FORM - NL- 28
Company Name & Code:
Statement as on:	30.9.2010
Statement of Investment Assets (General Insurer Re-insurers)
(Business within India)
Periodicity of Submission: Quarterly
			(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
	a.  Cash & Bank Balance	11	348728.07
	b.  Advances & Other Assets	12	689954.50
5	Current Liabilities
	a.  Current Liabilities	13	1324084.18
	b.  Provisions	14	559807.53
	c.  Misc. Exp not Written Off	15	0
	d.  Debit Balance of P&L A/c
	Application of Funds as per Balance Sheet   (A)		3093323.93
	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
8	Debit Balance of P&L A/c
		TOTAL (B)	-886704.99
	'Investment Assets' As per FORM 3B	(A-B)	3980028.92

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
	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
	2. Approved Investments	Not exceeding 55%	0.00	281358.65	413962.72	695321.37	37.19	1913844.82	2609166.19	2609166.19
	3. Other Investments (not exceeding 25%)		62462.21	84337.29	146799.50	7.85	11278.72	158078.22	158078.22
	Total Investment Assets	100%		751151.55	1118544.21	1869695.76	100.00	2110333.16	3980028.92	3980028.92
	Certification:
	1. "Central Govt. Securities includes Treasury Bills Deposit Under Section 7 of Insurance Act 1938 and Deposit with CCIL (securities)
	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
	3. Foreign Investments (Rs.9574.14 lacs) and Investment in Agricultural Insurance Corporation of India Ltd. (Rs.7000 lacs) are shown as
	Shareholders' funds  under Approved and Unapproved investments respectively.
	5. Market value is given in respect of investment in equity and mutual fund.
	Certified that the information given herein are correct and complete to the best
	of my knowledge and belief and nothing has been concealed or suppressed
	Date:							Signature:	____________________
								Full name:
								Designation: