| FORM NL-28-STATEMENT OF ASSETS - 3B |
| FORM - 3B |
| Company Name & Code: |
| Statement as on: 30th June, 2010 |
| Statement of Investment Assets (General Insurer, Re-insurers) |
| (Business within India) |
| Periodicity of Submission: Quarterly |
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(Rs. in lacs) |
| No. |
PARTICULARS |
SCH |
AMOUNT |
| 1 |
Investments |
8 |
3869585.08 |
| 2 |
Loans |
9 |
64583.04 |
| 3 |
Fixed Assets |
10 |
4364.95 |
| 4 |
Current Assets |
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a. Cash & Bank Balance |
11 |
348728.07 |
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b. Advances & Other Assets |
12 |
689954.50 |
| 5 |
Current Liabilities |
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a. Current Liabilities |
13 |
1324084.18 |
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b. Provisions |
14 |
559807.53 |
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c. Misc. Exp not Written Off |
15 |
0 |
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d. Debit Balance of P&L A/c |
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Application of Funds as per Balance Sheet (A) |
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3093323.93 |
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Less: Other Assets |
SCH |
Amount |
| 1 |
Loans (if any) |
9 |
282.48 |
| 2 |
Fixed Assets (if any) |
10 |
4364.95 |
| 3 |
Cash & Bank Balance (if any) |
11 |
307929.66 |
| 4 |
Advances & Other Assets (if any) |
12 |
684609.63 |
| 5 |
Current Liabilities |
13 |
1324084.18 |
| 6 |
Provisions |
14 |
559807.53 |
| 7 |
Misc. Exp not Written Off |
15 |
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| 8 |
Debit Balance of P&L A/c |
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TOTAL (B) |
-886704.99 |
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'Investment Assets' As per FORM 3B |
(A-B) |
3980028.92 |
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| FORM 3B |
| Date : |
| Periodicity of Submission : Quarterly (As on 30th September 2010) |
| No |
'Investment' represented as |
Reg. % |
SH |
PH |
Book Value (SH + PH) |
%Actual |
FVC Amount |
Total |
Market Value |
| Balance |
FRSM+ |
| (a) |
(b) |
(c) |
d = (b+c) |
(e) |
(d + e) |
| 1 |
G. Sec. |
Not less than 20% |
0.00 |
167298.25 |
254745.77 |
422044.02 |
22.57 |
0.00 |
422044.02 |
422044.02 |
| 2 |
G. Sec and Other Apporved Sec. (incl. (1) above) |
Not less than 30% |
0.00 |
262351.36 |
399483.56 |
661834.92 |
35.40 |
0.00 |
661834.92 |
661834.92 |
| 3 |
Investment subject to Exposure Norms |
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1.'Housing & Loans to SG for Housing and FFE Infrastructure Investments |
Not less than 15% |
0.00 |
144979.32 |
220760.65 |
365739.97 |
19.56 |
185209.62 |
550949.59 |
550949.59 |
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2. Approved Investments |
Not exceeding 55% |
0.00 |
281358.65 |
413962.72 |
695321.37 |
37.19 |
1913844.82 |
2609166.19 |
2609166.19 |
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3. Other Investments (not exceeding 25%) |
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62462.21 |
84337.29 |
146799.50 |
7.85 |
11278.72 |
158078.22 |
158078.22 |
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Total Investment Assets |
100% |
|
751151.55 |
1118544.21 |
1869695.76 |
100.00 |
2110333.16 |
3980028.92 |
3980028.92 |
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Certification: |
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1. "Central Govt. Securities includes Treasury Bills Deposit Under Section 7 of Insurance Act 1938 and Deposit with CCIL (securities) |
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2. Shareholder and Policyholder Funds have been bifurcated in the ratio of 0.3964:0.6036 as per B/s as on 31.3.2010 |
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3. Foreign Investments (Rs.9574.14 lacs) and Investment in Agricultural Insurance Corporation of India Ltd. (Rs.7000 lacs) are shown as |
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Shareholders' funds under Approved and Unapproved investments respectively. |
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5. Market value is given in respect of investment in equity and mutual fund. |
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Certified that the information given herein are correct and complete to the best |
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of my knowledge and belief and nothing has been concealed or suppressed |
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Date: |
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Signature: |
____________________ |
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Full name: |
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Designation: |
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