi,.*'t, ,A*,b?*r(submit ,upu,uiJ Mechanic"r nl'p[* i;;;dh vehicld) ' I r ' t'"1'

- *=._--|

I

)ase FIR No. =FlJnder Section

- '--*-)olice Station '--__

Reg'rstration No. of the Vehicle::::-

Vlake, Model Name' Cotuut & Type of Vehicle

--4zal e+r1g'

| ---,L+q 339, Lbz+T?(1 L

2rl+,r0Ke&?ruoa/t P'sl-

M*e+o OVI *9,44:t"r lqfi AcEruer 4e

'\tt

tr*'6 ln case ot HTV/MGViLGV I

(a) Whether Lateral UnOer Run Protective Device I

(LLPD) a n"u''UiOtt Run Protective" Device I

inUpol installeJ? (For vehicle weighing 3'5 I

ton or more)(b) Whether speed governor installed & functional

or otherwise?

ln case of commercialvehicle:a) Particufars of fitness

nl Particulars of PermitF

Dninf nf irnnact and damage -

I

n g^o,f,r,l4\ \n C-O1' 22jB

(-/ rrl/ t-v _

pCID?-i7olnr.,i"ol conclition of the vehicleI10 Paint marxs (lT arryl -

e.:::;::::r

Condition ot nrurrnfffifr l'e' working or not?F

Wh",h*, the vehicle fitted with Anti-lock Braking

Svstem (ABS)?- J - " r it is functioning or not?a) lf Yes' wnetnelh) Whether trlars regarding skid m.arkl of ABS

iitted venicts h;-rve been carried out to

estirnate the speecl of the vehicle*-------E

Whether vehicle rnoctifiecl bY

a) lnstalling CNIG/LPG Kit

b) Change of vehicle bodY -- ,

-

{)dact11

4a

13

cr(i4{^c:.1 /1|-l Condition of tyres-whether origlnal or rerteatuu 3

-@--:

Wh;th* h"rn was installed and functional ?

Whether the brake l'c1hts S' other liEhts functional ?

ut^.'Cclnql "4A ffi'H.S&16

4'VI'

,-/dCondltion of safety bags in the venlcte

,t11 *-**. =-

t\'fl

z\t?.Aig

Y

'*#@"e*

-

J---1\1

19

,!q Whether the vehicte properly maintained ?

Vlrhether the vehicle had faulty number piate?

Date l al o r] rr

p.s" $ed,Lcr:l6t'*b- ? 's "

Tirne l$ \ qs \tf-g '

SHO(Narne & StamP)

i

I

ffitintedgiasses?Whether the ventcte

lf the vehicle was educational institution bus'

whether the vehicle was fified vrith,the doo:t I3-t-T:H":il:iHi #;'i;;-trc vehiere n?9 u suitabre

inscription to jndicaie tfrat th'ey are in the duty of an

educational.institute, as perthe gl9.tf Tt laid down

' in MC Mehta u. uniJn oi tnoiu' 1t-ooe)-19cc 676 and

MC Mehtav. Union ottndla (1999) 1 SCC413?

sf*td n% Wzat"P''n L e)J 4a t

r4ff^Y Qr^f", b+ryw," n

fwv* PCU 'I *n w'5dU''rffqgel '

U

, Auts dmoaYu mv ndt-

;;.1 bi+*P *'rn'e-fl{}nkclnondO4? Cqlnne'F b'e

Urfxtw*sml"

Details of damage on the vehicle -

Nto-TtrATttoD"q IAN ?t1E

i/echanical(NlnV & StamP)

or.or&9@