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Insurer Name: Liberty General Insurance Ltd.

IRDAI registraion no-


150
Applicability

S.No. Form No Description General & Health Insurers

1 NL-1-B-RA Revenue Account YES

2 NL-2-B-PL Profit and Loss Account YES

3 NL-3-B-BS Balance Sheet YES

NL-3A-B-BS Balance Sheet NO

4 NL-4-PREMIUM SCHEDULE Premium YES

5 NL-5-CLAIMS SCHEDULE Claims Incurred YES

6 NL-6-COMMISSION SCHEDULE Commission YES

7 NL-7-OPERATING EXPENSES SCHEDULE Operating Expenses YES

8 NL-8-SHARE CAPITAL SCHEDULE Share Capital YES

9 NL-9-PATTERN OF SHAREHOLDING SCHEDULE Pattern of Shareholding YES

NL-9A-SHAREHOLDING PATTERN SCHEDULE Pattern of Shareholding-Annexure A YES

10 NL-10-RESERVE AND SURPLUS SCHEDULE Reserves and Surplus YES

NL-10A-HEAD OFFICE ACCOUNT SCHEDULE Head Office Account (FRBs) NO

11 NL-11-BORROWING SCHEDULE Borrowings YES

12 NL-12- INVESTMENT SCHEDULE (SHAREHOLDERS) Investment YES

NL-12A-INVESTMENT SCHEDULE (POLICYHOLDERS)

AGGREGATE VALUE OF INVESTMENTS OTHER THAN EQUITY YES


SHARES AND MUTUAL FUND
13 NL-13-LOANS SCHEDULE Loans YES

14 NL-14-FIXED ASSETS SCHEDULE Fixed Assets YES

15 NL-15-CASH AND BANK BALANCE SCHEDULE Cash and Bank Balance YES
Applicability

S.No. Form No Description General & Health Insurers

16 NL-16-ADVANCES AND OTHER ASSETS SCHEDULE Advances & Other Assets YES

NL-16A-ADVANCES AND OTHER ASSETS SCHEDULE Advances & Other Assets (FRBs) NO

17 NL-17-CURRENT LIABILITIES SCHEDULE Current Liabilities YES

NL-17A-CURRENT LIABILITIES SCHEDULE Current Liabilities (FRBs) NO

18 NL-18-PROVISIONS SCHEDULE Provisions YES

19 NL-19-MISC EXPENDITURE SCHEDULE Misc Expenditure YES

20 NL-20-ANALYTICAL RATIOS SCHEDULE Analytical Ratios YES

21 NL-21-RELATED PARTY TRANSACTIONS SCHEDULE Related Party Transactions YES

22 NL-22-RECEIPTS AND PAYMENT SCHEDULE Receipts & Payment Statement YES

23 NL-23 - SOLVENCY MARGIN - GI-TA Statement of Admissible Assets YES

24 NL-24 - SOLVENCY MARGIN - GI-TR Statement of Liabilities YES

25 NL-25 - SOLVENCY MARGIN - GI-SM-TABLE IA Required Solvency Margin YES

26 NL-26 - SOLVENCY MARGIN - GI-SM-TABLE IB Solvency Margin YES

27 NL-27-PRODUCT INFORMATION Product Information YES

28 NL-28-STATEMENT OF INVESTMENT ASSETS AND STATEMENT OF Investment assets and Accretion of Assets YES
ACCRETION OF ASSETS

29 NL-29-DEBT SECURITIES Debt Securities YES

30 NL-30-NON PERFORMING ASSETS Non performing assets YES

31 NL-31-STATEMENT OF INVESTMENT AND INCOME ON Investment and Investment Income YES


INVESTMENT
32 NL-32-STATEMENT OF DOWN GRADED INVESTMENTS Down graded investment, Investment Rating YES
and Infra investment rating
33 NL-33-REINSURANCE/RETROCESSION RISK CONCENTRATION Reinsurance Risk Concentration YES

34 NL-34-GEOGRAPHICAL DISTN OF BSNS Geographical Distribution of Business YES


Applicability

S.No. Form No Description General & Health Insurers

35 NL-35-BSNS RETURNS ACROSS LOB Quarterly Business Returns for different line of YES
business (Premium amount and number of
36 NL-36-CHANNEL WISE PREMIUM Business channels YES

37 NL-37-CLAIMS DATA Claims Data YES

38 NL-38-DEVELOPMENT OF LOSSES (ANNUAL SUBMISSION) Movement of Claims YES

39 NL-39-AGEING OF CLAIMS Ageing of Claims YES

40 NL-40-UNDERWRITING PERFORMANCE Segmental Underwriting Performance YES

41 NL-41-OFFICE INFORMATION Office Information YES

42 NL-42-KEY MANAGEMENT PERSONS Board of Directors & Management Person YES

43 NL-43-RURAL AND SOCIAL SECTOR OBLIGATIONS Rural & Social Sector Obligations YES

44 NL-44 MOTOR THIRD PARTY OBLIGATION Motor Third Party Obligation YES

45 NL-45-GRIEVANCE DISPOSAL Grievance Disposal YES

46 NL-46-VOTING ACTIVITY DISCLOSURE UNDER STEWARDSHIP Voting Activity disclosure under Stewardship YES
CODE Code

47 NL-47- PROFILE & PERFORMANCE OF HEALTH INSURANCE, Profile & Performance of Health Insurance, YES
PERSONAL ACCIDENT AND TRAVEL INSURANCE PRODUCTS Personal Accident and Travel Insurance
(ANNUAL SUBMISSION) Products
48 NL-48 - DISCLOSURES ON QUANTITATIVE AND QUALITATIVE Quantitative and Qualitative parameters of YES
PARAMETERS OF HEALTH SERVICES RENDERED (ANNUAL Health services rendered
DISCLOSURE)
FORM NL-1-B-RA

Name of the Insurer: Liberty General Insurance Limited

IRDA Registration No.150 dt. 22nd May 2012

REVENUE ACCOUNT FOR THE PERIOD ENDED ON 30TH JUNE 2022

(Amount in Rs. Lakhs)


Particulars Schedule Fire Marine Miscellaneous Total
Ref. Form
No.

For the Quarter Up to the Quarter For the Quarter Up to the Quarter For the Quarter Up to the Quarter For the Quarter Up to the Quarter For the Quarter Up to the Quarter For the Quarter Up to the Quarter For the Quarter Up to the Quarter For the Quarter Up to the Quarter Ended June-
Ended June-22 Ended June-22 Ended June-21 Ended June-21 Ended June-22 Ended June-22 Ended June-21 Ended June-21 Ended June-22 Ended June-22 Ended June-21 Ended June-21 Ended June-22 Ended June-22 Ended June-21 21

1 Premiums earned (Net) NL-4 626 626 472 472 753 753 713 713 32,606 32,606 29,348 29,348 33,986 33,986 30,533 30,533

2 Profit/ Loss on sale/redemption of Investments 15 15 5 5 5 5 1 1 159 159 36 36 178 178 43 43

3 Interest, Dividend & Rent – Gross 420 420 507 507 119 119 138 138 3,798 3,798 3,314 3,314 4,337 4,337 3,959 3,959
Note 1

4 Other - - - - - - - - - - 15 15 - - 15 15
(a) Other Income (to be specified)
(b) Contribution from the Shareholders' Account - - - - - - - - - - - - - - - -
(i) Towards Excess Expenses of Management
(ii) Others
TOTAL (A) (please specify) 1,061 1,061 984 984 877 877 852 852 36,563 36,563 32,713 32,713 38,501 38,501 34,550 34,550

6 Claims Incurred (Net) 262 262 121 121 586 586 662 662 23,310 23,310 18,102 18,102 24,158 24,158 18,884 18,884
NL-5

7 Commission (76) (76) (122) (122) 170 170 165 165 3,155 3,155 2,330 2,330 3,250 3,250 2,374 2,374
NL-6

8 Operating Expenses related to Insurance Business 440 440 596 596 261 261 357 357 12,657 12,657 11,115 11,115 13,358 13,358 12,068 12,068
NL-7

9 Premium Deficiency - - - - - - - - - - - - - - - -

TOTAL (B) 626 626 595 595 1,017 1,017 1,184 1,184 39,122 39,122 31,547 31,547 40,766 40,766 33,326 33,326

10 Operating Profit/(Loss) 435 435 389 389 (140) (140) (332) (332) (2,559) (2,559) 1,166 1,166 (2,265) (2,265) 1,224 1,224
C= (A - B)

11 APPROPRIATIONS

Transfer to Shareholders’ Account 435 435 389 389 (140) (140) (332) (332) (2,559) (2,559) 1,166 1,166 (2,265) (2,265) 1,224 1,224

Transfer to Catastrophe Reserve 0 0 0 0 0 0 0 0 0 0 0 0 - - - -

Transfer to Other Reserves (to be specified) 0 0 0 0 0 0 0 0 0 0 0 0 - - - -

TOTAL (C) 435 435 389 389 (140) (140) (332) (332) (2,559) (2,559) 1,166 1,166 (2,265) (2,265) 1,224 1,224

435 389 (141) (331) (2,558) 1,166


435 389 (141) (331) (2,558) 1,166

0
0 (0) (0) 1 1 (1) (1) (1) (1) 0 0

Notes:- (a) See notes appended at the end of Form NL-2-B-PL

Note - 1

Pertaining to Policyholder’s funds Miscellaneous


Fire Marine Total

For the Quarter Up to the Quarter For the Quarter Up to the Quarter For the Quarter Up to the Quarter For the Quarter Up to the Quarter For the Quarter Up to the Quarter For the Quarter Up to the Quarter For the Quarter Up to the Quarter For the Quarter Up to the Quarter Ended June-
Ended June-22 Ended June-22 Ended June-21 Ended June-21 Ended June-22 Ended June-22 Ended June-21 Ended June-21 Ended June-22 Ended June-22 Ended June-21 Ended June-21 Ended June-22 Ended June-22 Ended June-21 21

Interest, Dividend & Rent


377 377 550 550 128 128 150 150 4,105 4,105 3,594 3,594 4,611 4,611 4,294 4,294

Add/Less:- - - - - - - - - - -
Investment Expenses
- - - - - - - - - -

Amortisation of Premium/ Discount on Investments (28) (28) (43) (43) (10) (10) (12) (12) (307) (307) (280) (280) (345) (345) (335) (335)

Amount written off in respect of depreciated investments - - - - - - - - - -

Provision for Bad and Doubtful Debts - - - - - - - - - -

Provision for diminution in the value of other than actively traded Equities - - - - - - - - - -

Investment income from Pool 71 71 - - - - - - - - - - 71 71 - -


Interest, Dividend & Rent – Gross*
420 420 507 507 119 119 138 138 3,798 3,798 3,314 3,314 4,337 4,337 3,959 3,959
420 507 119 138 3,798 3,314
420 507 119 138 3,798 3,314
- 0 -
- - (0) - - - (0) - -
* Term gross implies inclusive of TDS

Page 4 of 52
FORM NL-2-B-PL

Name of the Insurer: Liberty General Insurance Limited

IRDA Registration No.150 dt. 22nd May 2012

PROFIT AND LOSS ACCOUNT FOR THE PERIOD ENDED ON 30TH JUNE 2022

(Amount in Rs. Lakhs)


Particulars Schedule Ref. Form For the Quarter Up to the For the Quarter Up to the Quarter
No. Ended June-22 Quarter Ended Ended June-21 Ended June-21
June-22

1 OPERATING PROFIT/(LOSS) NL-1

(a) Fire Insurance 435 435 389 389

(b) Marine Insurance (140) (140) (332) (332)

(c) Miscellaneous Insurance (2,559) (2,559) 1,166 1,166

2 INCOME FROM INVESTMENTS

(a) Interest, Dividend & Rent – Gross 1,555 1,555 1,626 1,626

(b) Profit on sale of investments 60 60 16 16

(c) (Loss on sale/ redemption of investments) - - - -

(d) Amortization of Premium / Discount on (115) (115) (127) (127)


Investments
3 OTHER INCOME (To be specified) - - - -

TOTAL (A)
(764) (764) 2,738 2,738

4 PROVISIONS (Other than taxation)

(a) For diminution in the value of investments - -


- -

(b) For doubtful debts - - -


-

(c) Others (to be specified) - -


- -

5 OTHER EXPENSES

(a) Expenses other than those related to - - - -


Insurance Business
Managerial Remuneration 154 154 138 138

Stamp Duty on increase in share capital - - - -

Directors' Sitting Fees 9 9 15 15

Other expenses 6 6 3 3

(b) Bad debts written off - - - -

(c) Interest on subordinated debt

(d) Expenses towards CSR activities

(e) Penalties - - - -

(f) Contribution to Policyholders' A/c

(i) Towards Excess Expenses of - - - -


Management
(ii) Others (please specify) - - - -

(g) Others (Please specify) - - - -


(i) ______
(ii)______
TOTAL (B) 169 169 156 156

6 Profit/(Loss) Before Tax (933) (933) 2,582 2,582

7 Provision for Taxation - - - -

8 Profit / (Loss) after tax (933) (933) 2,582 2,582

9 APPROPRIATIONS

(a) Interim dividends paid during the year - - - -

(b) Final dividend paid - - - -

(c) Transfer to any Reserves or Other Accounts - - - -


(to be specified)
Balance of profit/ loss brought forward from last (97,726) (97,726) (101,105) (101,105)
year
Balance carried forward to Balance Sheet (98,659) (98,659) (98,523) (98,523)

Notes: to Form NL-1-B-RA and NL-2-B- PL


(a) Items of income in excess of one percent of the total premiums (less reinsurance) or Rs.5,00,000 whichever is higher, shall be shown as a separate line
item.
(b) Under the sub-head "Others” items like foreign exchange gains or losses and other items shall be included

(c) Interest, dividends and rentals receivable in connection with an investment should be stated as gross amount, the amount of income tax deducted at
source being included under 'advance taxes paid and taxes deducted at source". The expenses pertaining to investment income e.g. Amortisation, Write off,
other Investments expenses etc. are to be deducted from this other than separately disclosed here.

(d) Income from rent shall include only the realized rent. It shall not include any notional rent.

