,;*bN$,':l',f.'',: .,-ii ,i

:,:

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r t *5T-I *: r.Q-AS4Ayro A .Rfi.FQBT{Undsr Se{tio|t t54 Cr.p.C.}

Xe{E {g.iq {i€q.tFt{s-*q c"tx (e}€.d rfisqTstkT}

arta i ..r.) { \ ii'a

Eate Te { leq, qC{t}:*il*3lzai*

Tima ra {6*q{<r}: .ti2;Ct s:

Tit*e {ir$}j ll$:4ii {'tgate & Tittte {3ri*i *}j}r E,i*&li03ftais {17;E} r;.;t

Baat Fls. {l*s x.}:

{d} il*tiona:ity {tt$qi'q}:'ryr{.i

'+"ftJi

;, i -:{+ .t ,-

', ig.#i*tl*t {fs'wr}$i,q.t fl dq

:..: *lS ltc}.{t{qq €'{q 8132. . jJtl1,.:r

.i,*;::i,lF '- rsl,tr.llJrc* r qit

rq$/lv1 ;c18

P*te *rd Tims of ftR {s. {i; Biriq grli{ },it}: *gl*jj2038 r}Z:7? *,t

,3s41tr:a1?t

nate Frsm {Qtj*Tin'le.Frt*fi

ji-::ii:i:i-,t.i. t) qfg-q."sr +l?ftaq, r{Zr

,- 'r,114r-i.tnrormaticn received at F.s, {,*f*ifi &r*!r}i* oate {it+r*; }: t}8lrt3,j?018.ir,.t{} General Siary *ef€r€nce {.t}x;:l:;at Ent y ilo. {-rk, *r.}: *it5A;'!V$e of inforarario* {,,ifB,i*.q.r $*aE}: f,GlXu,.$1s46 {}f, Oecurence {Aenrifc6}l

;;',nti;$*.9*urrence nf af,fence {r'a:ld? Ereqr}:

' ,:: I j $av rji{lt{. 'i'i:alt-"- -

::.,'';'.;.|rrlime p€risd {q'}i,tq(tl}: cs{ I

,.',1..;.i{*-} Nare* t;fi:t}: ge*s?.h:ir eluFfit

.,'.,.661 *lttrer'sflttr$hand's Flame{qd}rq /: r+:lT;::',iqtn 4"y qq! :"{t} Dat*/Year of Sirth {ur*r arf!*r/ad): lgEt

' te) Utp Ho. {E.e{r.q.i{i.

07,f$3J2{iL3

22:0t) qrt

,;.:,.*i:{ra} Sire*fiorr and d:stanee frsrn p.S,{r#lq oruzfrn<p.fte,qi, 1 #i. '

,;, .,.{b} A<*dre** {qtr}i}sd! gnv'ti!* .u.f€ ir+.-'lirir +r:rgt

.; ..::;1:.1.',1,;1.,' :: , :. ..,: . {c} lfi {*se, s,{rtptde tke fimlt of this paHca $tfrt!a*" thsy} {7fi q}sk{ g,aai:q? 6,Sqrh...- . , I'tasne of p.s.iqi+ffr{ urrql* *istricf{gtete} {f, F.$r'r:.'j..'i.i':.

i'::'r ::'a:.:

; .$p.;$;npl*ina*lt i lnfsrrxaltt fiT"#1T."'rlq.{ffi tq.rs}:

I ..r.' .:pas*pcft f*c.{qr{qT #,}: sat€ $f IssHe {qx iiwttfi,'i;:;;-r:r;. .Flace cf lssue {itElb+er* iB*llst}r

,,. .{9i.ld details (Ration {ard"Voter lA Card,passFort,U}S l,}*",*r*ving: ;:1: i ; : 3;tr1,r"i+T,m.)

