FORM NL-28-STATEMENT OF ASSETS - 3B      
Company Name & Code:      
Statement as on: 30.09.2019      
Statement of Investment Assets (General Insurer, Re-insurers)      
(Business within India)      
Periodicity of Submission: Quarterly      
       
No.  Particulars SCH ` in Crs.
1 Investments 8             77,160.79
2 Loans 9                 237.13
3 Fixed Assets 10                 186.94
4 Current Assets    
  a.  Cash & Bank Balance 11             13,363.98
  b.  Advances & Other Assets 12             30,777.66
5 Current Liabilities  
  a.  Current Liabilities 13           (59,534.03)
  b. Provisions 14           (14,971.03)
  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)           47,221.44
       
  Less : Other Assets SCH  
1 Loans (if any) 9                     2.60
2 Fixed Assets (if any) 10                 186.94
3 Cash & Bank Balance  (if any) 11               9,807.35
4 Advances & Other Assets  (if any) 12             30,652.42
5 Current Liabilities 13           (59,534.03)
6 Provisions 14           (14,971.03)
7 Misc. Exp. Not written off 15                        -  
8 Debit Balance of P & L A/c    
    TOTAL (B)           (33,855.75)
  'Investment Assets' As per FORM 3B ( A - B )           81,077.19
NL 28-Part A -Section II
Statement as on : 30.09.2019 ` in Crs.
'Investment' represented as   Reg. % FRSM+ PH Book Value (SH + PH) % Actual FVC Amount Total Market Value
                   
1 Central Govt. Securities Not less than 20% 3467.74 12138.7 15606.40           28.78 0 15606.40 16368.70
2 Central Govt Sec, State Govt Sec or Other Approved Securities (incl (i) above) Not less than 30% 5586.14 19554 25140.16           46.35 0 25140.16 26379.86
3 Investment subject to Exposure Norms                
a.  Housing/ Infra & Loans to SG for Housing and FFE                
1. Approved Investments Not less than 15% 1986.29 6952.93 8939.22           16.50 330.54 9269.76 9435.29
  2. Other Investments   188.55 660.01 848.55              1.56 -78.44 770.12 712.85
  c.  Approved Investments Not exceeding 55% 4365.22 12910 17275.23           31.85 26850.72 44125.95 44138.67
  d.  Other Investments   451.30 1579.74 2031.03              3.74 -259.84 1771.20 1674.04
 Investment Assets 100% 12577.50 41656.71 54234.19 100.00 26842.98 81077.19 82340.71
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 22.22 : 77.78 as per B/s as on 30.09.2019. 
Certified that the information given herein are  correct, complete and nothing has been concealed or suppressed, to the best of my knowledge and belief.
Date:
Signature
Full Name Mr.Shashikant More