(e) Contribution from the Shareholders' Account to policyholders' account /Contribution to the Policyholders' Fund is as per the terms of Section 40C of the
Insurance Act, 1938 read with IRDAI (Expenses of Management of Insurers transacting General or Health Insurance Business) Regulations as specified and
modified from time to time
FORM NL-3-B-BS
Name of the Insurer: Liberty General Insurance Limited
IRDA Registration No.150 dt. 22nd May 2012

BALANCE SHEET AS AT 30TH JUNE 2022

(Amount in Rs. Lakhs)


Particulars Schedule Ref. As at As at
Form No. 30th Jun 2022 30th Jun 2021

SOURCES OF FUNDS

SHARE CAPITAL NL-8 108,623 108,623 0


SHARE APPLICATION MONEY PENDING ALLOTMENT - -
RESERVES AND SURPLUS NL-10 74,812 74,812 0
FAIR VALUE CHANGE ACCOUNT

-Shareholders' Funds 11 1 0
-Policyholders' Funds 31 5 0

BORROWINGS NL-11 - -
TOTAL 183,477 183,441 0

APPLICATION OF FUNDS
INVESTMENTS-Shareholders NL-12 84,559 84,185 0
INVESTMENTS-Policyholders NL-12A 250,826 222,345 -1
LOANS NL-13 - - 0
FIXED ASSETS NL-14 3,921 2,851 0
DEFERRED TAX ASSET (Net)
CURRENT ASSETS - -
Cash and Bank Balances NL-15 2,712 698 0
Advances and Other Assets NL-16 30,864 30,928 0
Sub-Total (A) 33,576 31,626

DEFERRED TAX LIABILITY (Net) - -


CURRENT LIABILITIES NL-17 208,643 188,645 0
PROVISIONS NL-18 79,421 67,444 0
Sub-Total (B) 288,064 256,089 0
NET CURRENT ASSETS (C) = (A - B) (254,488) (224,463) 0
MISCELLANEOUS EXPENDITURE (to the extent not written off NL-19 - -
or adjusted)
DEBIT BALANCE IN PROFIT AND LOSS ACCOUNT 98,659 98,523 0
TOTAL 183,477 183,441

CONTINGENT LIABILITIES

Particulars As at As at
30th Jun 2022 30th Jun 2021

1. Partly paid-up investments - -


2. Claims, other than against policies, not acknowledged as debts by the company - -
3. Underwriting commitments outstanding (in respect of shares and securities) - -

4. Guarantees given by or on behalf of the Company - -


5.Statutory demands/ liabilities in dispute, not provided for 372 32
6. Reinsurance obligations to the extent not provided for in accounts - -
7 .Others (to be specified) - -
(a).________
(b). ________
TOTAL 372 32

Page 6 of 52
FORM NL-4-PREMIUM SCHEDULE (A mount in Rs. Lakhs)

FIRE Marine Cargo Marine Hull Total Marine Motor OD Motor TP Total Motor Health Personal A ccident Travel Insurance Total Health Workmen’s Compensation/ Public/ Product Liability Engineering A viation Crop Insurance Other segments
(b) Other Miscellaneous segment Total Miscellaneous Grand Total Grand Total
Employer’s Liability

Particulars For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Quarter Up to the Quarter For the Quarter Up to the Quarter For the Quarter Ended Up to the Quarter For the Quarter Up to the Quarter For the Quarter Up to the Quarter For the Quarter Up to the Quarter For the Quarter Up to the Quarter For the Quarter Up to the Quarter
Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Ended June-22 Ended June-22 Ended June-22 Ended June-22 June-22 Ended June-22 Ended June-22 Ended June-22 Ended June-22 Ended June-22 Ended June-22 Ended June-22 Ended June-22 Ended June-22 Ended June-22 Ended June-22
Ended June- Ended June- Ended June- Ended Ended Ended Ended Ended Ended Ended Ended June- Ended June- Ended June- Ended Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June-
22 22 22 June-22 June-22 June-22 June-22 June-22 June-22 June-22 22 22 22 June-22 22 22 22 22 22 22 22 22 22 22

Gross Direct Premium - 1,271 1,271 24,990 24,990 12,001 12,001 - - - - 40,633 40,633 45,640 45,640
3,736 3,736 1,271 1,271 - 13,511 13,511 11,478 11,478 10,770 10,770 672 672 558 558 127 127 342 342 887 887 - - 2,287 2,287

(a) - - - - - - - - - - 168 168 586 586


Add: Premium on reinsurance accepted
418 418 - - - - - - - - - - - - - - - - 144 144 25 25 - - - -
(a) 467 467 1,690 1,690 754 754 - - - - 5,629 5,629 10,082 10,082
Less : Premium on reinsurance ceded
3,986 3,986 467 467 - - 941 941 749 749 565 565 79 79 110 110 11 11 342 342 912 912 - - 1,921 1,921

Net Written Premium 168 168 805 805 - - 805 805 12,570 12,570 10,729 10,729 23,299 23,299 10,205 10,205 593 593 449 449 11,247 11,247 116 116 144 144 (0) (0) - - - - - - 366 366 35,172 35,172 36,145 36,145

Add: Opening balance of UPR 4,768 4,768 902 902 - - 902 902 26,977 26,977 26,364 26,364 53,341 53,341 12,598 12,598 828 828 (11) (11) 13,416 13,416 231 231 882 882 521 521 - - - - - - 1,507 1,507 69,898 69,898 75,568 75,568

Less: Closing balance of UPR 4,310 4,310 954 954 - - 954 954 26,907 26,907 25,197 25,197 52,104 52,104 16,694 16,694 1,001 1,001 (37) (37) 17,659 17,659 206 206 769 769 323 323 - - - - - - 1,403 1,403 72,464 72,464 77,727 77,727

Net Earned Premium 626 626 753 753 - - 753 753 12,641 12,641 11,896 11,896 24,537 24,537 6,109 6,109 420 420 475 475 7,004 7,004 142 142 256 256 198 198 - - - - - - 470 470 32,606 32,606 33,986 33,986

Gross Direct Premium

- In India 3,736 3,736 1,271 1,271 - - 1,271 1,271 13,511 13,511 11,478 11,478 24,990 24,990 10,770 10,770 672 672 558 558 12,001 12,001 127 127 342 342 887 887 - - - - - - 2,287 2,287 40,633 40,633 45,640 45,640

- Outside India - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Notes:
(a) Reinsurance premiums whether on business ceded or accepted are to be brought into account,
before deducting commission, under the head of reinsurance premiums.
(b) Separate disclosure to be made for segment/sub-segment which contributes more than 10 percent
of the total gross direct premium

FIRE Marine Cargo Marine Hull Total Marine Motor OD Motor TP Total Motor Health Personal A ccident Travel Insurance Total Health Workmen’s Compensation/ Public/ Product Liability Engineering A viation Crop Insurance Other segments
(b) Other Miscellaneous segment Total Miscellaneous Grand Total Grand Total
Employer’s liability
Particulars For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Quarter Up to the Quarter For the Quarter Up to the Quarter For the Quarter Ended Up to the Quarter For the Quarter Up to the Quarter For the Quarter Up to the Quarter For the Quarter Up to the Quarter For the Quarter Up to the Quarter For the Quarter Up to the Quarter
Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Ended June-21 Ended June-21 Ended June-21 Ended June-21 June-21 Ended June-21 Ended June-21 Ended June-21 Ended June-21 Ended June-21 Ended June-21 Ended June-21 Ended June-21 Ended June-21 Ended June-21 Ended June-21
Ended June- Ended June- Ended June- Ended Ended Ended Ended Ended Ended Ended Ended June- Ended June- Ended June- Ended Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June-
21 21 21 June-21 June-21 June-21 June-21 June-21 June-21 June-21 21 21 21 June-21 21 21 21 21 21 21 21 21 21 21

Gross Direct Premium 1,173 1,173 17,007 17,007 8,050 8,050 - - - - - - 28,206 28,206 33,696 33,696
4,316 4,316 1,173 1,173 - - 9,286 9,286 7,721 7,721 7,183 7,183 648 648 219 219 133 133 364 364 883 883 1,770 1,770

(a) 13 13 - - - - - - - - - - 78 78 193 193


Add: Premium on reinsurance accepted
101 101 13 13 - - - - - - - - - - - - - - 38 38 40 40 - -
(a) 378 378 1,406 1,406 481 481 - - - - - - 5,118 5,118 9,554 9,554
Less : Premium on reinsurance ceded
4,058 4,058 378 378 - - 784 784 621 621 365 365 70 70 47 47 96 96 214 214 936 936 1,985 1,985

Net Written Premium 359 359 809 809 - - 809 809 8,502 8,502 7,100 7,100 15,602 15,602 6,818 6,818 578 578 172 172 7,569 7,569 37 37 189 189 (14) (14) - - - - - - (216) (216) 23,166 23,166 24,335 24,335

Add: Opening balance of UPR 4,194 4,194 947 947 - - 947 947 29,715 29,715 22,526 22,526 52,241 52,241 10,372 10,372 867 867 3 3 11,241 11,241 230 230 760 760 425 425 - - - - - - 1,898 1,898 66,796 66,796 71,936 71,936

Less: Closing balance of UPR 4,080 4,080 1,043 1,043 - - 1,043 1,043 25,116 25,116 19,882 19,882 44,997 44,997 12,449 12,449 916 916 (27) (27) 13,338 13,338 144 144 714 714 249 249 - - - - - - 1,171 1,171 60,614 60,614 65,738 65,738

Net Earned Premium 472 472 713 713 - - 713 713 13,101 13,101 9,745 9,745 22,846 22,846 4,741 4,741 529 529 202 202 5,472 5,472 123 123 235 235 162 162 - - - - - - 511 511 29,348 29,348 30,533 30,533

Gross Direct Premium

- In India 4,316 4,316 1,173 1,173 - - 1,173 1,173 9,286 9,286 7,721 7,721 17,007 17,007 7,183 7,183 648 648 219 219 8,050 8,050 133 133 364 364 883 883 - - - - - - 1,770 1,770 28,206 28,206 33,696 33,696

- Outside India - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Notes:
(a) Reinsurance premiums whether on business ceded or accepted are to be brought into account,
before deducting commission, under the head of reinsurance premiums.
(b) Separate disclosure to be made for segment/sub-segment which contributes more than 10 percent
of the total gross direct premium

Page 7 of 52
FORM NL-5 - CLA IMS SCHEDULE

(A mount in Rs. Lakhs)

Particulars FIRE Marine Cargo Marine Hull Total Marine Motor OD Motor TP Total Motor Health Personal A ccident Travel Insurance Total Health Workmen’s Compensation/ Public/ Product Liability Engineering A viation Crop Insurance Other segments (b) Other Miscellaneous Total Miscellaneous Grand Total Grand Total
Employer’s Liability segment

For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Quarter Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Quarter Up to the
Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Ended Quarter Quarter Ended June-22 Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Ended Ended June-22 Quarter
Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- June-22 Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- June-22 Ended June-
22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22

Claims Paid (Direct) 345 345 463 463 - - 463 463 7,938 7,938 3,393 3,393 11,331 11,331 4,483 4,483 195 195 255 255 4,932 4,932 88 88 4 4 318 318 - - - - - - 210 210 16,884 16,884 17,692 17,692

Add :Re-insurance accepted to direct claims 0 0 - - - - - - - - - - - - - - - - - - - - - - - - 0 0 - - - - - - - - 0 0 0 0

Less :Re-insurance Ceded to claims paid 130 130 22 22 - - 22 22 380 380 168 168 547 547 252 252 10 10 20 20 282 282 4 4 0 0 172 172 - - - - - - 121 121 1,126 1,126 1,278 1,278

Net Claim Paid 215 215 442 442 - - 442 442 7,558 7,558 3,225 3,225 10,784 10,784 4,231 4,231 185 185 235 235 4,651 4,651 84 84 4 4 147 147 - - - - - - 89 89 15,757 15,757 16,414 16,414

Add Claims Outstanding at the end of the y ear 1,366 1,366 1,255 1,255 - - 1,255 1,255 6,406 6,406 119,889 119,889 126,295 126,295 5,416 5,416 1,528 1,528 149 149 7,093 7,093 505 505 850 850 535 535 - - - - - - 1,281 1,281 136,560 136,560 139,181 139,181

Less Claims Outstanding at the beginning of the y ear 1,319 1,319 1,111 1,111 - - 1,111 1,111 5,556 5,556 113,945 113,945 119,502 119,502 4,705 4,705 1,596 1,596 83 83 6,384 6,384 551 551 848 848 584 584 - - - - - - 1,139 1,139 129,008 129,008 131,437 131,437

Net Incurred Claims 262 262 586 586 - - 586 586 8,408 8,408 9,169 9,169 17,577 17,577 4,943 4,943 117 117 300 300 5,360 5,360 38 38 6 6 98 98 - - - - - - 232 232 23,310 23,310 24,158 24,158

Claims Paid (Direct)

-In India 345 345 463 463 - - 463 463 7,938 7,938 3,393 3,393 11,331 11,331 4,483 4,483 195 195 255 255 4,932 4,932 88 88 4 4 318 318 - - - - - - 210 210 16,884 16,884 17,692 17,692

-Outside India - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Estimates of IBNR and IBNER at the end of the 302 302 675 675 - - 675 675 1,805 1,805 66,978 66,978 68,783 68,783 3,690 3,690 920 920 53 53 4,662 4,662 165 165 817 817 115 115 - - - - - - 361 361 74,903 74,903 75,880 75,880
period (net)

Estimates of IBNR and IBNER at the beginning of 302 302 675 675 - - 675 675 1,737 1,737 65,913 65,913 67,649 67,649 3,427 3,427 911 911 43 43 4,382 4,382 165 165 817 817 115 115 - - - - - - 361 361 73,489 73,489 74,466 74,466
the period (net)
Notes:
a) Incurred But Not Reported (IBNR), Incurred but not enough reported [IBNER] claims should be included in the amount for outstanding claims.
b) Claims includes specific claims settlement cost but not expenses of management
c) The surv ey or fees, legal and other expenses shall also form part of claims cost, wherev er applicable.
d) Claims cost should be adjusted for estimated salv age v alue if there is a sufficient certainty of its realization.
e) Separate disclosure to be made for segment/sub-segment which contributes more than 10 percent of the total gross direct premium

(A mount in Rs. Lakhs)

Particulars FIRE Marine Cargo Marine Hull Total Marine Motor OD Motor TP Total Motor Health Personal A ccident Travel Insurance Total Health Workmen’s Compensation/ Public/ Product Liability Engineering A viation Crop Insurance Other segments
(e) Other Miscellaneous Total Miscellaneous Grand Total Grand Total
Employer’s liability segment

For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Quarter Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Quarter Up to the
Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Ended Quarter Quarter Ended June-21 Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Ended Ended June-21 Quarter
Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- June-21 Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- June-21 Ended June-
21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21

Claims Paid (Direct)

732 732 464 464 - - 464 464 5,756 5,756 1,173 1,173 6,929 6,929 5,244 5,244 188 188 179 179 5,612 5,612 50 50 3 3 324 324 - - - - - - 243 243 13,160 13,160 14,356 14,356
Add :Re-insurance accepted to direct claims

0 0 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 0 0
Less :Re-insurance Ceded to claims paid

499 499 22 22 - - 22 22 276 276 58 58 333 333 302 302 27 27 8 8 338 338 2 2 0 0 221 221 - - - - - - 90 90 984 984 1,505 1,505
Net Claim Paid

234 234 442 442 - - 442 442 5,480 5,480 1,116 1,116 6,596 6,596 4,943 4,943 161 161 170 170 5,274 5,274 47 47 3 3 102 102 - - - - - - 153 153 12,175 12,175 12,850 12,850
Add Claims Outstanding at the end of the y ear

1,683 1,683 852 852 - - 852 852 6,866 6,866 99,624 99,624 106,490 106,490 5,018 5,018 1,537 1,537 13 13 6,568 6,568 345 345 714 714 653 653 - - - - - - 1,915 1,915 116,685 116,685 119,221 119,221
Less Claims Outstanding at the beginning of the y ear

- 1,796 - 633 - - - 633 - 6,590 - 94,787 - 101,377 - 4,308 - 1,438 - 16 - 5,762 - 280 - 727 - 613 - - - - - - - 1,999 - 110,759 - 113,187
Net Incurred Claims

1,917 121 1,294 662 - - 1,294 662 12,346 5,756 100,740 5,953 113,086 11,709 9,960 5,652 1,698 260 184 167 11,842 6,080 392 112 717 (10) 755 143 - - - - - - 2,068 69 128,860 18,102 132,071 18,884
Claims Paid (Direct)