; td Type tstsseWr=fl s-,FT{} ld *t$ffber {sf6-gq-*rTtf p-,qr,bt.: , r''{h} Address {q?g}:

iil$.::sfi upctisn {;t;e€q} :.:., :';:. ,

:, $) Pksr*e numbar {'*E 'i.}:

_ l1 ?itris*i*ffi;1F3;;;s'i"iiffi..s?f"ii+F"#,r,s{Ti."{n;

t{abtle {**r{a r?,} .

?j:iP€tsil$ $f kn$$rnlsuspe(tedlunknoxn acc*sed lvith ful! Fe*:{irtsrs tqr$a s}c*.ian Si{r*,clir,r}mqd} $i*qlq.} ijqq r;el}:

VlS-i - s-

{}.:.'.g'r-.-'"..,..:'''''..,",":c{i'*{Yt1.''''.]'.Hd$tfgr;-.|'.i;6c.t.liE'?isi''1.,:..-:.ii ,?.=.i

iajjii:!'l,rrit*Bd:,:, i i .

' . ' :1i . -$6sbns for delay ln reporting hy tho compfafnantlinf*nnant ttrrsx<r{stf*ifl'*ryra;Wn asrq ipt*s}rili{ {tg.rr"ri a,i$it}:r 'ti: a*l:ri ':ilj- ft ,Fitfticularr of Brspertlca of lnterest {gi;i*g"rtfrlEt eqsiia}:

';' f,iri$+,.$ra. {ff. lprapgrit category t{iffi ,*nBl iPr;tArry tvbe te'qfft q:,r -:bircripticn {fii{qq} -- '

'':*:::.tiri.-:l:.:: . t'rtifJtat natse of properry ttn Rs/-!-sq* o.r ge 1ilrir +lt

r..: S,:!r!!'g*rest gsp*rt / U,D. case f{o., if any (Er*l *${teri {t*t / rl"dl"x*rw +i,, sft *19 r} }:

t?rfl.st lnformation contents {Cer{ ylfir frsA )t. '. ..-i ,r1fl.4: ?li:B .p* "?79.337,138,42y "irctii t{g * 134,t77 qreftnH4 ir. tr i# --- B. o7lcall8 q 2l.00 {r. {err"jind -*- tirEl.-'i'jTlrY::f:l:jlttj.i,it''J!i.]::titI]l{.dd'itIs#$-.{fd;.--jc,08l03l18']c{',46+ltl'r{f4*.qq.igt.[4Teq*isEq,31q;,',i.iEt:tl$ul-..+.iii:i1$dj{|d4:.i,iu!?:{{,,i'iqiqtssejf}c.i.-qteo+.ii.'$Js.:,r6,g8:6gri;;l:*,'egc:.l|*q*' Y'1j iH:B i'l iil+*' 'I5{ i;u'll irl. iS e i}ax;lf itiqi# tqi,r* +ir{* ricrvA t3o. MH 49 ?g33L { r:* *:rri siqrii: "fi$iq J:t:rii riru,ui.':q1{i.':t;h.9869tii;;:i"{*H'i'fr;?{iiT6ziii+|fsrtq$Iqd'{F,i6qlpfi{;1l;.';;13i#uiitg+*;i!*ifiiJ:'€l'3$i

''is1qt?i?;iritiJi'$:il1,i'J'''.'c.{iIi.i(if'JlqtriP:H]Iiti.ig;r'g'+s*'$r;biqa+tt+iqrr:ii'iii;u=.d.lii..;ra.-aI. qli'i;6i oii'{ 279,33i.338.4?l qrC-{l ri$ *.'tl+,t71 oi.t?ti {t}t; i-";.,t|. .q$ir, sitte ii.|S fi+*,tsri :lq.*'p rl.,i ,Uli

