PERIODIC DISCLOSURES
FORM NL-39 Rural & Social Obligations (Quarterly Returns)
Insurer: Date:
  (Rs in Lakhs)
Rural & Social Obligations (Quarterly Returns)
Sr.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