PERIODIC DISCLOSURES
FORM NL-39 Rural & Social Obligations (Quarterly Returns)
Insurer: Date:

(Rs in Lakhs)
Rural & Social Obligations (Quarterly Returns)
Sl.No. Line of Business Particular No. of Policies Issued Premium Collected Sum Assured
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