: , '+I*r$<ti*n taksyr: $iri{e th€ abav€ infurrn*tlon reve*ls r*lnrv*issicn ;rf affenc*ts} u/s as rnen:icned at ltenx rus, t";1 ,,f$ 'al<.'lt{: *l* T,,? 'tt* urTi },$afi oc'rr-il* a$c{ dr6'4twr.1{,i.i $l,,iEt'?l q-$$qf*.}'i;'.t+:! Regt$tered the case and took up fire

i n ve sti gatian : { qs$r .*,if+d a{',rt eqr*r* qrlrr

''i'{2} mr*cted {ruaffe of l.o.} {$q:e grf*-sr-:ri+ 1Ts}: shripi}i r,icacrar i$etrare Rank {rlq!: A"sst. $i {Assiiii}ri.. Srih{r1Ep*}{:.orij-,1.'' 1\l{r"tt"}: st}*N48442 to take up t},s lnvssti$Etisn {fi}'irqrc{ axu$l* e**ffc &.& trr {i,*H},,,: -{$} *efr:sed investigati*n dtr€:o {(d{l

-. r ::.'r .

: --'.a.":': i.::ii-:,'{6}

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.,iR $.A.{"{$rc. e* "q .{ft.i,l:::',?:

1#.'S igi n atu r€iYhu mb imp ressis n of the cornplain a nt / ! erf * r !-rie nt.{C i+,ft T.\"iilil{sfi iirryl-r;1"jl WS13i{AT}:

**X l#W.Kr,the €surt {sqffiry$?r ..,u.rpqr6;

, of {n'r* .4l{.}fi3i} i}q$} St$4$l

Transfsrred t$ F.5.{:r6r Slstrlct (13+e:}r

$n p$?nt of jurlsdi*ion {,ri\ *erf$qflr h +iqr}r 6*dirit,i} .

-.j.lFli,&" read $\ter t5 the cornpl*inant / i?tf*ffiant adnritted te be crrr€{tly r€.nrded ard a6:rntt3":lijltur*$ lt"e oj 1o5t. {x*{rr {sqq tr-oear$t:.rj€{*.+* argr er*&;orrectly re€onted and a coty civen tc thc:tr1 Erg€i*r, E*et qi{e* qet*r*Tqlt +"tr $*GrFl Tlt;'bi{ sSj:i€#'t{4r{t(t rlsry'&lr tq{{}d} nfi riir{rtr t*,eii"}

;:,,jlil;..jt,",.-r",il

':ri':,.. , :r:.i:ili;ii: :r:r.

-/r''7v,$ignatrrFe o-f *fficer in charge, psiice Ststi$n{oidt irc{l* v{rl+r-an1 tlare{l; -

Hsme {Trs}: Santash Vitthalfao kl-:andekaiRank(sql: I {tn5t}s{tor}No.{ti.}: P0Ss60481

:, .::

;: ;,i._

KMi$I l*{u

CRIME DETAILS FORM' Tffiq dc?fl-cTrqr TgTr

ffi *'rrH4 5*Wosoiqff*ztiit Hk;U lt8ffi B lE t r3

Name: ...............:C-----.. \;,* gIrrcl €f51$ 5#i'#f#:'sName''o'.\eG el6rbHo*'"' caYo zir\ gg ; etp)rip)L\'6r elr*r T*U qritcJrfi

U r{O Li\,&: O,orrn r 6r ru r llA4. TYPE OF CRTME (Ail inctuding M. O. Crime):Tarsr non (ygr;+r v{ qqfi-se):

(i) "Major Head : ....qETri $d: gJU€J'tL:"""" " (ii)#igHead:

(iii) "Method (s) :

qqft '

(iv) #Hffisused'$) nniJ /*g-p-8g6i #od}€l z)cbr*-p g 869

(v)

(vii)

v.'iParticulars of the victims (Attach separate sheet, if required) :

qfrzl nwfr-d (orow-o Gr{fdns Rii" sr.tE dr-s-sT):

investigation :

dq.Rrflfi q-crfr g$qT EUI{ T€t@T qrtrdwq ffimr/v-n dd-@T q6r1g1 ur1o.

Id"!'{ O

1. Witness

':.-

ti.,::.

I*tTffflt

Ebv4''2. Witness

wet-fi

H'"'r?;=rr'rt""'g'rir,r"Cral " uui cr?J z rJ

Ho**'aj e] ei) r{ (efrc '6i"as; q:i\i.o iT'F\\'tl"t';l e "'CD*o>t-ln I"'6i"1)r R-?.--.

