| PERIODIC DISCLOSURES |
| FORM NL-39 |
Rural & Social Obligations (Quarterly Returns) |
| Insurer: |
Date: |
| |
(Rs in Lakhs) |
| Rural & Social Obligations (Quarterly Returns) |
| Sl.No. |
Line of Business |
Particular |
No. of Policies Issued |
Premium Collected |
Sum Assured |
| 1 |
Fire |
Rural |
|
|
|
| Social |
|
|
|
| 2 |
Cargo & Hull |
Rural |
|
|
|
| Social |
|
|
|
| 3 |
Motor TP |
Rural |
|
|
|
| Social |
|
|
|
| 4 |
Motor OD |
Rural |
|
|
|
| Social |
|
|
|
| 5 |
Engineering |
Rural |
|
|
|
| Social |
|
|
|
| 6 |
Workmen's Compensation |
Rural |
|
|
|
| Social |
|
|
|
| 7 |
Employer's Liability |
Rural |
|
|
|
| Social |
|
|
|
| 8 |
Aviation |
Rural |
|
|
|
| Social |
|
|
|
| 9 |
Personal Accident |
Rural |
|
|
|
| Social |
|
|
|
| 10 |
Health |
Rural |
|
|
|
| Social |
|
|
|
| 11 |
Others* |
Rural |
|
|
|
| Social |
|
|
|
| *any other segment contributing more than 5% needs to be shown separately |