-In India

732 732 464 464 - - 464 464 5,756 5,756 1,173 1,173 6,929 6,929 5,244 5,244 188 188 179 179 5,612 5,612 50 50 3 3 324 324 - - - - - - 243 243 13,160 13,160 14,356 14,356
-Outside India

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Estimates of IBNR and IBNER at the end of the
period (net)
302 302 255 255 - - 255 255 2,161 2,161 62,128 62,128 64,289 64,289 3,372 3,372 835 835 6 6 4,213 4,213 72 72 626 626 115 115 - - - - - - 361 361 69,676 69,676 70,233 70,233
Estimates of IBNR and IBNER at the beginning of
the period (net)
302 302 255 255 - - 255 255 2,128 2,128 60,763 60,763 62,891 62,891 3,361 3,361 797 797 4 4 4,161 4,161 72 72 626 626 115 115 - - - - - - 361 361 68,227 68,227 68,784 68,784

Notes:
a) Incurred But Not Reported (IBNR), Incurred but not enough reported [IBNER] claims should be included in the amount for outstanding claims.
b) Claims includes specific claims settlement cost but not expenses of management
c) The surv ey or fees, legal and other expenses shall also form part of claims cost, wherev er applicable.
d) Claims cost should be adjusted for estimated salv age v alue if there is a sufficient certainty of its realization.
e) Separate disclosure to be made for segment/sub-segment which contributes more than 10 percent of the total gross direct premium

Page 8 of 52
FORM NL-6-COMMISSION
SCHEDULE
Miscellaneous
(Amount in Rs. Lakhs)

FIRE Marine Cargo Marine Hull Total Marine Motor OD Motor TP Total Motor Health Personal Accident Travel Insurance Total Health Workmen’s Public/ Product Engineering Aviation Crop Insurance Other segments (b) Other Miscellaneous Total Miscellaneous Grand Total Grand Total
Particulars Compensation/ Liability segment
For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to For the Up to the For the Up to the For the Up to For the Up to the For the Up to For the Up to For the Up to For the Up to the For the Up to the For the Up to the
Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter the Quarter Quarter Quarter Quarter Quarter the Quarter Quarter Quarter the Quarter the Quarter the Quarter Quarter Quarter Ended Quarter Quarter Ended Quarter
Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended Ended Ended Quarter Ended June- Ended June- Ended Ended Ended Quarter Ended June- Ended June- Ended Quarter Ended Quarter Ended Quarter Ended Ended June- June-22 Ended June- June-22 Ended June-
22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 June-22 June-22 June-22 Ended 22 22 June-22 June-22 June-22 Ended 22 22 June-22 Ended June-22 Ended June-22 Ended June-22 22 22 22
June-22 June-22 June-22 June-22 June-22

292 292 161 161 - - 161 161 1,921 1,921 102 102 2,023 2,023 686 686 45 45 - - 731 731 15 15 50 50 88 88 - - - - - - 266 266 3,173 3,173 3,626 3,626
Commission & Remuneration

51 51 31 31 - - 31 31 594 594 15 15 609 609 250 250 1 1 - - 251 251 3 3 4 4 10 10 - - - - - - 10 10 887 887 969 969
Rewards

- - - - - - - - 87 87 1 1 87 87 - - - - - - - - - - - - - - - - - - - - - - 87 87 87 87
Distribution fees

343 343 192 192 - - 192 192 2,601 2,601 118 118 2,720 2,720 936 936 47 47 - - 982 982 18 18 54 54 98 98 - - - - - - 276 276 4,148 4,148 4,682 4,682
Gross Commission

Add: Commission on Re-insurance 14 14 - - - - - - - - - - - - - - - - - - - - - - 12 12 1 1 - - - - - - - - 13 13 26 26


Accepted
Less: Commission on Re-insurance 433 433 21 21 - - 21 21 298 298 184 184 482 482 65 65 5 5 12 12 81 81 1 1 9 9 147 147 - - - - - - 286 286 1,006 1,006 1,460 1,460
Ceded
-76 -76 170 170 - - 170 170 2,303 2,303 -66 -66 2,237 2,237 871 871 42 42 -12 -12 901 901 17 17 57 57 -48 -48 - - - - - - -9 -9 3,155 3,155 3,249 3,249
Net Commission

Break-up of the expenses (Gross) incurred to procure business to be furnished as per details indicated below:

-3 -3 24 24 - - 24 24 95 95 -0 -0 95 95 91 91 7 7 - - 98 98 7 7 0 0 22 22 - - - - - - 13 13 235 235 256 256


Individual Agents

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Corporate Agents-Banks/FII/HFC

10 10 - - - - - - 1 1 - - 1 1 113 113 -6 -6 - - 107 107 - - 0 0 -0 -0 - - - - - - 4 4 111 111 121 121


Corporate Agents-Others

336 336 167 167 - - 167 167 2,170 2,170 99 99 2,270 2,270 722 722 44 44 - - 766 766 11 11 53 53 74 74 - - - - - - 259 259 3,433 3,433 3,936 3,936
Insurance Brokers

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Direct Business - Onlinec

MISP (Direct) - - - - - - - - 87 87 1 1 87 87 - - - - - - - - - - - - - - - - - - - - - - 87 87 87 87

- - -0 -0 - - -0 -0 3 3 1 1 4 4 - - - - - - - - - - - - - - - - - - - - 0 0 5 5 4 4.4985
Web Aggregators

- - 0 0 - - 0 0 11 11 0 0 11 11 1 1 0 0 - - 1 1 - - - - 3 3 - - - - - - -0 -0 15 15 15 15
Insurance Marketing Firm

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Common Service Centers

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Micro Agents

Point of Sales (Direct) - - - - - - - - 234 234 17 17 252 252 9 9 1 1 - - 10 10 - - - - - - - - - - - - - - 262 262 262 262

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Other (to be specified)

343 343 192 192 - - 192 192 2,601 2,601 118 118 2,720 2,720 936 936 47 47 - - 982 982 18 18 54 54 98 98 - - - - - - 276 276 4,148 4,148 4,682 4,682
TOTAL

Commission and Rewards on


(Excluding Reinsurance)
Business written :

343 343 192 192 - - 192 192 2,601 2,601 118 118 2,720 2,720 936 936 47 47 - - 982 982 18 18 54 54 98 98 - - - - - - 276 276 4,148 4,148 4,682 4,682
In India

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Outside India

Notes:
(a) The profit/ commission, if any, are to be combined with the Re-insurance accepted or Re-insurance ceded figures.
(b) Separate disclosure to be made for segment/sub-segment which contributes more than 10 percent of the total gross direct premium
(c) Commission on Business procured through Company website

(Amount in Rs. Lakhs)

FIRE Marine Marine Hull Total Motor OD Motor TP Total Motor Health Personal Accident Overseas Travel Total Health Workmen’s Public/ Product Engineering Aviation Crop Insurance Other segments (b) Other Miscellaneous Total Miscellaneous Grand Total Grand Total
Particulars Cargo Marine Insurance Compensation/ Liability segments
For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to For the Up to the For the Up to the For the Up to For the Up to the For the Up to For the Up to For the Up to For the Up to the For the Up to the For the Up to the
Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter the Quarter Quarter Quarter Quarter Quarter the Quarter Quarter Quarter the Quarter the Quarter the Quarter Quarter Quarter Ended Quarter Quarter Ended Quarter
Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended Ended Ended Quarter Ended June- Ended June- Ended Ended Ended Quarter Ended June- Ended June- Ended Quarter Ended Quarter Ended Quarter Ended Ended June- June-21 Ended June- June-21 Ended June-
21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 June-21 June-21 June-21 Ended 21 21 June-21 June-21 June-21 Ended 21 21 June-21 Ended June-21 Ended June-21 Ended June-21 21 21 21
June-21 June-21 June-21 June-21 June-21
345 345 157 157 - - 157 157 1,304 1,304 36 36 1,340 1,340 452 452 53 53 - - 505 505 16 16 47 47 95 95 - - - - - - 200 200
Commission & Remuneration
2,203 2,203 2,706 2,706
24 24 13 13 - - 13 13 412 412 3 3 415 415 20 20 4 4 - - 24 24 3 3 4 4 9 9 30 30
Rewards
- - - - - - 485 485 522 522
- - - - - - - - 75 75 1 1 76 76 - - - - - - - - - - - - - - - -
Distribution fees
- - - - - - 76 76 76 76
370 370 170 170 - - 170 170 1,791 1,791 40 40 1,832 1,832 473 473 57 57 - - 530 530 18 18 51 51 104 104 - - - - - - 230 230 2,764 2,764 3,304 3,304
Gross Commission

Add: Commission on Re-insurance 6 6 2 2 - - 2 2 - - - - - - - - - - - - - - - - 4 4 1 1 - - - - - - - - 4 4 13 13


Accepted
Less: Commission on Re-insurance 497 497 8 8 - - 8 8 70 70 19 19 89 89 37 37 5 5 2 2 44 44 1 1 (1) (1) 131 131 - - - - - - 174 174 438 438 943 943
Ceded
(122) (122) 165 165 - - 165 165 1,722 1,722 21 21 1,743 1,743 435 435 52 52 (2) (2) 486 486 17 17 55 55 (26) (26) - - - - - - 56 56 2,330 2,330 2,374 2,374
Net Commission

Break-up of the expenses (Gross) incurred to procure business to be furnished as per details indicated below:

35 35 32 32 - - 32 32 124 124 6 6 130 130 92 92 5 5 - - 97 97 8 8 7 7 19 19 - - - - - - 13 13 276 276 343 343


Individual Agents

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Corporate Agents-Banks/FII/HFC

9 9 - - - - - - 0 0 - - 0 0 51 51 7 7 - - 59 59 - - - - - - - - - - - - 5 5 64 64 73 73
Corporate Agents-Others

326 326 138 138 - - 138 138 1,411 1,411 24 24 1,434 1,434 317 317 44 44 - - 360 360 10 10 43 43 85 85 - - - - - - 212 212 2,145 2,145 2,609 2,609
Insurance Brokers

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Direct Business - Onlinec

MISP (Direct) - - - - - - - - 75 75 1 1 76 76 - - - - - - - - - - - - - - - - - - - - - - 76 76 76 76

- - 0 0 - - 0 0 2 2 1 1 3 3 3 3 0 0 - - 3 3 - - - - - - - - - - - - - - 6 6 6 6
Web Aggregators

- - 0 0 - - 0 0 0 0 0 0 0 0 1 1 0 0 - - 1 1 - - - - - - - - - - - - 0 0 1 1 1 1
Insurance Marketing Firm

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Common Service Centers

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Micro Agents

Point of Sales (Direct) - - - - - - - - 179 179 9 9 188 188 9 9 1 1 - - 9 9 - - - - - - - - - - - - 0 0 197 197 197 197

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Other (to be specified)

370 370 170 170 - - 170 170 1,791 1,791 40 40 1,832 1,832 473 473 57 57 - - 530 530 18 18 51 51 104 104 - - - - - - 230 230 2,764 2,764 3,304 3,304
TOTAL

Commission and Rewards on


(Excluding Reinsurance)
Business written :
370 370 170 170 - - 170 170 1,791 1,791 40 40 1,832 1,832 473 473 57 57 - - 530 530 18 18 51 51 104 104 - - - - - - 230 230 2,764 2,764 3,304 3,304
In India

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Outside India

Notes:
(a) The profit/ commission, if any, are to be combined with the Re-insurance accepted or Re-insurance ceded figures.
(b) Separate disclosure to be made for segment/sub-segment which contributes more than 10 percent of the total gross direct premium
(c) Commission on Business procured through Company website

Page 9 of 52
FORM NL-7-OPERATING EXPENSES SCHEDULE
100000
(Amount in Rs. Lakhs)

Particulars FIRE Marine Cargo Marine Hull Total Marine Motor OD Motor TP Total Motor Health Workmen’s Public/ Product Liability Engineering Aviation Crop Insurance Other segments (b) Other Miscellaneous Total Miscellaneous Grand Total Grand Total
Compensation/ segment
Employer’s Liability

For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the
Quarter Quarter Ended Quarter Quarter Ended Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Ended
Ended June- June-22 Ended June- June-22 Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- June-22
22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22

1 Employees’ remuneration & welfare benefits - - 85 85 - - 85 85 1,440 1,440 1,229 1,229 2,669 2,669 1,080 1,080 63 63 47 47 1,190 1,190 12 12 15 15 - - - - - - - - 39 39 3,925 3,925 4,011 4,011

2 Travel, conveyance and vehicle running - - 6 6 - - 6 6 96 96 82 82 178 178 74 74 4 4 3 3 81 81 1 1 1 1 - - - - - - - - 3 3 264 264 270 270
expenses

3 Training expenses - - 0 0 - - 0 0 30 30 25 25 55 55 5 5 0 0 0 0 5 5 0 0 0 0 5 5 - - - - - - 0 0 65 65 65 65

4 Rents, rates & taxes 0 0 8 8 - - 8 8 132 132 113 113 245 245 146 146 14 14 5 5 165 165 1 1 2 2 0 0 - - - - - - 4 4 417 417 425 425

5 Repairs - - 5 5 - - 5 5 72 72 62 62 134 134 59 59 3 3 3 3 65 65 1 1 1 1 - - - - - - - - 2 2 202 202 207 207

6 Printing & stationery - - 2 2 - - 2 2 24 24 20 20 44 44 19 19 1 1 1 1 21 21 0 0 0 0 - - - - - - - - 1 1 66 66 68 68

7 Communication expenses - - 1 1 - - 1 1 23 23 20 20 43 43 19 19 1 1 1 1 21 21 0 0 0 0 - - - - - - - - 1 1 65 65 66 66

8 Legal & professional charges - - 4 4 - - 4 4 83 83 53 53 136 136 94 94 3 3 2 2 100 100 1 1 1 1 - - - - - - - - 2 2 239 239 243 243

9 Auditors' fees, expenses etc. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

(a) as auditor - - 0 0 - - 0 0 4 4 3 3 7 7 3 3 0 0 0 0 3 3 0 0 0 0 - - - - - - - - 0 0 10 10 11 11

(b) as adviser or in any other capacity, in - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -


respect of
(i) Taxation matters - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

(ii) Insurance matters - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

(iii) Management services; and - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

(c) in any other capacity - - 0 0 - - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - - - - - - - - 0 0 0 0 0 0

10 Advertisement and publicity 43 43 14 14 - - 14 14 426 426 469 469 895 895 391 391 4 4 20 20 415 415 7 7 1 1 8 8 - - - - - - 29 29 1,356 1,356 1,413 1,413

11 Interest & Bank Charges - - 3 3 - - 3 3 47 47 40 40 86 86 38 38 2 2 2 2 42 42 0 0 1 1 - - - - - - - - 1 1 130 130 133 133

12 Depreciation - - 11 11 - - 11 11 172 172 147 147 319 319 140 140 8 8 6 6 154 154 2 2 2 2 - - - - - - - - 5 5 482 482 493 493

13 Brand/Trade Mark usage fee/charges - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

14 Business Development and Sales Promotion 321 321 82 82 - - 82 82 1,535 1,535 1,533 1,533 3,068 3,068 317 317 48 48 25 25 390 390 10 10 25 25 99 99 - - - - - - 254 254 3,846 3,846 4,250 4,250
Expenses
15 Information Technology Expenses - - 31 31 - - 31 31 479 479 409 409 888 888 390 390 23 23 17 17 430 430 4 4 5 5 - - - - - - - - 14 14 1,341 1,341 1,372 1,372