X'"'q,'Ducrd "NQ'a er*rt au zg

fffgress'R l€I\Qrc'I Qilr$ r, u#c ef gf

7.

\U't' u ilurA urqg\ u\'rl ooq6r r n^De eDetails of properties Stolen/lnvolved I Use appropriate prescribed form (s) and attach ] :

Name

qtl

(2',)

Date/Year

of Birthq'q-drffq/

s{c4)

WhethersciST

qrfr/q.qrtr

c8)

CDt-tGI c

€tco'brqG zrt gr

Ea_J

,?A

CDI

uilEJn\r

dDlH

urdf ee

\0 ?o

u\lgqGUtt$l0t l)r!{

;:..,::

Description of physical evidence lrom the scene of crime for the property recovered/seized for the purpose ofi

;1gar / ei-flfd qTdr-i-q il"qfrd (dr.u qn o.wroT q €rqd "il.-cnr) ,

ind time of visit to th6 place of occurrence :

-wnjs,@ nfrq e ta:

of the place of occurrence: ' .f : a4

\ (\ f_\

\ \ \€a qur : , clerirE, 6TTq @t Gil-GTrf,{ {im'

e@&sl , ei61-era*1mb6-r"r.tTr {i. \

&,, buoroffi;frQ.'-emr5kffis | .r rrffcrr€'otc 61 trl T6rel i .>

Sketch/Map ol the place of occurrence (Attach Sketch/map with legends separately, if needed. lf to scale,

indicate so. May be certified and signed by witnesses, if required :

qzt-qr qdrn Wifrfifi (qr-c qlls-srfi' qttrfi-{-6 Rii"qi drsmr. cqrungqn er*-o m dsffi. srqqq-6 cnfem qnftsnirr rqrFrn q wrcil€rf, orar i-*a. ) 6Cfl d

lse of

ur6q

.* k t4<

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6i6ffi d",U

Aretoq{

aJ &-io 1

ffi; GcrS6isiddo

rqm-d- (9q; t-c I, 6-6 q:.c1-0 (, *-SIo-*

'l

lli-#-.f7r r-i-r-r-u r-J$J I LJ -l

e;ln+ sTeTF@ I9.q3i1 €u5rrq qE €Trt,",-GtffirSO@r d;ft ;; su p "l;l; am'g. ?-?s,ss.,.9.98 t Lt2*t 9:r-6IA V-@aET iaA , +1-l 1-frq.-61 g_-#cJF€ ar8@..*rrb qe ,M# €rza.risor@ AJta+:r0tn rTdr CIea'firo€Ex" [_iT6nU-1- cowrrccnS"+:JGF {ITT5r -eJ GTIEEE-urrtdit-W corqmf, C,r{F Brrt:*iltuet UU_Jqn SGr,{* cnca@ ere{,€\A-----.4--I- ^: - \ \ , \ \-/ I -

r-.. \ \ : -" ,1 - \"v\-'/''/ l\Jq<r'\-lr3vl :\o"'<'<-l

aerqErra'r, eGr\ crTe1 O arQ.re* €-r"z.rTaury' d.u.iTTr'r6*er\ aJ.t1'Sr€-Fg-.F

4r€q e-rrerE,$5r@u-3:ES1d&Iq gq :3q6-r Vrer-> fu+6;'rr*D,ffi'H#ffi,Ja ^

q - -)/r_r .\.)s^ x{.r(,/ | | [ t?4<J

' qqurq b eTrud e$cr&O,r "c-! Fn*-tq^E.iEFFT'i cDrA q 8trni--t tr9 '\3 - B3gr o';flglre .+ia-#r il g.g8 {g'@,ffi

