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Notes to Financial Statements 16

For Dalal & Shah For B S R & Co For Bajaj Allianz Life Insurance Company Limited
As required by Section 40-B of the Insurance Act, 1938, we certify that all expenses of Management in respect of Life Insurance
business
transacted in India by the Company have been fully debited to the Policyholders’ Revenue Account as expenses.
The accompanying notes and schedules form an integral part of the financial statements.
As per our report of even date attached
Chartered Accountants Chartered Accountants
Firm Registration Firm Registration
No. 102021W No. 101248W
Anish Amin Juzer Miyajiwala Sanjiv Bajaj
Partner Partner Director Director Director
Membership No. 40451 Membership No. 47483
Kamesh Goyal Ranjit Gupta S. H. Khan
Managing Director and Director Director
Chief Executive Officer
Manu Tandon Rajesh Viswanathan Anil Singh
Director Chief Financial Officer Appointed Actuary
Sameer Bakshi
Company Secretary &
Head - Legal & Compliance
Place : Pune Place : Pune
th Date : 7 May 2010 Date : 7 May 2010

Heinz Dollberg Sanjay Asher

Form A- BS
Balance Sheet as at 31st March 2010
SOURCES OF FUNDS
SHAREHOLDERS' FUNDS
BORROWINGS
POLICYHOLDERS' FUNDS
FUNDS FOR FUTURE APPROPRIATIONS
Share Capital 5 1,507,090 1,507,090
Reserves and Surplus 6 10,599,550 10,599,550
Credit/(Debit) Fair Value Change Account - -
SUB TOTAL 12,106,640 12,106,640
7--
Credit/(Debit) Fair Value Change Account 28,433 7,014
Policy Liabilities (Refer Schedule 16 Note 8)
Participating
Individual Assurance 15,240,119 11,319,055
Individual Pension 376,166 350,390
Non Participating
Individual Assurance 1,030,552 191,904
Individual Health 160,464 106,164
Individual Annuity 183,950 101,389
Group Assurance 4,171,640 1,222,238
Linked
Individual Assurance 8,670,678 4,501,717
Individual Pension 448,819 194,008
Group 11,016 30,293,404 11,342 17,998,207
Insurance Reserves - -
Provision For Linked Liabilities
Linked Liabilities 238,974,031 159,828,323
Fair value change 45,172,123 284,146,154 (19,175,325) 140,652,998
SUB TOTAL 314,467,991 158,658,219
Participating
Individual Assurance 994,530 918,099
Individual Pension 29,134 1,860
Non Participating
Individual Assurance - 43,964
Individual Health - 94,719
Individual Annuity - 2,708
Group Assurance - 9,996
Linked
Individual Assurance - -
Individual Pension - -
Group - 641
1,023,664 1,071,987
Reserve for Lapsed unit linked policies unlikely to be revived 2,850,905 3,874,569 3,951,268 5,023,255
TOTAL 330,449,200 175,788,114
th

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