16 Goods and Services Tax (GST) - - 4 4 - - 4 4 59 59 50 50 108 108 48 48 3 3 2 2 52 52 1 1 1 1 - - - - - - - - 2 2 164 164 167 167

17 Others (to be specified) 76 76 4 4 - - 4 4 24 24 19 19 43 43 28 28 1 1 1 1 31 31 1 1 0 0 4 4 - - - - - - 5 5 83 83 164 163.6602

TOTAL 440 440 260 260 - - 260 260 4,646 4,646 4,274 4,274 8,918 8,918 2,851 2,851 178 178 135 135 3,165 3,165 41 41 55 55 116 116 - - - - - - 362 362 12,655 12,655 13,358 13,358

440 440 260 260 - - 260 260 4,646 4,646 4,274 4,274 8,918 8,918 2,851 2,851 178 178 135 135 3,165 3,165 41 41 55 55 116 116 - - - - - - 362 362 12,655 12,655 13,358 13,358
In India
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Outside India
Notes:
(a) Items of expenses in excess of one percent of the total premiums (

Particulars FIRE Marine Cargo Marine Hull Total Marine Motor OD Motor TP Total Motor Health Public/ Product Liability Engineering Total Miscellaneous Grand Total Grand Total

Up To the Up To the Up To the Up To the Up To the Up To the Up To the Up To the Up To the Up To the Up To the Up To the Up To the Up To the Up To the Up To the Up To the Up To the Up To the Up To the Up To the Up To the Up To the Up To the Up To the Up To the Up To the Up To the Up To the Up To the Up To the Up To the Up To the Up To the Up To the Up To the Up To the Up To the Up To the Up To the
Quarter Quarter Ended Quarter Quarter Ended Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Ended
Ended Mar- Mar-21 Ended Mar- Mar-21 Ended Mar- Ended Mar- Ended Mar- Ended Mar- Ended Mar- Ended Mar- Ended Mar- Ended Mar- Ended Mar- Ended Mar- Ended Mar- Ended Mar- Ended Mar- Ended Mar- Ended Mar- Ended Mar- Ended Mar- Ended Mar- Ended Mar- Ended Mar- Ended Mar- Ended Mar- Ended Mar- Ended Mar- Ended Mar- Ended Mar- Ended Mar- Ended Mar- Ended Mar- Ended Mar- Ended Mar- Ended Mar- Ended Mar- Ended Mar- Ended Mar- Mar-21
22 22 22 21 22 21 22 21 22 21 22 21 22 21 22 21 22 21 22 21 22 21 22 21 22 21 22 21 22 21 22 21 22 21 22 21 22

1 Employees’ remuneration & welfare benefits 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2 Travel, conveyance and vehicle running 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


expenses
3 Training expenses 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

4 Rents, rates & taxes 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

5 Repairs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

6 Printing & stationery 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

7 Communication expenses 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

8 Legal & professional charges 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

9 Auditors' fees, expenses etc. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

(a) as auditor 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

(b) as adviser or in any other capacity, in 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


respect of
(i) Taxation matters 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

(ii) Insurance matters 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

(iii) Management services; and 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

(c) in any other capacity 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

10 Advertisement and publicity 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

11 Interest & Bank Charges 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

12 Depreciation 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

13 Brand/Trade Mark usage fee/charges 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

14 Business Development and Sales Promotion 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


Expenses
15 Information Technology Expenses 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

16 Goods and Services Tax (GST) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

17 Others (to be specified)a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

In India

Outside India

For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the For the Up to the
Quarter Quarter Ended Quarter Quarter Ended Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Quarter Ended
Ended June- June-21 Ended June- June-21 Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- Ended June- June-21
21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21

1 Employees’ remuneration & welfare benefits 37 37 113 113 - - 113 113 1,333 1,333 1,113 1,113 2,445 2,445 967 967 82 82 24 24 1,074 1,074 5 5 21 21 (8) (8) - - - - - - (31) (31) 3,507 3,507 3,657 3,657

2 Travel, conveyance and vehicle running 1 1 3 3 - - 3 3 33 33 28 28 60 60 24 24 2 2 1 1 27 27 0 0 1 1 (0) (0) - - - - - - (1) (1) 87 87 90 90


expenses
3 Training expenses 0 0 0 0 - - 0 0 72 72 4 4 76 76 5 5 0 0 0 0 6 6 0 0 0 0 (0) (0) - - - - - - (0) (0) 82 82 82 82

4 Rents, rates & taxes 5 5 14 14 - - 14 14 155 155 129 129 284 284 148 148 17 17 3 3 168 168 1 1 3 3 (1) (1) - - - - - - (4) (4) 450 450 469 469

5 Repairs 3 3 11 11 - - 11 11 113 113 95 95 208 208 91 91 8 8 2 2 101 101 0 0 2 2 (1) (1) - - - - - - (3) (3) 308 308 322 322

6 Printing & stationery 1 1 3 3 - - 3 3 36 36 30 30 67 67 29 29 2 2 1 1 32 32 0 0 1 1 (0) (0) - - - - - - (1) (1) 98 98 103 103

7 Communication expenses 2 2 5 5 - - 5 5 51 51 43 43 94 94 41 41 4 4 1 1 46 46 0 0 1 1 (0) (0) - - - - - - (1) (1) 140 140 146 146

8 Legal & professional charges 12 12 7 7 - - 7 7 79 79 66 66 145 145 67 67 6 6 2 2 74 74 0 0 3 3 (0) (0) - - - - - - (1) (1) 220 220 240 240

9 Auditors' fees, expenses etc. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

(a) as auditor 0 0 0 0 - - 0 0 4 4 3 3 7 7 3 3 0 0 0 0 3 3 0 0 0 0 (0) (0) - - - - - - (0) (0) 10 10 11 11

(b) as adviser or in any other capacity, in - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -


respect of
(i) Taxation matters - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

(ii) Insurance matters - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

(iii) Management services; and - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

(c) in any other capacity - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

10 Advertisement and publicity 62 62 9 9 - - 9 9 337 337 414 414 751 751 142 142 3 3 1 1 146 146 0 0 4 4 10 10 - - - - - - 1 1 912 912 983 983

11 Interest & Bank Charges 1 1 2 2 - - 2 2 27 27 22 22 49 49 21 21 2 2 1 1 24 24 0 0 0 0 (0) (0) - - - - - - (1) (1) 72 72 76 76

12 Depreciation 6 6 20 20 - - 20 20 213 213 178 178 391 391 171 171 14 14 4 4 190 190 1 1 4 4 (1) (1) - - - - - - (5) (5) 578 578 604 604

13 Brand/Trade Mark usage fee/charges - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

14 Business Development and Sales Promotion 406 406 94 94 - - 94 94 775 775 988 988 1,763 1,763 396 396 60 60 8 8 464 464 8 8 22 22 111 111 - - - - - - 150 150 2,518 2,518 3,018 3,018
Expenses
15 Information Technology Expenses 21 21 64 64 - - 64 64 678 678 567 567 1,245 1,245 544 544 46 46 14 14 604 604 3 3 12 12 (4) (4) - - - - - - (17) (17) 1,843 1,843 1,927 1,927

16 Goods and Services Tax (GST) 2 2 5 5 - - 5 5 57 57 47 47 104 104 46 46 4 4 1 1 51 51 0 0 1 1 (0) (0) - - - - - - (1) (1) 154 154 161 161

17 Others (to be specified)a 37 37 6 6 - - 6 6 49 49 41 41 90 90 39 39 3 3 1 1 44 44 0 0 1 1 2 2 - - - - - - (1) (1) 136 136 179 179

TOTAL 596 596 356 356 - - 356 356 4,012 4,012 3,768 3,768 7,779 7,779 2,734 2,734 253 253 64 64 3,054 3,054 18 18 76 76 108 108 - - - - - - 84 84 11,115 11,115 12,068 12,068

596 596 356 356 - - 356 356 4,012 4,012 3,768 3,768 7,779 7,779 2,734 2,734 253 253 64 64 3,054 3,054 18 18 76 76 108 108 - - - - - - 84 84 11,115 11,115 12,068 12,068
In India
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Outside India
FORM NL-8-SHARE CAPITAL SCHEDULE
(Amount in Rs. Lakhs)
Particulars As at As at
30th Jun 2022 30th Jun 2021

1 Authorised Capital 200,000 200,000


-

2000,000,000 Equity Shares of Rs 10 Each - -

Preference Shares of Rs..... each - -


2 Issued Capital - -
1,086,225,150 Equity Shares of Rs. 10 108,623 108,623
each (30th June 2021 - 1,086,225,150) -

Preference Shares of Rs..... each - -


3 Subscribed Capital - -
1,086,225,150 Equity Shares of Rs. 10 108,623 108,623
each (30th June 2021 - 1,086,225,150) -

Preference Shares of Rs..... each - -


4 Called-up Capital - -
1,086,225,150 Equity Shares of Rs. 10 108,623 108,623
each (30th June 2021 - 1,086,225,150) -

Less : Calls unpaid - -


Add : Equity Shares forfeited (Amount - -
originally paid up)
Less : Par Value of Equity Shares bought - -
back
Less : Preliminary Expenses - -
Expenses including commission or - -
brokerage on
Underwriting or subscription of shares - -

Preference Shares of Rs..... each - -


5 Paid-up Capital - -
1,086,225,150 Equity Shares of Rs. 10 108,623 108,623
each (30th June 2021 - 1,086,225,150)

Preference Shares of Rs. …….. Each - -


Notes:
(a) Particulars of the different classes of capital should be separately stated.
(b) The amount capitalised on account of issue of bonus shares should be disclosed.
(c) In case any part of the capital is held by a holding company, the same should be separately
disclosed.
FORM NL-9-PATTERN OF SHAREHOLDING SCHEDULE
PATTERN OF SHAREHOLDING
[As certified by the Management]
Shareholder As at As at
30th Jun 2022 30th Jun 2021

Number of Shares % of Number of Shares % of


Holding Holding
Promoters
· Indian 557,412,260 51% 557,412,260 51%
· Foreign 528,812,890 49% 528,812,890 49%
Investors*
· Indian - 0% - 0%
· Foreign - 0% - 0%
Others (to be specified - 0% - 0%
e.g. ESOP etc.)
TOTAL 1,086,225,150 100% 1,086,225,150 100%

Notes: -
Investors as defined under IRDAI (Transfer of Equity Shares of Insurance Companies)
Regulations, 2015 and as amended from time to time
FORM NL-9A -SHA REHOLDING PA TTERN SCHEDULE A NNEXURE A

DETA ILS OF EQUITY HOLDING OF INSURERS

PA RT A :

PA RTICULA RS OF THE SHREHOLDING PA TTERN OF THE LIBERTY GENERA L INSURA NCE LIMITED

INSURA NCE COMPA NY, A S A T PERIOD ENDED 30TH JUNE 2022

Sl. Category No. of No. of shares held % of share- Paid up Shares pledged or otherwise encumbered Shares under Lock in Period
No. Investors holdings equity (Rs.
In lakhs)

(I) (II) (III) (IV) (V) Number of shares A s a percentage of Number of shares A s a percentage
(VI) Total Shares held (VIII) of Total Shares
(VII) = held (IX) =
(VI)/(III)*100 (VIII)/(III)*100

A Promoters & Promoters Group

A .1 Indian Promoters

i) Indiv iduals/HUF (Names of major shareholders):

(i)

(ii)

(iii)

ii) Bodies Corporate: 2

(i) Enam Securities Priv ate Limited 274,993,721 25.32% 27,499 0 0 274,993,721 100%

(ii) Diamond Dealtrade Limited 282,418,539 26.00% 28,241 0 0 282,418,539 100%

(iii)

iii) Financial Institutions/ Bank s

iv ) Central Gov ernment/ State Gov ernment(s) / President


of India
v) Persons acting in concert (Please specify )

v i) Any other (Please specify )

A .2 Foreign Promoters

i) Indiv iduals (Name of major shareholders):

(i)

(ii)

(iii)

ii) Bodies Corporate:

(i) Liberty City state Holdings PTE. Ltd. 528,812,886 48.68% 52,881 0 0 - 0

(ii) Roopam Asthana* 1

(iii) Vimal Kishor* 1

(iv ) Roopal Kulsrestha* 1

(v ) Neelam Pathak * 1

iii) Any other (Please specify ) -

B. Non Promoters

B.1 Public Shareholders

1.1) Institutions

i) Mutual Funds

ii) Foreign Portfolio Inv estors

iii) Financial Institutions/Bank s

iv ) Insurance Companies

v) FII belonging to Foreign promoter

v i) FII belonging to Foreign Promoter of Indian Promoter

v ii) Prov ident Fund/Pension Fund

v iii) Alternativ e Inv estment Fund

ix) Any other (Please specify )

1.2) Central Gov ernment/ State Gov ernment(s)/ President of


India
1.3) Non-Institutions

i) Indiv idual share capital upto Rs. 2 Lacs

ii) Indiv udal share capital in excess of Rs. 2 Lacs

iii) NBFCs registered with RBI

iv ) Others:

- Trusts

- Non Resident Indian

- Clearing Members

- Non Resident Indian Non Repartriable

- Bodies Corporate

- IEPF

v) Any other (Please Specify )

B.2 Non Public Shareholders

2.1) Custodian/DR Holder

2.2) Employ ee Benefit Trust

2.3) Any other (Please specify )

Total 3 1,086,225,150 100.00% 108,622 0 0 0 0

*Beneficial Ownership with Liberty City state Holdings PTE. Ltd.

Foot Notes:

(a) All holdings, abov e 1% of the paid up equity , hav e to be separately disclosed.

