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Sr.No.	Line of Business	Particular	No. of Policies Issued
PERIODIC DISCLOSURES
FORM NL-39	Rural & Social Obligations (Quarterly Returns)
Insurer:		Date:
		(Rs in Lakhs)
Rural & Social Obligations (Quarterly Returns)
1	Fire	Rural
1	Fire	Social
2	Cargo & Hull	Rural
2	Cargo & Hull	Social
3	Motor TP	Rural
3	Motor TP	Social
4	Motor OD	Rural
4	Motor OD	Social
5	Engineering	Rural	NOT APPLICABLE
5	Engineering	Social	NOT APPLICABLE
6	Workmen's Compensation	Rural
6	Workmen's Compensation	Social
7	Employer's Liability	Rural
7	Employer's Liability	Social
8	Aviation	Rural
8	Aviation	Social
9	Personal Accident	Rural
9	Personal Accident	Social
10	Health	Rural
10	Health	Social
11	Others*	Rural
11	Others*	Social
*any other segment contributing more than 5% needs to be shown separately