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