(b) Indian Promoters - As defined under Regulation 2(1)(g) of the Insurance Regulatory and Dev elopment Authority

(Registration of Indian Insurance Companies) Regulations, 2000

(c) Where a company is listed, the column "Shares pledged or otherwise encumbered" shall not be applicable to

"Non Promoters" category

PA RTICULA RS OF THE SHA REHOLDING PA TTERN IN THE INDIA N PROMOTER COMPA NY(S) / INDIA N INVESTOR(S) A S INDICA TED A T (A ) A BOVE

PA RT B:

Name of the Indian Promoter / Indian Inv estor: Diamond Dealtrade Limited

(Please repeat the tabulation in case of more than one Indian Promoter / Indian Inv estor)

Sl. Category No. of Inv estors No. of shares held % of share- Paid up Shares pledged or otherwise encumbered Shares under Lock in Period
No. holdings equity (Rs. In
(I) (II) (III) (IV) lak(V)
hs) Number of shares (VI) As a percentage of Number of shares As a percentage of
Total Shares held (VII) (VIII) Total Shares held
= (VI)/(III)*100 (IX) =
A Promoters & Promoters Group

A .1 Indian Promoters

i) Indiv iduals/HUF (Names of major shareholders):

(i) Mr. Sunil Gautam 100

(ii)

(iii)

ii) Bodies Corporate:

(i) Darpan Dealcom Limited 40,525,000 50.00%

(ii) Jindal Pipes Limited 8,105,000 10.00%

(iii) Sudha Apparels Limited 8,105,000 10.00%

(iv ) Stable Trading Company Limited 8,105,000 10.00%

(v ) Brahma Dev Holdings & trading Limited 8,105,000 10.00%

(v i) Global Jindal Fin-Inv est Limited 8,104,900 10.00%

iii) Financial Institutions/ Bank s

iv ) Central Gov ernment/ State Gov ernment(s) / President


of India
v) Persons acting in concert (Please specify )

v i) Any other (Please specify )

A .2 Foreign Promoters

i) Indiv iduals (Name of major shareholders):

(i)

(ii)

(iii)

ii) Bodies Corporate:

(i)

(ii)

(iii)

iii) Any other (Please specify ) - - 0 0

B. Non Promoters

B.1 Public Shareholders

1.1) Institutions

i) Mutual Funds

ii) Foreign Portfolio Inv estors

iii) Financial Institutions/Bank s

iv ) Insurance Companies

v) FII belonging to Foreign promoter of Indian Promoter


(e)

v i) FII belonging to Foreign promoter of Indian Promoter


(e)
v ii) Prov ident Fund/Pension Fund

v iii) Alternativ e Inv estment Fund

ix) Any other (Please specify )

1.2) Central Gov ernment/ State Gov ernment(s)/ President of


India
1.3) Non-Institutions

i) Indiv idual share capital upto Rs. 2 Lacs

ii) Indiv idual share capital in excess of Rs. 2 Lacs

iii) NBFCs registered with RBI

iv ) Others:

- Trusts

- Non Resident Indian

- Clearing Members

- Non Resident Indian Non Repartriable

- Bodies Corporate

- IEPF

v) Any other (Please Specify )

B.2 Non Public Shareholders

2.1) Custodian/DR Holder

2.2) Employ ee Benefit Trust

2.3) Any other (Please specify )

Total 81,050,000 100% 8,105

Name of the Indian Promoter / Indian Inv estor: Enam Securities Private Limited

(Please repeat the tabulation in case of more than one Indian Promoter / Indian Inv estor)

Sl. Category No. of Inv estors No. of shares held % of share- Paid up Shares pledged or otherwise encumbered Shares under Lock in Period
No. holdings equity (Rs. In
lak(V)
hs)
(I) (II) (III) (IV) Number of shares (VI) As a percentage of Number of shares As a percentage of
Total Shares held (VII) (VIII) Total Shares held
= (VI)/(III)*100 (IX) =
A Promoters & Promoters Group

A .1 Indian Promoters

i) Indiv iduals/HUF (Names of major shareholders):

(i) Nemish Shantilal Shah 1 1,202,185 49.5877%

(ii) Lata Bhanshali 1 1,196,461 49.3516%

(iii) Vallabh Bhanshali 1 5,760 0.2376%

(iv ) Rek ha Shah 1 4,980 0.2054%

(v ) Krutarth N Shah 1 35 0.0014%

ii) Bodies Corporate:

(i) Enam Inv estment & Serv ices Pv t. Ltd. 1 4,990 0.2058%

(ii) Adv anced Compuflow Pv t. Ltd. 1 4,980 0.2054%

(iii) Blue Daimond Properties Pv t. Ltd. 1 4,969 0.2050%

iii) Financial Institutions/ Bank s

iv ) Central Gov ernment/ State Gov ernment(s) / President


of India
v) Persons acting in concert (Please specify )

v i) Any other (Please specify )

A .2 Foreign Promoters

i) Indiv iduals (Name of major shareholders):

(i)

(ii)

(iii)

ii) Bodies Corporate:

(i)

(ii)

(iii)

iii) Any other (Please specify ) - - 0 0

B. Non Promoters

B.1 Public Shareholders

1.1) Institutions

i) Mutual Funds

ii) Foreign Portfolio Inv estors

iii) Financial Institutions/Bank s

iv ) Insurance Companies

v) FII belonging to Foreign promoter of Indian Promoter


(e)

v i) FII belonging to Foreign promoter of Indian Promoter


(e)
v ii) Prov ident Fund/Pension Fund

v iii) Alternativ e Inv estment Fund

ix) Any other (Please specify )

1.2) Central Gov ernment/ State Gov ernment(s)/ President of


India
1.3) Non-Institutions

i) Indiv idual share capital upto Rs. 2 Lacs

ii) Indiv idual share capital in excess of Rs. 2 Lacs

iii) NBFCs registered with RBI

iv ) Others:

- Trusts

- Non Resident Indian

- Clearing Members

- Non Resident Indian Non Repartriable

- Bodies Corporate

- IEPF

v) Any other (Please Specify )

B.2 Non Public Shareholders

Page 13 of 52
2.1) Custodian/DR Holder

2.2) Employ ee Benefit Trust

2.3) Any other (Please specify )

Total 2,424,360 100% 242.43

Foot Notes:

(a) At A.1 and A.2 of part B abov e, the names of indiv iduals and bodies corporate must be specifically and separately

mentioned.

(b). Insurers are required to highlight the categories which fall within the purv iew of Regulation 11(1)(ii) of the Insurance

Regulatory and Dev elopment Authority (Registration of Indian Insurance Companies) Regulations, 2000.

(c) Details of inv estors (excluding employ ees holding under ESOP) hav e to be prov ided where the insurance company is

unlisted.

(d) Details of Indian inv estors, singly and jointly holding more than 1%, hav e to be prov ided where the insurance company

is listed.

( e) Please specify the names of the FIIS, indicating those FIIS which belong to the Group of the Joint Venture partner /

foreign inv estor of the Indian insurance company .

(f) Please specify the names of the OCBs, indicating those OCBs which belong to the Group of the Joint Venture partner /

foreign inv estor of the Indian insurance company .

Page 14 of 52
FORM NL-10-RESERVE AND SURPLUS SCHEDULE

(Amount in Rs. Lakhs)


Particulars As at As at
30th Jun 2022 30th Jun 2021
1 Capital Reserve
- -

2 Capital Redemption Reserve


- -

3 Share Premium 74,812 74,812

4 General Reserves
- -

Less: Amount utilized for Buy-back


- -

Less: Amount utilized for issue of Bonus - -


shares
5 Catastrophe Reserve
- -

6 Other Reserves (to be specified)


- -

7 Balance of Profit in Profit & Loss Account


- -

TOTAL 74,812 74,812

Notes:
(a) Additions to and deductions from the reserves should be disclosed under each of the specified
heads.
FORM NL-11-BORROWINGS SCHEDULE

(Amount in Rs. Lakhs)


Particulars As at As at
30th Jun 2022 30th Jun 2021

1 Debentures/ Bonds - -
2 Banks - -
3 Financial Institutions - -
4 Others (to be specified) - -

TOTAL - -
Notes:
a) The extent to which the borrowings are secured shall be separately disclosed stating the nature of the
security under each sub-head.
b) Amounts due within 12 months from the date of Balance Sheet should be shown separately

c) Debentures include NCD issued as per IRDAI (Other Forms of Capital) Regulations, 2015

DISCLOSURE FOR SECURED BORROWINGS (Refer Note a)


(Amount in Rs. Lakhs)
SOURCE / AMOUNT NATURE OF
SL. NO. AMOUNT OF SECURITY
INSTRUMENT BORROWED SECURITY

1
2 NIL
3
4
5
FORM NL-12 & 12A -INVESTMENT SCHEDULE
NL -12 NL -12A
(Amount in Rs. Lakhs)
Shareholders Policyholders Total

As at As at As at As at As at As at
Particulars 30th Jun 30th Jun 30th Jun 30th Jun 30th Jun 30th Jun
2022 2021 2022 2021 2022 2021

LONG TERM INVESTMENTS


1 Government securities and Government 18,759 17,475 55,640 46,154 74,399 63,629
guaranteed bonds including Treasury Bills
2 17,325 14,627 51,391 38,630 68,716 53,257
Other Approved Securities
3 - - - - - -
Other Investments
- - - - - -
( a) Shares
- - - - - -
(aa) Equity
- - - - - -
(bb) Preference
- - - - - -
( b) Mutual Funds
- - - - - -
(c) Derivative Instruments
24,930 22,925 73,950 60,549 98,880 83,474
(d) Debentures/ Bonds
- - - - - -
(e) Other Securities (to be specified)
- - - - - -
(f) Subsidiaries
- - - - - -
(g) Investment Properties-Real Estate
4 15,420 13,761 45,740 36,344 61,160 50,105
Investments in Infrastructure and Housing
5 - - - - - -
Other than Approved Investments
- - - - - -

- - - - - -
SHORT TERM INVESTMENTS
1 Government securities and Government 2,272 2,072 6,740 5,473 9,012 7,546
guaranteed bonds including Treasury Bills
2 885 1,656 2,626 4,375 3,511 6,031
Other Approved Securities
3 - - - - - -
Other Investments
- - - - - -
(a) Shares
- - - - - -
(aa) Equity
- - - - - -
(bb) Preference
1,431 516 4,246 1,363 5,677 1,880
(b) Mutual Funds
- - - - - -
(c) Derivative Instruments
3,158 6,764 9,368 17,864 12,526 24,627
(d) Debentures/ Bonds
- - - - - -
(e) Other Securities (to be specified)
- - - - - -
(f) Subsidiaries
- - - - - -
(g) Investment Properties-Real Estate
4 379 4,389 1,125 11,593 1,504 15,982
Investments in Infrastructure and Housing
5 - - - - - -
Other than Approved Investments

TOTAL
84,559 84,185 250,826 222,345 335,385 306,530
GRAND TOTAL

Notes:
(a) Investments in subsidiary/holding companies, joint ventures and associates shall be separately disclosed, at cost.

- Holding company and subsidiary shall be construed as defined in the Companies Act, 1956 as amended by Company Act 2013:

- Joint Venture is a contractual arrangement whereby two or more parties undertake an economic activity, which is subject to joint control.

- Joint control - is the contractually agreed sharing of power to govern the financial and operating policies of an economic activity to obtain benefits from
it.
- Associate - is an enterprise in which the company has significant influence and which is neither a subsidiary nor a joint venture of the company.

-Significant influence (for the purpose of this schedule) - means participation in the financial and operating policy decisions of a company, but not control
of those policies. Significant influence may be exercised in several ways, for example, by representation on the board of directors, participation in the
policymaking process, material inter-company transactions, interchange of managerial personnel or dependence on technical information. Significant
influence may be gained by share ownership, statute or agreement. As regards share ownership, if an investor holds, directly or indirectly through
subsidiaries, 20 percent or more of the voting power of the investee, it is presumed that the investor does have significant influence, unless it can be
clearly demonstrated that this is not the case. Conversely, if the investor holds, directly or indirectly through subsidiaries, less than 20 percent of the
voting power of the investee, it is presumed that the investor does not have significant influence, unless such influence is clearly demonstrated.

- A substantial or majority ownership by another investor does not necessarily preclude an investor from having significant influence.

(b) Aggregate amount of company's investments other than listed equity securities and derivative instruments and also the market value thereof shall be
disclosed in the Annexure A as specified below.
(c) Investments made out of Catastrophe reserve should be shown separately.

(d) Debt securities will be considered as “held to maturity” securities and will be measured at historical cost subject to amortisation.

(e) Investment Property means a property [land or building or part of a building or both] held to earn rental income or for capital appreciation or for both,
rather than for use in services or for administrative purposes.
(f) Investments maturing within twelve months from balance sheet date and investments made with the specific intention to dispose of within twelve
months from balance sheet date shall be classified as short-term investments
(g) Investment Regulations, as amended from time to time, to be referred

A) Aggregate value of Investments other than Listed Equity Securities and Derivative Instruments

(Amount in Rs. Lakhs)

Shareholders Policyholders Total

As at As at As at As at As at As at
Particulars
30th Jun 30th Jun 30th Jun 30th Jun 30th Jun 30th Jun
2022 2021 2022 2021 2022 2021

Long Term Investments--


76,433 68,787 226,722 181,678 303,155 250,465
Book Value
74,169 70,288 220,006 185,642 294,175 255,930
market Value
- - - -

- - - -
Short Term Investments--

Page 17 of 52
8,126 15,398 24,103 40,667 32,229 56,065
Book Value
8,156 15,956 24,192 42,143 32,348 58,099
market Value

Page 18 of 52
FORM NL-13-LOANS SCHEDULE

(Amount in Rs. Lakhs)


Particulars As at As at
30th Jun 2022 30th Jun 2021
1 SECURITY-WISE CLASSIFICATION

Secured

(a) On mortgage of property


- -

(aa) In India
- -

(bb) Outside India


- -

(b) On Shares, Bonds, Govt. Securities


- -

(c) Others (to be specified)


- -

Unsecured
- -

TOTAL
- -

2 BORROWER-WISE CLASSIFICATION

(a) Central and State Governments


- -

(b) Banks and Financial Institutions


- -

(c) Subsidiaries
- -

(d) Industrial Undertakings


- -

(e) Companies
- -

(f) Others (to be specified)


- -

TOTAL

3 PERFORMANCE-WISE CLASSIFICATION

(a) Loans classified as standard


- -

(aa) In India
- -

(bb) Outside India


- -

(b) Non-performing loans less provisions


- -

(aa) In India
- -

(bb) Outside India


- -

TOTAL

4 MATURITY-WISE CLASSIFICATION

(a) Short Term


- -

(b) Long Term


- -

TOTAL - -

Notes:

(a) Short-term loans shall include those, which are repayable within 12 months from the date of balance
sheet. Long term loans shall be the loans other than short-term loans.

(b) Provisions against non-performing loans shall be shown separately.

(c ) The nature of the security in case of all long term secured loans shall be specified in each case. Secured
loans for the purposes of this schedule, means loans secured wholly or partly against an asset of the company.

(d) Loans considered doubtful and the amount of provision created against such loans shall be disclosed.

Provisions against Non-performing Loans

Loan Amount Provision


Non-Performing Loans
(Rs. Lakhs) (Rs. Lakhs)

Sub-standard - -

Doubtful - -

Loss - -

Total - -
FORM NL-14-FIXED ASSETS SCHEDULE

(Amount in Rs. Lakhs)


Particulars Cost/ Gross Block Depreciation Net Block

Opening Additions Deductions Closing Up to Last Year For The Period On Sales/ To Date As at As at
30th Jun 2022 30th Jun 2021
Adjustments

Goodwill

Intangibles - Information 13,549 371 - 13,920 11,137 378 - 11,515 2,405 1,520 -
Technology Software
Land-Freehold - - - - - - - - - - -

Leasehold Property - - - - - - - - - - -

Buildings - - - - - - - - - - -

Furniture & Fittings 133 - 1 132 126 1 1 126 6 10


-

Information Technology Equipment 2,701 31 19 2,713 1,995 87 19 2,064 649 588 -

Vehicles 42 - - 42 24 1 - 25 17 22 -

Office Equipment 594 - 0 594 496 10 0 506 89 168


-

Others - Improvements to Leased 777 - 89 688 612 16 89 538 149 199


-
premises
TOTAL 17,796 402 109 18,089 14,389 493 109 14,773 3,315 2,508 -

Work in progress - - - - - - - - 606 344 -

Grand Total 17,796 402 109 18,089 14,389 493 109 14,773 3,921 2,851
-

PREVIOUS YEAR 15,484 616 30 16,070 12,987 604 29 13,562 2,508 -


-

Note:
(a) Assets included in land, property and building above exclude Investment Properties as defined in note (e) to Form NL-12-Investment Schedule.
FORM NL-15-CASH AND BANK BALANCE SCHEDULE

(Amount in Rs. Lakhs)


As at As at
Particulars 30th Jun 2022 30th Jun 2021
1 140 433
Cash (including cheques (a), drafts and stamps)
2 - -
Bank Balances
- -
(a) Deposit Accounts
100 100
(aa) Short-term (due within 12 months)
- 0
(bb) Others
2,472 165
(b) Current Accounts
- -
(c) Others (to be specified)
3 - -
Money at Call and Short Notice
- -
(a) With Banks
- -
(b) With other Institutions
4 - -
Others (to be specified)

2,712 698
TOTAL

Balances with non-scheduled banks included in 2 and 3


above

CASH & BANK BALANCES


2,712
In India 698
-
Outside India -

* Cheques on hand amount to Rs. 120.55 (in Lakh) Previous Year : Rs. 369.10 (in Lakh)

Note :
(a) Bank balance may include remittances in transit. If so, the nature and amount should be separately stated.
2,712 698
FORM NL-16-ADVANCES AND OTHER ASSETS SCHEDULE

(Amount in Rs. Lakhs)


As at As at
30th Jun 2022 30th Jun 2021
Particulars

ADVANCES
1 - -
Reserve deposits with ceding companies
2 - -
Application money for investments
3 891 613
-
Prepayments
4 - -
Advances to Directors/Officers
5 Advance tax paid and taxes deducted at source (Net of provision for 953 345
-
taxation)
6 804 900
-
Others- Deposits for premises
478 -
-
-Deposit with tax authorities
5,664 5,893
-
-GST unutilised credit
467 202
-
-Other Advances
9,257 7,953
0
TOTAL (A)

OTHER ASSETS
1 8,225 8,917
-
Income accrued on investments
2 - -
Outstanding Premiums
- -
Less : Provisions for doubtful ,if any
3 317 461
-
Agents’ Balances
4 - -
Foreign Agencies Balances
5 Due from other entities carrying on insurance business (including 6,120 8,722
-
reinsurers)
- -
Less : Provisions for doubtful, if any
6 - -
Due from subsidiaries/ holding
7 1,160 730
-
Investments held for Unclaimed Amount of Policyholders
8 5,713 4,109
-
Others-Due from Pool
72 36
-
-Interest on Unclaimed amount of Policyholders
- -
-Others
21,607 22,975
(0)
TOTAL (B)
30,864 30,928
0
TOTAL (A+B)
Notes:

(a) The items under the above heads shall not be shown net of provisions for doubtful amounts. The amount of
provision against each head should be shown separately.