;ii;@-nr$ Dsit - tzg,REr. F'Efr \i-+\ -\ \J | /\ .-c-{6s1ffi 5f^ofrs=t ei. G. r:rfu [if,Tdn erYaftrcq655lffi s-L':l- OtCrq e:i . G. J:rd1g. U5.Tdn u\-CffjnGrotre-6,_€- ?/of f a A *q.ft'-ro,;u ,= e;#jrdrry r?Fa> 'G eruffil slrcryr €xq6q.r*=gq-H..l-r-EF e-. -qsrrur gj-+-OTC@ ffiG-rd@r ry tgUW

+{T'\ s €,'fl? l,rsffiffi=J';+'€u=Tq ch rF&cner- o=E{ eHccr daom^sciYD s ^a6-R-fu r__?'q1 4-r-ER q.zrT # -:;#

1 .'ro\ftftr.i,g .$- oeiff srb, ar^rq ert-r*-trUWT' rii . BrO | rB ;j-" 2',zO qr roEF6T s,so cJ-lryLrye tuary **i'i;*.'t+'ru'-q.te%6''-l c?rTtT{^p.6rql .oru-T, L6rn-rrt €t a€ft'or,f.or$*l a0 rTrr-li 6i-d- b gr5-{ .gfun U"F J<eUmgTT6T

orrral dqers@k- '.dr,'6i-i

Lr-t . 6 rJ'6)$a+o>ti.Cb o+CDSe'oJRl t^,'r tr4 r

r:ftlt:i*" :.l', tt.

huno cRrTrcAL cARE no$FtTAL * iUnit of Mungilwar HosPital

n^-; t\rannrrr' €: A712'7734498towk'C'A' Road'NtgPut "%

'hpande Luv-olt, vlitlnuui D , *8fu9g

I

FACILITIES

" ICCU

. GeneraiSurgerY

u Fraeture

* Trauma

* fiead iniurY

* *plne ittjury

* Seiarc Sr*rgerY

* ?r*k* FaraiYsi*

' i4**rt Attak'

" idyse***si*ft

* Sia**ties

. * P*is*ning

* Snake Bite

'Tt^tw R'4t-t

^*t;q#fi* w-no.[ffi'1""n'o "

. ^:A;l{il$"'ilff;lraaq

vaisnnaJ&vr""J?S

i."J."H"' oso

. *riti*aliy Patient

. &it €mergcsley

. .$urgery

" LaProseoPY

. PhysiotheraPyDr. Vilas Panchbhai

rvr.5. rur"oi"ine {i nterrsivist)

ii'1" f,''",7:

//

/t

// *.-

/!lli Form Comm. AA( see rules 253(c), 25a(c)(iii), 254(80255(t)(iv))

REPORT ABOUT THE MOTBR VEHICLES ACCIDENTS

1 Name of the Police Station Lakadgani Police Station Nasnur Ci2 cr.no. /Tar.no. /SDE no. cr. No.71l18 / sec. 279,337,338, 427 IpC r/w 134, 17

Mv act8 /3/18 2- 09 nm

3 Date o Time, and Place of Accident 7l3ll8 22-00 pm Hiwry Nagar Chowk ps takadganNagpur ,

4 Name of the injured/ Deceased Kamal Dhakate age 45 add- Bhandewatli Nagpur

5 Name of Hospital to which he /she wasremoved

Auro Critical Care Hospital Nagpur

6 No. Of Vehicles and fype of the vehicle 2 vehicle , Accused -- unknown car drivervictim vehicle active no mh 49 P 8331

7 Name and Address of the driver of thevehicle with particular or driving licenceof the said driver and the address of theissuing authority of the said drivinglicence . The number of badge in case ofpublic service vehicle and the address ofthe issuing authorify of the said badse

unknown car driver

8 Name of the adderess of the owner of thevehicle as it stand on the date ofaccident-

I Name of the adderess of the insurancecompany with whom vehicle wasinsured and the divisionaloffice of thesaid insurance company.

10 Numlrer ol' Insurance Certificate andthe Date of validity of the InsurancePolicy / Insurance Certificate

11 Action taken,If any, and the resultthere of.

A final no.84/1829t5t18

Inspector of PoliceLakadsani Police Station