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| FORM NL-28-STATEMENT OF ASSETS - 3B |
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| Company Name & Code: |
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| Statement as on: 30.09.2019 |
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| Statement of Investment Assets (General Insurer, Re-insurers) |
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| (Business within India) |
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| Periodicity of Submission: Quarterly |
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| No. |
Particulars |
SCH |
` in Crs. |
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| 1 |
Investments |
8 |
77,160.79 |
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| 2 |
Loans |
9 |
237.13 |
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| 3 |
Fixed Assets |
10 |
186.94 |
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| 4 |
Current Assets |
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a. Cash & Bank Balance |
11 |
13,363.98 |
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b. Advances & Other Assets |
12 |
30,777.66 |
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| 5 |
Current
Liabilities |
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a. Current Liabilities |
13 |
(59,534.03) |
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b. Provisions |
14 |
(14,971.03) |
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c. Misc. Exp. Not written off |
15 |
- |
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d. Debit Balance of P & L A/c |
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Application of
Funds as per Balance Sheet (A) |
TOTAL (A) |
47,221.44 |
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Less : Other
Assets |
SCH |
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| 1 |
Loans (if any) |
9 |
2.60 |
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| 2 |
Fixed Assets (if
any) |
10 |
186.94 |
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| 3 |
Cash & Bank
Balance (if any) |
11 |
9,807.35 |
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| 4 |
Advances &
Other Assets (if any) |
12 |
30,652.42 |
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| 5 |
Current
Liabilities |
13 |
(59,534.03) |
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| 6 |
Provisions |
14 |
(14,971.03) |
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| 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) |
(33,855.75) |
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'Investment
Assets' As per FORM 3B |
( A - B ) |
81,077.19 |
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| NL
28-Part A -Section II |
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| Statement
as on : 30.09.2019 |
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` in
Crs. |
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| 'Investment' represented as |
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Reg. % |
FRSM+ |
PH |
Book Value (SH
+ PH) |
% Actual |
FVC Amount |
Total |
Market Value |
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| 1 |
Central Govt. Securities |
Not less than 20% |
3467.74 |
12138.7 |
15606.40 |
28.78 |
0 |
15606.40 |
16368.70 |
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| 2 |
Central Govt Sec, State Govt Sec or Other Approved Securities
(incl (i) above) |
Not less than 30% |
5586.14 |
19554 |
25140.16 |
46.35 |
0 |
25140.16 |
26379.86 |
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| 3 |
Investment subject to Exposure Norms |
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a. Housing/ Infra & Loans to SG for
Housing and FFE |
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1. Approved
Investments |
Not less than 15% |
1986.29 |
6952.93 |
8939.22 |
16.50 |
330.54 |
9269.76 |
9435.29 |
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2. Other Investments |
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188.55 |
660.01 |
848.55 |
1.56 |
-78.44 |
770.12 |
712.85 |
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c. Approved Investments |
Not exceeding 55% |
4365.22 |
12910 |
17275.23 |
31.85 |
26850.72 |
44125.95 |
44138.67 |
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d. Other Investments |
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451.30 |
1579.74 |
2031.03 |
3.74 |
-259.84 |
1771.20 |
1674.04 |
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Investment Assets |
100% |
12577.50 |
41656.71 |
54234.19 |
100.00 |
26842.98 |
81077.19 |
82340.71 |
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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 22.22 : 77.78 as per B/s as on
30.09.2019. |
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| Certified
that the information given herein are
correct, complete and nothing has been concealed or suppressed, to the
best of my knowledge and belief. |
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| Date: |
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Signature |
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Full Name |
Mr.Shashikant More |
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