FORM NL 28..
Statement as on: 30.09.2012..
Statement of Investment Assets (General Insurer, Re-insurers)
(Business within India)
Periodicity of Submission : Quarterly (As on 30.09.2012).
.	.	.	Amount in Lakhs
No.	Particulars	SCH	Amount
1	Investments	8	4,038,393.80
2	Loans	9	46,953.42
3	Fixed Assets	10	4,781.97
4	Current Assets
.	a.  Cash & Bank Balance	11	452,963.05
.	b.  Advances & Other Assets	12	484,063.65
5	Current Liabilities	.	.
.	a.  Current Liabilities	13	(1,641,758.43)
.	b. Provisions	14	(630,841.31)
.	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)	2,754,556.15
.	Less : Other Assets	SCH	Amount
1	Loans (if any)	9	251.18
2	Fixed Assets (if any)	10	4,781.97
3	Cash & Bank Balance  (if any)	11	271,906.99
4	Advances & Other Assets  (if any)	12	478,632.28
5	Current Liabilities	13	(1,641,758.43)
6	Provisions	14	(630,841.31)
7	Misc. Exp. Not written off	15	.
8	Debit Balance of P & L A/c	.	.
.	.	TOTAL (B)	(1,517,027.32)
.	Investment Assets' As per FORM 28	( A - B )	4,271,583.47

 

Suraksha, 170, J. Tata Road, Churchgate, Mumbai - 400 020, INDIA
FORM 28		.	.	.	.	.	.	.	.	.
Statement as on: 30.09.2012		.	.	.	.	.	.	.	.	.
Periodicity of Submission : Quarterly (As on 30.09.2012)			.	.	.	.	.	.	.	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%	.	119,326.11	379,946.33	499,272.44	21.06	-10,235.17	489,037.27	489,037.27
2	G. Sec and Other Apporved Sec. (incl. (1) above)	Not less than 30%	.	191,732.88	610,496.75	802,229.64	33.84	58,128.00	860,357.64	860,357.64
3	Investment subject to Exposure Norms	.	.	.	.	.	.	.	.	0
.	1. Housing & Loans to SG for Housing and FFE, Infrastructure Investments	Not less than 15%	.	106,624.15	339,502.00	446,126.15	18.82	100,644.12	546,770.27	546,770.27
.	2. Approved Investments	Not exceeding 55%	.	224,981.91	686,134.08	911,115.99	38.44	1,802,197.74	2,713,313.74	2,713,313.74
.	3.  Other Investments (not exceeding 25%)	Not exceeding 55%	.	55,734.87	155,176.73	210,911.61	8.9	-4,319.62	206,591.99	206,591.99
.	Total Investment Assets	100%	.	579,073.81	1,791,309.56	2,370,383.39	100	1,956,650.24	4,327,033.64	4,327,033.64
.	-	.	.	.	.	.	.	.	.	.
.	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 0.239:0.761 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:	.	.