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