PERIODIC DISCLOSURES
FORM NL-25  : Quarterly claims data for Non-Life  
Insurer:   Date:  
    No. of claims only  
Sl. No. Claims Experience Fire Marine Cargo Marine Hull Engineering Motor OD Motor TP Health Overseas Travel Personal Accident Liability Crop Credit Miscellaneous Total
1 Claims O/S at the beginning of the period                            
1 Claims reported during the period
2 Claims Settled during the period
3 Claims Repudiated during the period
4 Claims closed during the period
5 Claims O/S at End of the period
Less than  3months
3 months to 6 months
6months to 1 year
  1year and above