FORM NL 28..
Statement as on: 31.12.2012..
Statement of Investment Assets (General Insurer, Re-insurers)
(Business within India)
Periodicity of Submission : Quarterly (As on 31.12.2012).
.	.	.	Amount in Lakhs
No.	Particulars	SCH	Amount
1	Investments	8	4,197,656.31
2	Loans	9	46,653.88
3	Fixed Assets	10	5,581.02
4	Current Assets
.	a.  Cash & Bank Balance	11	447,712.19
.	b.  Advances & Other Assets	12	384,981.82
5	Current Liabilities
.	a.  Current Liabilities	13	-1,653,479.93
.	b. Provisions	14	-630,954.96
.	c.  Misc. Exp. Not written off	15
.	d.  Debit Balance of P & L A/c
.	Application of Funds as per Balance Sheet (A)	TOTAL (A)	2,798,150.33
.	Less : Other Assets	SCH	Amount
1	Loans (if any)	9	238.89
2	Fixed Assets (if any)	10	5,581.02
3	Cash & Bank Balance  (if any)	11	209,978.64
4	Advances & Other Assets  (if any)	12	379,555.84
5	Current Liabilities	13	-1,653,479.93
6	Provisions	14	-630,954.96
7	Misc. Exp. Not written off	15
8	Debit Balance of P & L A/c
.	.	TOTAL (B)	-1,689,080.50
.	Investment Assets' As per FORM 28	( A - B )	4,487,230.83

 

Suraksha, 170, J. Tata Road, Churchgate, Mumbai - 400 020, INDIA
FORM 28		.	.	.	.	.	.	.	.	.
Statement as on: 31.12.2012		.	.	.	.	.	.	.	.	.
Periodicity of Submission : Quarterly (As on 31.12.2012)			.	.	.	.	.	.	.	Amount in Lakhs
No.	Investment Represented as	Reg. %	.	Share Holders	Policy Holders	Book Value (SH+PH)	% Actual	FVC Amount	Total	Market Value
.	.	.	Balance  (a )	FRSM ( b )	( c )	d = ( b + c )	.	( e )	( d + e )	.
1	G. Sec.	Not less than 20%	.	123,422.33	395,376.87	518,799.20	21	-1,921.85	516,877.35	516,877.35
2	G. Sec and Other Apporved Sec. (incl. (1) above)	Not less than 30%	.	197,890.81	633,932.68	831,823.49	33.68	6,434.04	838,257.53	838,257.53
3	Investment subject to Exposure Norms	.	.	0	0	0	0	0	0	0
.	1. Housing & Loans to SG for Housing and FFE, Infrastructure Investments	Not less than 15%	.	110,778.95	354,874.46	465,653.40	18.85	102,589.28	568,242.68	568,242.68
.	2. Approved Investments	Not exceeding 55%	.	240,774.68	740,895.94	981,670.62	39.75	1,916,592.74	2,898,263.36	2,898,263.36
.	3.  Other Investments (not exceeding 25%)	Not exceeding 55%	.	50,719.89	140,054.34	190,774.23	7.72	-2,030.96	188,743.28	188,743.28
.	Total Investment Assets	100%	.	600,164.33	1,869,757.42	2,469,921.74	100	2,023,585.10	4,493,506.85	4,493,506.85
.	-	.	.	.	.	.	.	.	.	.
.	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 0.2397:0.7621 as per B/s as on 31.12.2012					.	.	.	.	.
.	Certified that the information given herein are correct and complete to the best of my knowledge and belief and nothing has been canceled or suppressed.								.	.
.	Date :	.	.	.	.	.	.	.	.	.
.	.	.	.	.	.	.	.	Signature:	.	.
.	.	.	.	.	.	.	.	Full Name:	.	.
.	.	.	.	.	.	.	.	Designation:	.	.