(b) The term ‘officer’ should conform to the definition of that term as given under the Companies Act.
FORM NL-17-CURRENT LIABILITIES SCHEDULE

(Amount in Rs. Lakhs)


Particulars As at As at
30th Jun 2022 30th Jun 2021
1 2,749 2,026
Agents’ Balances
2 6,117 5,564
Balances due to other insurance companies
3 - -
Deposits held on re-insurance ceded
4
Premiums received in advance
40,865 46,720
(a)
(a) For Long term policies
336 263
(b) for Other Policies
5 2,832 2,901
Unallocated Premium
6 9,507 7,410
Sundry creditors
7 - -
Due to subsidiaries/ holding company
8 139,181 119,221
Claims Outstanding
9 - -
Due to Officers/ Directors
10 Unclaimed Amount of policyholders 1,160 717

11 Income accrued on Unclaimed amounts 72 36

12 - -
Interest payable on debentures/bonds
13 3,353 1,923
GST Liabilities
14 1,751 1,250
Others- Due to Policyholders
720 614
- Dues to Statutory authorities
208,643 188,645
TOTAL
0 0

Note :

(a) Long term policies are policies with more than one year tenure

Details of unclaimed amounts and Investment Income thereon


(Annual Disclosure at the end of the Financial Year) (Amount in Rs. Lakhs)

As at As at Annual Form
Particulars 30th Jun 2022 30th Jun 2021

Opening Balance

Amount transferred
Add: Cheques to the
issued out of unclaimed amount
unclaimed amount but not
encashed by the policyholders (To be included only when
the cheques are stale)

Add: Investment Income

Less: Amount paid during the year

Less: Transferred to SCWF

Closing Balance of Unclaimed Amount - -

Page 23 of 52
FORM NL-18-PROVISIONS SCHEDULE

(Amount in Rs. Lakhs)


As at As at
30th Jun 30th Jun 2021
Particulars 2022
1 Reserve for Unexpired Risk 77,728 65,739
2 Reserve for Premium Deficiency - -
3 For taxation (less advance tax paid and taxes - -
deducted at source)
4 For Employee Benefits - -
5 For Gratuity 25 125
6 Others- Leaves Accrual 125 97
- Bonus and Long term Performance Pay 1,543 1,483
TOTAL 79,421 67,444

79,421 67,444
0 (0)
FORM NL-19 MISC EXPENDITURE SCHEDULE
(To the extent not written off or adjusted)

(Amount in Rs. Lakhs)


Particulars As at As at
30th Jun 2022 30th Jun 2021
1 Discount Allowed in issue of shares/ debentures - -

2 Others (to be specified) - -


TOTAL - -

Notes:
(a) No item shall be included under the head “Miscellaneous Expenditure” and carried forward unless:
1. some benefit from the expenditure can reasonably be expected to be received in future, and 2. the
amount of such benefit is reasonably determinable.
(b) The amount to be carried forward in respect of any item included under the head “Miscellaneous
Expenditure” shall not exceed the expected future revenue/other benefits related to the expenditure.
NL-20 IRDA Periodic Disclosures

FORM NL-20-ANALYTICAL RATIOS SCHEUDLE

Name of the Insurer: LIBERTY GENERAL INSURANCE LIMITED

For the Quarter Ended Up to the Quarter For the Quarter Up to the Quarter
Sl.No. Particular Calculation
June-22 Ended June-22 Ended June-21 Ended June-21

1 Gross Direct Premium Growth Rate** [GDPI(CY)-GDPI(PY)] / GDPI(PY) 35% 35% 5% 5% GDPI

GDPI / Shareholder's funds


Shareholder's funds/Net Worth =Share capital+reserve and
surplus-Miscellaneous expenditure-debit balance in profit
and loss account )
2 Gross Direct Premium to Net worth Ratio Shareholders' funds /Net Worth comprise of Share Capital 0.54 0.54 0.40 0.40 GDPI/Net Worth 108623
plus all Reserves and Surplus (except revaluation Reserve
and fair value change account) net of accumulated losses
and Miscellaneous expenditure to the extent not written off
as at the Balance Sheet date

(Shareholder's funds(CY)-Shareholder's funds(PY)) / 84918


3 Growth rate of Net Worth 0.00 0.00 0.10 0.10 Networth 84818
Shareholder's funds(PY)

Net written premium / (Gross Direct Premium Income +


4 Net Retention Ratio** 78% 78% 72% 72% NWP/GWP
Reinsurance Accepted)

5 Net Commission Ratio** Net Commission / Net written premium 9% 9% 10% 10% Net commission/NWP
Expense of Management to Gross Direct (Direct Commission+Operating Expenses) / Gross direct
6 40% 40% 46% 46% (net Comm paid + exp)/GDPI
Premium Ratio** premium
Expense of Management to Net Written (Net Commission+Operating Expenses) / Net Written
7 46% 46% 59% 59%
Premium Ratio** Premium
Net Incurred Claims to Net Earned
8 Net Incurred Claims / Net Earned Premium 71% 71% 62% 62%
Premium**
Claim Paid (pertaining to provisions made previously) /
9 Claims paid to claims provisions** 78% 78% 79% 79% NWP
claims provision made previously
10 Combined Ratio** (7) +(8) 117% 117% 121% 121% Technical reserve/NEP

Investment income / Average Assets under management


11 Investment income ratio 7.10% 7.10% 7.08% 7.08%
Investment income = Profit/ Loss on sale/redemption
[(Reserve for unexpired risks+premium deficiency+reserve
12 Technical Reserves to net premium ratio ** for outstanding claims(including IBNR and IBNER) ] / Net 6.38 6.38 6.06 6.06
premium written

Underwriting results / Net earned premium

Underwriting results= Net earned premium-Net incurred


13 Underwriting balance ratio -0.20 -0.20 -0.09 -0.09
claims-Net commission-Operating Expenses (Before
adjusting transfer to Profit and loss account as per Section
40C)- Premium Deficiency

14 Operating Profit Ratio Operating profit / Net Earned premium -7% -7% 4% 4%

Liquid Assets / Policyholders liabilities


Liquid Assets = Short term investments+Short term
loans+Cash & Bank balances

Policyholders liabilities=Outstanding Claims including


Incurred But Not Reported (IBNR) &
Incurred But Not Enough Reported (lBNER)+
Unearned Premium Reserve+ Premium Deficiency Reserve,
if any+ Catastrophe Reserve, if any; and+ Other Liabilities
net off Other Assets
15 Liquid Assets to liabilities ratio 0.14 0.14 0.25 0.25
Other Liabilities in point (e) above, comprise of (i)
Premium received in advance (ii) Unallocated premium (iii)
Balance due to OTHER Insurance
Companies (iv) Due to other Members of a Pool such as
Third Party Pool; Terrorism Pool; etc. (vi) Sundry creditors
(due to Policyholders).
Other Assets in point (e) above, comprise of (i)
Outstanding premium (ii) due from other entities carrying
on Insurance business including Reinsurers (iii) Balance
with Pool such as Thirty Party Pool; Terrorism pool; etc.

16 Net earning ratio Profit after tax / Net Premium written -3% -3% 8% 8%

17 Return on net worth ratio Profit after tax / Net Worth -1% -1% 3% 3%

Available Solvency margin Ratio to


18 to be taken from solvency margin reporting 2.69 2.69 2.81 2.81
Required Solvency Margin Ratio

19 NPA Ratio to be taken from NPA reporting

Gross NPA Ratio NIL NIL NIL NIL

Net NPA Ratio NIL NIL NIL NIL

(Debt/Equity)
Debt=(Borrowings+Redeemable Preference shares, if any)
20 Debt Equity Ratio NIL NIL NIL NIL
Equity=Shareholders' Funds excluding Redeemable
Preference shares, if any

(Earnings before Interest and Tax/ Interest and Principal


21 Debt Service Coverage Ratio NIL NIL NIL NIL
Instalments Due)

22 Interest Service Coverage Ratio (Earnings before Interest and Tax/ Interest due) NIL NIL NIL NIL

23 Earnings per share Profit /(loss) after tax / No. of shares -0.09 -0.09 0.24 0.24

24 Book value per share Net worth / No. of shares 7.80 7.80 7.82 7.82

Notes: -

1. Net worth definition to include Head office capital for Reinsurance branch

** Segmental Reporting up to the quarter


Technical
Expense of Expense of Under
Segments Claims paid to Combine Reserves to
Net Commission Management to Gross Management to Net Net Incurred Claims to writing
Upto the quarter ended on 30th Gross Direct Premium Growth Rate** Net Retention Ratio** claims d net
Ratio** Direct Premium Written Premium Net Earned Premium** balance
September 2021 provisions** Ratio** premium
Ratio** Ratio** ratio
ratio **

FIRE

Current Period -13% 4% -45% 19% 433% 42% 83% 225% 9.06 0.09

Previous Period 14% 8% -34% 22% 269% 26% 84% 158% 12.20 -0.26

Marine Cargo

Current Period 8% 63% 21% 36% 56% 78% 82% 132% 2.93 -0.35

Previous Period 65% 68% 20% 45% 65% 93% 84% 157% 2.66 -0.66

Marine Hull

Current Period 0% 0% 0% 0% 0% 0% 0% 0% 0.00 0.00

Previous Period 0% 0% 0% 0% 0% 0% 0% 0% 0.00 0.00

Total Marine

Current Period 8% 63% 21% 36% 56% 78% 82% 132% 2.93 -0.35

Previous Period 65% 68% 20% 45% 65% 93% 84% 157% 2.66 -0.66

Motor OD

Current Period 46% 93% 18% 54% 58% 67% 122% 2.64 -0.22

Previous Period 10% 92% 20% 63% 68% 44% 111% 2.44 0.12

Motor TP

Current Period 49% 93% -1% 38% 41% 77% 116% 12.20 -0.13

Previous Period 13% 92% 0% 49% 54% 61% 114% 12.26 0.00

Total Motor

Current Period 47% 93% 10% 47% 50% 72% 78% 48% 7.27 0.20

Previous Period -62% 92% 11% 57% 62% 51% 79% 61% 6.63 0.33

Health

Current Period 50% 95% 9% 35% 37% 81% 91% 118% 3.62 -0.42

Previous Period -11% 95% 6% 45% 47% 119% 97% 166% 3.68 -0.86

Personal Accident

Current Period 4% 88% 7% 34% 38% 28% 86% 65% 6.02 0.19

Previous Period 9% 89% 9% 48% 54% 49% 60% 102% 4.64 -0.07

Travel Insurance

Current Period 155% 80% -3% 24% 30% 63% 91% 91% 0.24 0.11

Previous Period 84% 79% -1% 29% 37% 83% 69% 119% -0.07 -0.13

Total Health

Current Period 49% 94% 8% 35% 37% 77% 90% 36% 3.53 -0.35

Previous Period -45% 94% 6% 44% 47% 111% 89% 47% 3.64 -0.76
Workmen’s Compensation/ Employer’s
liability

Current Period -4% 92% 15% 46% 50% 27% 76% 5.01 0.33

Previous Period -24% 28% 47% 29% 103% 91% 191% 7.35 -0.21

Public/ Product Liability

Current Period -6% 30% 39% 32% 76% 2% 84% 80% 6.32 0.54

Previous Period -1% 47% 29% 35% 67% -4% 74% 65% 2.08 0.49

Engineering

Current Period 0% 0% 19900% 24% -87438% 49% 51% -26546% 4.34 0.18

Previous Period 37% -1% 190% 24% -1543% 88% 88% -501% 8.82 -0.38

Aviation

Current Period 0 0 0 0 0 0 0 0.00 0.00

Previous Period 0 0 0 0 0 0 0 0.00 0.00

Crop Insurance

Current Period 0 0 0 0 0 0 0 0.00 0.00

Previous Period 0 0 0 0 0 0 0 0.00 0.00

Other segments **

Current Period 29% 16% -3% 28% 174% 49% 55% 145% 5.71 -0.24

Previous Period -19% -12% -26% 18% -145% 13% 40% -51% 6.04 0.59

Total Miscellaneous

Current Period 44% 86% 9% 41% 48% 71% 78% 117% 6.41 -0.20

Previous Period 3% 82% 10% 49% 60% 62% 78% 120% 6.04 -0.07

Page 26 of 52
NL-20 IRDA Periodic Disclosures

FORM NL-20-ANALYTICAL RATIOS SCHEUDLE

Name of the Insurer: LIBERTY GENERAL INSURANCE LIMITED

Total-Current Period 35% 78% 9% 40% 50% 71% 78% 117% 6.38 -0.20

Total-Previous Period 5% 72% 10% 46% 63% 62% 79% 121% 6.06 -0.09

Page 27 of 52
FORM NL-21-RELATED PARTY TRANSACTIONS SCHEDULE

Name of the Insurer: LIBERTY GENERAL INSURANCE LIMITED For the Quarter Ending 30TH JUNE 2022

PART-A Related Party Transactions

Consideration paid / received1 (Rs. in Lakhs)


Nature of Relationship
Sl.No. Name of the Related Party Description of Transactions / Categories
with the Company For the Quarter Up to the Quarter For the Quarter Up to the Quarter Ended
Ended June-22 Ended June-22 Ended June-21 June-21

1 Liberty Citystate Holdings Pte Ltd Shareholder Share Capital (including Securities Premium) - - - -
2 Diamond Dealtrade Limited Shareholder Share Capital - - - -
3 Enam Securities Private Limited Shareholder Share Capital - - - -
4 Liberty Mutual Insurance Company Shareholder Reimbursement / Payment of Expenses (109) (109) (130) (130)
5 Liberty Mutual Insurance Company Shareholder Reinsurance Premium ceded 744 744 720 720
6 Liberty Mutual Insurance Company Shareholder Reinsurance commission on ceding 54 54 61 61
7 Liberty Mutual Insurance Company Shareholder Reinsurance claims on ceding 53 53 118 118
8 Liberty Mutual Insurance Company Shareholder Outstanding balance as on date (745) (745) (657) (657)
9 Liberty Data Analytics Pvt Ltd Associate Company Rent income 0 0 0 0
10 Liberty Data Analytics Pvt Ltd Associate Company Insurance Premium income (0) (0) 1 1
11 Liberty Data Analytics Pvt Ltd Associate Company Outstanding balance as on date (2) (2) 0 0
Chief Executive Officer and
12 Roopam Asthana Managerial Remuneration 192
Whole time director 192 175 175
Chief Executive Officer and
13 Roopam Asthana Insurance Premium income -
Whole time director - 1 1
1
including the premium flow through Associates/ Group companies as agents and intermediaries
PART-B Related Party Transaction Balances - As at the end of the Quarter 30th June 2022
Balance under Provision Expenses
Whether Secured?
Details of any for doubtful debts recognised up to
If so, Nature of
Nature of Relationship Amount of Outstanding Balances including Whether Payable / Guarantees given relating to the the quarter end
Sl.No. Name of the Related Party consideration to be
with the Company Commitments (Rs. in Lakhs) Receivable or outstanding balance during the year in
provided at the time of
received receivable (Rs. in respect of bad or
settlement
Lakhs) dobutful debts due

1 Liberty Mutual Insurance Company Shareholder (745) Payable NA NA NA NA

2 Liberty Data Analytics Pvt Ltd Associate Company (2) Payable NA NA NA NA


FORM NL-23 - SOLVENCY MARGIN (FORM IRDAI-GI-TA)

STATEMENT OF ADMISSIBLE ASSETS :

As at 30th June 2022

Name of the Insurer: Liberty General Insurance Limited

IRDA Registration No.150 dt. 22nd May 2012

Date of Registration: 22nd May 2012

Classification: Business within India / Total Business

(All amounts in Rupees of Lakhs)


Item Policyholders
Particulars Shareholders A/c. Total
No. A/c.

