FORM NL-28-STATEMENT OF ASSETS - 3B
Company Name & Code:
Statement as on: 31.12.2016
Statement of Investment Assets (General Insurer, Re-insurers)
(Business within India)

Periodicity of Submission: Quarterly

Sl. No. Particulars SCH Rs.. in Crs.
1 Investments 8 59,727.97
2 Loans 9 338.40
3 Fixed Assets 10 166.28
4 Current Assets    
  a. Cash & Bank Balance 11 9,956.48
  b. Advances & Other Assets 12 15,058.01
5 Current Liabilities    
  a. Current Liabilities 13 -27,355.97
  b. Provisions 14 -13,570.54
  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) 44,320.64
       
  Less : Other Assets SCH Rs.. in Crs.
1 Loans (if any) 9 2.12
2 Fixed Assets (if any) 10 166.28
3 Cash & Bank Balance (if any) 11 8,133.43
4 Advances & Other Assets (if any) 12 15,022.38
5 Current Liabilities 13 -27,355.97
6 Provisions 14 -13,570.54
7 Misc. Exp. Not written off 15  
8 Debit Balance of P & L A/c    
    TOTAL (B) -17,602.30
  'Investment Assets' As per FORM 3B ( A - B ) 61,922.93

 

NL28-Part A -Section II
Statement as on: 31.12.2016
No 'Investment' represented as Reg. % SH FRSM+   Book Value (SH + PH) %Actual FVC Amount
(b) (c) d = (b+c)
1 G. Sec. Not less than 20%   2,657.51 5,521.95 8,179.46 22.88 0.00
2 G. Sec or Other Apporved Sec. (incl. (1) above) Not less than 30%   4,322.43 8,981.45 13,303.88 37.21 0.00
3 Investment subject to Exposure Norms     0.00 0.00 0.00 0.00 0.00
  a. Housing & Loans to SG for Housing and FFE Not less than 5%   0.00 0.00 0.00 0.00 0.00
  1. Approved Investments     1,196.76 2,486.72 3,683.48 10.30 0.00
  2. Other Investments     0.00 0.00 0.00 0.00 0.00
  b. Infrastructure Investments Not less than 10%   0.00 0.00 0.00 0.00 0.00
  1. Approved Investments     1,306.55 2,714.83 4,021.38 11.25 773.86
  2. Other Investments     112.22 233.18 345.40 0.97 4.50-
  c. Approved Investments Not exceeding 55%   4,126.26 8,129.98 12,256.24 34.28 25,193.48
  d. Other Investments (not exceeding 25%)     696.30 1,446.83 2,143.13 5.99 206.58
  Total Investment Assets 100%   11,760.52 23,992.99 35,753.51 100 26,169.42

Certification:

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 32.49:67.51 as per B/s as on 30.09.2016

Certified that the information given herein are correct, complete and nothing has been concealed or suppressed, to the best of my knowledge and belief.