FORM NL 28..
Statement as on: 30.06.2012..
Statement of Investment Assets (General Insurer, Re-insurers)
(Business within India)
Periodicity of Submission : Quarterly (As on 30.06.2012).
. . . Amount in Lakhs
No.  Particulars SCH  Amount 
1 Investments 8 3,853,612.93
2 Loans 9 47,049.78
3 Fixed Assets 10 4,866.07
4 Current Assets . .
. a.  Cash & Bank Balance 11 458,424.31
. b.  Advances & Other Assets 12 403,574.18
5 Current Liabilities . .
. a.  Current Liabilities 13 -1,553,500.88
. b. Provisions 14 -628,885.16
. 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) 2,585,141.23
. Less : Other Assets SCH  Amount 
1 Loans (if any) 9 262.42
2 Fixed Assets (if any) 10 4,866.07
3 Cash & Bank Balance  (if any) 11 284,377.85
4 Advances & Other Assets  (if any) 12 398,272.43
5 Current Liabilities 13 -1,553,500.88
6 Provisions 14 -628,885.16
7 Misc. Exp. Not written off 15 .
8 Debit Balance of P & L A/c . .
. . TOTAL (B)           -1,494,607.27
. Investment Assets' As per FORM 3B ( A - B )            4,079,748.50

 

Suraksha, 170, J. Tata Road, Churchgate, Mumbai - 400 020, INDIA
FORM 28 . . . . . . . . .
Statement as on: 30.06.2012 . . . . . . . . .
Periodicity of Submission : Quarterly (As on 30.06.2012) . . . . . . . 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% . 118,504.82 365,385.82 483,890.64 20.87 -13,050.72 470,839.92 470,839.92
2 G. Sec and Other Apporved Sec. (incl. (1) above) Not less than 30% . 191,809.86 591,407.20 783,217.06 33.78 -527.11 782,689.95 782,689.95
3 Investment subject to Exposure Norms . . . . . . . . 0
. 1. Housing & Loans to SG for Housing and FFE, Infrastructure Investments Not less than 15% . 103,280.33 318,444.18 421,724.52 18.19 124,366.99 546,091.50 546,091.50
. 2. Approved Investments Not exceeding 55% . 232,611.37 687,935.00 920,546.38 39.71 1,981,250.78 2,901,797.16 2,901,797.16
. 3.  Other Investments (not exceeding 25%) Not exceeding 55% . 52,522.59 140,359.77 192,882.36 8.32 35,326.87 228,209.23 228,209.23
. Total Investment Assets 100% . 580,224.15 1,738,146.16 2,318,370.32 100.00 2,140,417.53 4,458,787.85 4,458,787.85
. Certification: . . . . . . . . .
. 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 0.2449:0.7551 as per B/s as on 31.03.2012 . . . . .
. 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: . .