Investments:

Shareholders as per NL-12 of BS - 84,559 84,559

Policyholders as per NL-12 A of BS 250,825 - 250,825

(A) Total Investments as per BS 250,825 84,559 335,384

(B) Inadmissible Investment assets as per Clause (1) of Schedule I of regulation - - -

(C) Fixed assets as per BS - 3,921 3,921

(D) Inadmissible Fixed assets as per Clause (1) of Schedule I of regulation - 155 155

Current Assets:

(E) Cash & Bank Balances as per BS 500 2,212 2,712

(F) Advances and Other assets as per BS 22,216 8,648 30,864

(G) Total Current Assets as per BS...(E)+(F) 22,716 10,860 33,576

(H) Inadmissible current assets as per Clause (1) of Schedule I of regulation 4,420 648 5,068

(I) Loans as per BS - - -

(J) Fair value change account subject to minimum of zero 31 11 42


Total Assets as per BS (excl. current liabilities and
(K) provisions)…(A)+(C)+(G)+(I) 273,541 99,340 372,881

(L) Total Inadmissible assets…(B)+(D)+(H)+(J) 4,451 814 5,265


Total Admissible assets for Solvency (excl. current liabilities and
(M) provisions)…(K)-(L) 269,090 98,527 367,616

(All amounts in Rupees of Lakhs)


Item Policyholders
Inadmissible Investment assets (Item wise Details) Shareholders A/c. Total
No. A/c.

Inadmissible Investment assets as per Clause (1) of Schedule I of regulation

Inadmissible Fixed assets

(a) Leasehold Improvement - 149 149

(b) Furniture & Fixtures - 6 6

Inadmissible current assets

(a) Coinsurance 2,456 - 2,456

(b) Reinsurance 486 - 486

(c)GST receivable 1 - 1

(d) Agent Deposit 246 - 246

(e)Unclaimed amount to PH 1,231 - 1,231

(f) Comm Payable - 71 71

(g) GST Deposits - 476 476

(h) FD - 100 100

Note: The form is prepared as per prescribed IRDAI Solvency Regulations as amended from time to time.
FORM NL-24 - SOLVENCY MARGIN (FORM IRDAI-GI-TR)

STATEMENT OF LIABILITIES :

(All amounts in Rupees of Lakhs)

Current Year
Gross
Item No. Reserve Net Reserve
Reserve

(a) Unearned Premium Reserve (UPR) 91,701 77,727

(b) Premium Deficiency Reserve (PDR) - -

(c) Unexpired Risk Reserve (URR)…(a)+(b) 91,701 77,727

(d) Outstanding Claim Reserve (other than IBNR reserve) 76,561 63,301

(e) IBNR reserve 79,874 75,880

(f) Total Reserves for Technical Liabilities…(c)+(d)+(e) 248,136 216,908


Note: The form is prepared as per prescribed IRDAI Solvency Regulations as amended from time to time.
FORM NL-25 - SOLVENCY MARGIN (TABLE IA)

Name of the Insurer: Liberty General Insurance Limited

IRDA Registration No.150 dt. 22nd May 2012

Date of Registration: 22nd May 2012

Classification: Business within India / Total Business

TABLE IA: REQUIRED SOLVENCY MARGIN BASED ON NET PREMIUM AND NET INCURRED CLAIMS as on 30TH JUNE 2022

(All amounts in Rupees of Lakhs)


Line of Business
Ite Gross Net
Gross Net
m Incurred Incurred RSM 1 RSM 2 RSM
Premiums Premiums
No. Claims Claims

(2)
(1) (3) (4) (5) (6) (7) (8) (9)
Fire
1 10,537 2,891 1,297 508 1,054 195 1,054
Marine Cargo
2 4,010 3,278 3,677 3,449 656 1,035 1,035
Marine - Other than Marine Cargo
3
Motor
4 107,480 101,501 67,548 64,122 20,300 19,237 20,300
Engineering
5 3,606 820 1,076 443 361 161 361
Aviation
6 - - - - - - -
Liability
7 2,117 1,636 611 583 327 175 327
Health
8 31,414 29,397 22,039 20,563 5,879 6,169 6,169
Miscellaneous
9 5,803 2,006 921 818 812 245 812
Crop
10
Total
164,966 141,530 97,170 90,486 29,389 27,217 30,058

Note: The form is prepared as per prescribed IRDAI Solvency Regulations as amended from time to time.
FORM NL-26 - SOLVENCY MARGIN (TABLE IB)

Name of the Insurer: Liberty General Insurance Limited

IRDA Registration No.150 dt. 22nd May 2012

Date of Registration: 22nd May 2012

Classification: Business within India / Total Business

(All amounts in Rupees of Lakhs)


(1) (2) (3)

ITEM NO. DESCRIPTION AMOUNT

(A) Policyholder’s FUNDS


-
Available assets(as per Form IRDAI-GI-TA) 269,090

Deduct:
-
(B) Current Liabilities as per BS 216,908

(C) Provisions as per BS


-
(D) Other Liabilities 51,902
-
(E) Excess in Policyholder’s funds (A)-(B)-(C)-(D) 280

Shareholder’s FUNDS
-
(F) Available Assets 98,527

Deduct:
-
(G) Other Liabilities 18,022
-
(H) Excess in Shareholder’s funds (F-G) 80,504
-
(I) Total ASM (E+H) 80,784
-
(J) Total RSM 30,058
-
(K) SOLVENCY RATIO (Total ASM/ Total RSM) 2.69

Note: The form is prepared as per prescribed IRDAI Solvency Regulations as amended from
time to time.
FORM NL-27- PRODUCTS INFORMATION

Name of the
Liberty General Insurance Ltd Date: 30-Jun-22
Insurer:

Products Information

List below the products and/or add-ons introduced during the period 1st April 2022 to 30th June 2022

Date of allotment of
Sl. No. Name of Product /Add On Co. Ref. No. IRDAI UIN Class of Business(a) Category of product
UIN

Miscellaneous Miscellaneous Retail


1 Inadvertent Omission IRDAN150RP0009V02201617/A0028V01202122 1-Apr-22
Miscellaneous Miscellaneous Retail
2 Water Damage Cover IRDAN150RP0009V02201617/A0029V01202122 1-Apr-22
Miscellaneous Miscellaneous Retail
3 Inadvertent Omission IRDAN150RP0011V02201617/A0030V01202122 1-Apr-22
Miscellaneous Miscellaneous Retail
4 Water Damage Cover IRDAN150RP0011V02201617/A0031V01202122 1-Apr-22
Motor Motor Retail
5 Gap Value Cover - Bundled Cover IRDAN150RP0004V01201819/A0024V02201819 22-Apr-22
Motor Motor Retail
6 Gap Value Cover IRDAN150RP0035V01201213/A0018V02201213 22-Apr-22
Motor Motor Retail
7 Gap Value Cover IRDAN150RP0001V01201920/A0005V02201920 22-Apr-22
Fire Fire Retail
8 Liberty Bharat Griha Raksha IRDAN150RP0016V02202021 22-Apr-22
Motor Motor Retail
9 EV Secure Two Wheeler IRDAN150RP0007V01201819/A0001V01202223 6-Jun-22
Motor Motor Retail
10 EV Secure Two Wheeler IRDAN150RP0001V01201213/A0002V01202223 6-Jun-22
Motor Motor Retail
11 EV Secure Two Wheeler IRDAN150RP0002V01201516/A0003V01202223 6-Jun-22
Motor Motor Retail
12 EV Secure Two Wheeler IRDAN150RP0002V01201920/A0004V01202223 6-Jun-22

Note: -
(a) Defined as Fire, Marine Cargo, Marine Hull, Motor OD, Motor TP, Health, Personal Accident, Travel Insurance, Workmen’s Compensation/ Employer’s Liability, Public/ Product Liability, Engineering, Aviation ,Crop Insurance and Other segments(Please specify)
FORM NL-28-STATEMENT OF INVESTMENT ASSETS AND STATEMENT OF ACCRETION OF ASSETS
PART - A
Name of the Insurer: Liberty General Insurance Limited
IRDA Registration No.150 dt. 22nd May 2012
Statement as on: 30th June 2022
Statement of Investment Assets (General Insurer including an insurer carrying on business of re-insurance or health insurance)
(Business within India) (Rs. in Lakhs)
Periodicity of Submission: Quarterly

Section I

No PARTICULARS SCH ++ AMOUNT

1 Investments (Shareholders) 8 84,861


Investments (Policyholders) 8A 251,755
2 Loans 9 -
3 Fixed Assets 10 3,921
4 Current Assets
a. Cash & Bank Balance 11 2,712
b. Advances & Other Assets 12 29,633
5 Current Liabilities
a. Current Liabilities 13 (208,643)
b. Provisions 14 (79,421)
c. Misc. Exp not Written Off 15 -
d. Debit Balance of P&L A/c 98,659
Application of Funds as per Balance Sheet
183,477
(A)
Less: Other Assets SCH ++ Amount
1 Loans (if any) 9 -
2 Fixed Assets (if any) 10 3,921
3 Cash & Bank Balance (if any) 11 2,612
4 Advances & Other Assets (if any) 12 29,633
5 Current Liabilities 13 (208,643)
6 Provisions 14 (79,421)
7 Misc. Exp not Written Off 15 -
8 Investments held outside India
9 Debit Balance of P&L A/c 98,659
Total (B) (153,238)
'Investment Assets' (A-B) 336,715
Section II
SH FVC
PH Book Value (SH + PH) % Actual Amoun Total
Balance FRSM+ t Market Value
No 'Investment' represented as Reg. %
(h)
(a) (b) (c) d = (a+b+c) e = (d-a) % (f) (g)=(d+f)

Not less than


1 Central Govt. Securities - 21,028 62,382 83,410 25% - 83,410 81,931
20%
Central Govt Sec, State Govt Sec or Other Approved Not less than
2 - 39,236 116,401 155,638 46% - 155,638 152,010
Securities (incl (1) above) 30%
3 Investment subject to Exposure Norms
a. Housing / Infra & Loans to SG for Housing and
FFE Not less than
1. Approved Investments 15% - 26,533 78,714 105,247 31% - 105,247 102,234
2. Other Investments -
Not 100 19,063 56,554 75,717 22% 114 75,831 73,610
b. Approved Investments
exceeding
c. Other Investments 55%
Investment Assets 100% 100 84,832 251,670 336,602 100% 114 336,715 327,854
Note: 1. (+) FRSM refers 'Funds representing Solvency Margin'
2. Other Investments' are as permitted under 27A(2)
3. Pattern of Investment is applicable to both Shareholders funds representing solvency margin and policyholders funds.
4. Exposure Norms shall apply to Funds held beyond Solvency Margin, held in a separate Custody Account
5. SCH (++) refers to Schedules to Balance Sheet, prepared as per IRDAI (Preparation of Fin. Stmt and Auditors' Report of Ins Companies) Regulations
6. Investment Regulations, as amended from time to time, to be referred
PART - B

Name of the Insurer: Liberty General Insurance Limited


IRDA Registration No.150 dt. 22nd May 2012
Statement as on: 30th June 2022
Statement of Accretion of Assets (Rs. Lakhs)
(Business within India)
Periodicity of Submission : Quarterly

Net Accretion for


Opening Balance TOTAL % to
No Category of Investments COI % to Opening Balance the Qtr. % to Total Accrual
Total

(A) (B) (A+B)


1 Central Govt. Securities 76,502 23% 6,908 175% 83,410 25%
2 Central Govt Sec, State Govt Sec or Other Approved Securities (incl (i) above) 143,972 43% 11,665 296% 155,638 46%
3 Investment subject to Exposure Norms
a. Housing & Loans to SG for Housing and FFE
1. Approved Investments 43,632 13% (1,049) -27% 42,583 13%
2. Other Investments -
b. Infrastructure Investments
1. Approved Investments 64,468 19% (1,805) -46% 62,664 19%
2. Other Investments -
c. Approved Investments 80,587 24% (4,870) -124% 75,717 22%
d. Other Investments (not exceeding 15%) -
Total 332,660 100% 3,942 100% 336,602 100%

Note:
1. Total (A+B), fund wise should tally with figures shown in Form 3B (Part A)
2. Investment Regulations, as amended from time to time, to be referred

Page 34 of 52
FORM NL-29-DETAIL REGARDING DEBT SECURITIES

Name of the Insurer: LIBERTY GENERAL INSURANCE LIMITED


Date: 30th June 2022

Detail Regarding debt securities

MARKET VALUE Book Value

As at as % of total As at as % of total As at as % of total As at as % of total


30th Jun 2022 for this class 30th Jun 2021 for this class 30th Jun 2022 for this class 30th Jun 2021 for this class

Break down by credit rating

AAA rated
146,216 45.57% 141,758 45.53% 151,065 45.82% 139,031 45.64%

AA or better
22,619 7.05% 36,184 11.62% 23,004 6.98% 35,157 11.54%

Rated below AA but above A


- - - -

Rated below A but above B


- - - -

Any other (Please specify)#


152,010 47.38% 133,440 42.85% 155,638 47.20% 130,462 42.82%

# Includes G.Sec, TBill

Total (A)
320,845 100.00% 311,382 100.00% 329,707 100.00% 304,650 100.00%

BREAKDOWN BY
RESIDUALMATURITY
Up to 1 year
26,671 8.31% 55,453 17.81% 26,552 8.05% 54,185 17.79%

more than 1 year and upto 3years


47,104 14.68% 66,800 21.45% 47,331 14.36% 64,180 21.07%

More than 3years and up to 7years


156,240 48.70% 75,685 24.31% 160,583 48.70% 73,570 24.15%

More than 7 years and up to 10 years


88,544 27.60% 110,997 35.65% 92,741 28.13% 110,215 36.18%

above 10 years
2,287 0.71% 2,448 0.79% 2,500 0.76% 2,500 0.82%

Any other (Please specify)


- 0.00% - 0.00% - 0.00% - 0.00%

Total (B)
320,846 100.00% 311,383 100.00% 329,707 100.00% 304,650 100.00%

Breakdown by type of the issuer

a. Central Government
81,931 25.54% 73,003 23.44% 83,410 25.30% 71,174 23.36%

b. State Government
70,079 21.84% 60,437 19.41% 72,228 21.91% 59,288 19.46%

c. Corporate Securities
168,835 52.62% 177,942 57.15% 174,069 52.80% 174,188 57.18%

Any other (Please specify)


- - - -

Total (C )
320,845 100.00% 311,382 100.00% 329,707 100.00% 304,650 100.00%

Note

(a). In case of a debt instrument is rated by more than one agency, then the lowest rating will be taken for the purpose of classification.

(b). Market value of the securities will be in accordance with the valuation method specified by the Authority under Accounting/ Investment regulations.
(c). Total A, B and C should match with each other and with debt securities reported under NL-12 and 12A (Investments). Other Debt Securities to be reported separately
under the prescribed categories under line item "Any other (Please specify)"
FORM NL-30 -DETAILS OF NON-PERFORMING ASSETS
Name of the Insurer: Liberty General Insurance Limited Date: 30th June 2022
IRDA Registration No.150 dt. 22nd May 2012 Name of the Fund

(Amount in Rs. Lakhs)


Bonds / Debentures Loans Other Debt instruments All Other Assets TOTAL

NO PARTICULARS YTD ( As on Prev. FY ( YTD ( As on Prev. FY ( YTD ( As on YTD ( As on YTD ( As on Prev. FY (


Prev. FY ( As on Prev. FY ( As
date 30th As on 31 date 30th As on 31 date 30th date 30th Jun date 30th As on 31
31 Mar 22) on 31 Mar 22)
Jun 22) Mar 22) Jun 22) Mar 22) Jun 22) 22) Jun 22) Mar 22)

1 Investments Assets 174,069 182,207 - - 100 100 162,433 150,352 336,602 332,660
2 Gross NPA - - - - - - - - - -
3 % of Gross NPA on Investment Assets (2/1) - - - - - - - - - -
4 Provision made on NPA - - - - - - - - - -
5 Provision as a % of NPA (4/2) - - - - - - - - - -
6 Provision on Standard Assets - - - - - - - - - -
7 Net Investment Assets (1-4) 174,069 182,207 - - 100 100 162,433 150,352 336,602 332,660
8 Net NPA (2-4) - - - - - - - - - -

9 % of Net NPA to Net Investment Assets (8/7) - - - - - - - - - -

10 Write off made during the period - - - - - - - - - -

Note:
a) The above statement, in the case of 'Life' Insurers shall be prepared 'fund-wise' Viz. Life Fund, Pension & Group Fund, ULIP Fund and at Assets Under Management level also.
b) Total Investment Assets should reconcile with figures shown in other relevant forms
c) Gross NPA is investments classified as NPA, before any provisions
d) Provision made on the 'Standard Assets' shall be as per Circular issued, as amended from time to time.
e) Net Investment assets is net of 'provisions'
f) Net NPA is gross NPAs less provisions
g) Write off as approved by the Board
f) Investment Regulations,as amended from time to time, to be referred
FORM NL-31-STATEMENT OF INVESTMENT AND INCOME ON INVESTMENT

Name of the Insurer: Liberty General Insurance Limited

IRDA Registration No.150 dt. 22nd May 2012

Statement as on: 30th June 2022 Name of the Fund General Insurance

Statement of Investment and Income on Investment

Periodicity of Submission: Quarterly


(Amount in Rs. Lakhs)

Current Quarter Year to Date (current year) Year to Date (previous year)3

Category Income Income Income


No. Category of Investment Gross Gross Gross
Code Investment on Net Yield Investment on Net Yield Investment on Net Yield
Yield Yield Yield
(Rs.)¹ Investme (%)² (Rs.)¹ Investme (%)² (Rs.)¹ Investme (%)²
(%)¹ (%)¹ (%)¹
nt (Rs.) nt (Rs.) nt (Rs.)

1 Central Government Bonds CGSB 81,776 1,329 6.52 6.52 81,776 1,329 6.52 6.52 71,428 1,161 6.52 6.52

2 Deposit under Section 7 of Insurance Act, 1938 CDSS - - - - - - - - - - - -

3 Treasury Bills CTRB - - - - - - - - - - - -

4 State Government Bonds SGGB 48,317 858 7.13 7.13 48,317 858 7.13 7.13 38,964 714 7.35 7.35

Other Approved Securities (Excluding


5 SGOA 22,439 381 6.82 6.82 22,439 381 6.82 6.82 20,937 354 6.77 6.77
Infrastructure Investemnts)
Bonds / Debentures issued by NHB/Institutions
6 HTDN 42,813 784 7.34 7.34 42,813 784 7.34 7.34 32,134 611 7.63 7.63
accredited by NHB

7 Infrastructure - PSU - Debentures / Bonds IPTD 62,119 1,216 7.85 7.85 62,119 1,216 7.85 7.85 66,866 1,214 7.28 7.28

8 Infrastructure - PSU - CP IPCP - - - - - - - - - - - -

Infrastructure - Other Corporate Securities -


9 ICTD - - - - - - - - - - - -
Debentures/ Bonds

10 Corporate Securities - Bonds Taxable EPBT 22,054 351 6.39 6.39 22,054 351 6.39 6.39 22,299 350 6.30 6.30

11 Corporate Securities - Debentures ECOS 49,941 992 7.96 7.96 49,941 992 7.96 7.96 54,971 1,056 7.71 7.71

Deposits - Deposit with scheduled banks, FIs(incl


12 ECDB 61 0 2.90 2.90 61 0 2.90 2.90 100 1 2.90 2.90
Bank Balance awaiting investment),CCIL, RBI

13 Deposits - CDs with scheduled banks EDCD - - - - - - - - - - - -

DEPOSITS - REPO / REVERSE REPO - GOVT


14 ECMR - - - - - - - - - - - -
SECURITIES

15 CCIL CBLO ECBO - - - - - - - - - - - -

16 MF - Gilt / G Sec / Liquid EGMF 6,288 35 2.26 2.26 6,288 35 2.26 2.26 4,646 56 4.84 4.84

RECLASSIFIED APPROVED INVESTMENTS - DEBT


17 ORAD - - - - - - - - - - - -
(POINT 6 UNDER NOTE FOR REGULATION 4 TO 9)

Mutual Funds - Debt / Income / Serial Plans /


18 OMGS - - - - - - - - - - - -
Liquid Secemes

TOTAL 335,808 5,947 7.10% 7.10% 335,808 5,947 7.10% 7.10% 312,345 5,517 7.08% 7.08%

Note: Category of Investment (COI) shall be as per Guidelines, as amended from time to time

1
Based on daily simple Average of Investments

2
Yield netted for Tax

3
In the previous year column, the figures of the corresponding Year to date of the previous financial year shall be shown

4
FORM shall be prepared in respect of each fund.

5
YTD Income on investment shall be reconciled with figures in P&L and Revenue account

6 Investment Regulations, as amended from time to time, to be referred


FORM NL-32-STATEMENT OF DOWN GRADED INVESTMENTS

Name of the Insurer: Liberty General Insurance Limited


Statement as on: 30th June 2022 Name of Fund : General Insurance
Statement of Down Graded Investments
Periodicity of Submission: Quarterly
(Amount in Rs. Lakhs)
Date of Rating Original Current
No Name of the Security COI Amount Date of last Downgrade Remarks
Purchase Agency Grade Grade
A. During the Quarter ¹
NIL

B. As on Date ²
NIL

Note:
1 Provide details of Down Graded Investments during the Quarter.
2 Investments currently upgraded, listed as Down Graded during earlier Quarter shall be deleted from the Cumulative listing.
3 FORM shall be prepared in respect of each fund.
4 Category of Investment (COI) shall be as per Guidelines issued by the Authority
5 Investment Regulations, as amended from time to time, to be referred
FORM NL-33- REINSURANCE/RETROCESSION RISK CONCENTRATION

Name of the Insurer: Liberty General Insurance


Date: 11/ August / 2022

Registration No:

(Amount in Rs. Lakhs)


S.No. Reinsurance/Retrocession Placements No. of Premium ceded to reinsurers (Upto the Quarter) Premium ceded to reinsurers / Total
reinsurers reinsurance premium ceded (%)
Proportional Non- Facultative
Proportional

Outside India

1 No. of Reinsurers with rating of AAA and above -

2 No. of Reinsurers with rating AA but less than AAA 2 4.52 - - 0.06

3 No. of Reinsurers with rating A but less than AA 12 1,141.14 378.39 11.39 20.65

4 No. of Reinsurers with rating BBB but less than A - - - -

5 No. of Reinsurers with rating less than BBB 1 0.09 - - 0.00

Total (A) 15 1,145.74 378.39 11.39 20.71

With In India -

1 Indian Insurance Companies - - - -

2 FRBs 6 596.62 329.74 13.74 12.68

3 GIC Re 1 4,539.53 397.86 - 66.60

4 Other (to be Specified) - - - -

Total (B) 7 5,136.15 727.60 13.74 79.29

Grand Total (C)= (A)+(B) 22 6,281.89 1,105.99 25.13 100.00

Note:-
(a) The total of Premium ceded to reinsurers (Proportional, Non-Proportional and Facultative is consistent with all relevant NL forms; The aforementioned Business figures are matching with all
relevant NL forms. In case of difference, pl give reasons
(b) Figures are to be provided upto the quarter
FORM NL-34-GEOGRAPHICAL DISTRIBUTION OF BUSINESS

GROSS DIRECT PREMIUM UNDERWRITTEN (Amount in Rs. Lakhs)


Miscellaneous
Fire Marine Hull Marine Cargo Total Marine Motor OD Motor TP Total Motor Health Personal Accident Travel Insurance Total Health Workmen’s Compensation/ Public/ Product Liability Engineering Aviation Crop Insurance Other segments
(b) Total Miscellaneous Total Total
Employer’s liability
Sl.No. For the Upto the For the Upto the For the Upto the For the Upto the For the Upto the For the Upto the For the Upto the For the Upto the For the Upto the For the Upto the For the Upto the For the Upto the For the Upto the For the Upto the For the Upto the For the Upto the For the Upto the quarter For the Upto the For the Upto the
State / Union Territory
Quarter quarter Quarter quarter Quarter quarter Quarter quarter Quarter quarter Quarter quarter Quarter quarter Quarter quarter Quarter quarter Quarter quarter Quarter quarter Quarter quarter Quarter quarter Quarter quarter Quarter quarter Quarter quarter Quarter Quarter quarter Quarter quarter

c
STATES
1 Andhra Pradesh
2.12 2.12 - - 1.89 1.89 1.89 1.89 594.22 594.22 303.83 303.83 898.05 898.05 65.14 65.14 1.19 1.19 - - 66.33 66.33 0.42 0.42 0.23 0.23 2.30 2.30 - - - - 8.27 8.27 975.61 975.61 979.62 979.62
2 Arunachal Pradesh
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
3 Assam
- - - - - - - - 252.70 252.70 343.07 343.07 595.77 595.77 2.73 2.73 0.04 0.04 - - 2.78 2.78 - - - - - - - - - - - - 598.55 598.55 598.55 598.55
4 Bihar
- - - - - - - - 191.12 191.12 268.80 268.80 459.92 459.92 1.40 1.40 0.15 0.15 - - 1.55 1.55 0.04 0.04 - - (0.10) (0.10) - - - - 2.39 2.39 463.82 463.82 463.82 463.82
5 Chhattisgarh
- - - - - - - - 78.33 78.33 55.12 55.12 133.45 133.45 2.89 2.89 0.13 0.13 - - 3.02 3.02 - - - - 0.33 0.33 - - - - (0.02) (0.02) 136.79 136.79 136.79 136.79
6 Goa
0.42 0.42 - - 1.66 1.66 1.66 1.66 29.68 29.68 20.81 20.81 50.49 50.49 0.35 0.35 0.01 0.01 - - 0.37 0.37 0.28 0.28 - - 0.23 0.23 - - - - 3.26 3.26 54.62 54.62 56.70 56.70
7 Gujarat
645.45 645.45 - - 258.80 258.80 258.80 258.80 887.90 887.90 767.47 767.47 1,655.38 1,655.38 304.90 304.90 5.87 5.87 - - 310.77 310.77 21.02 21.02 10.96 10.96 82.64 82.64 - - - - 55.27 55.27 2,136.04 2,136.04 3,040.28 3,040.28
8 Haryana
11.33 11.33 - - 6.10 6.10 6.10 6.10 373.75 373.75 1,284.00 1,284.00 1,657.75 1,657.75 15.00 15.00 0.42 0.42 - - 15.41 15.41 7.62 7.62 15.78 15.78 22.27 22.27 - - - - 40.77 40.77 1,759.62 1,759.62 1,777.05 1,777.05
9 Himachal Pradesh
0.84 0.84 - - - - - - 239.29 239.29 160.55 160.55 399.84 399.84 0.86 0.86 0.52 0.52 - - 1.38 1.38 0.02 0.02 - - 0.11 0.11 - - - - 0.60 0.60 401.96 401.96 402.80 402.80
10 Jharkhand
0.08 0.08 - - 0.05 0.05 0.05 0.05 248.40 248.40 300.90 300.90 549.29 549.29 2.18 2.18 0.85 0.85 - - 3.04 3.04 0.24 0.24 - - 0.42 0.42 - - - - 0.94 0.94 553.93 553.93 554.06 554.06
11 Karnataka
76.93 76.93 - - 52.48 52.48 52.48 52.48 1,854.83 1,854.83 1,266.29 1,266.29 3,121.12 3,121.12 3,044.55 3,044.55 88.50 88.50 - - 3,133.05 3,133.05 10.13 10.13 10.03 10.03 14.26 14.26 - - - - 171.19 171.19 6,459.77 6,459.77 6,589.19 6,589.19
12 Kerala
86.24 86.24 - - 15.93 15.93 15.93 15.93 968.62 968.62 657.74 657.74 1,626.36 1,626.36 795.25 795.25 75.61 75.61 - - 870.86 870.86 3.07 3.07 0.50 0.50 15.27 15.27 - - - - 441.75 441.75 2,957.81 2,957.81 3,059.99 3,059.99
13 Madhya Pradesh
15.41 15.41 - - 14.20 14.20 14.20 14.20 312.21 312.21 191.57 191.57 503.78 503.78 40.21 40.21 0.05 0.05 - - 40.26 40.26 0.09 0.09 - - 0.04 0.04 - - - - 0.23 0.23 544.40 544.40 574.01 574.01
14 Maharashtra
1,037.50 1,037.50 - - 445.34 445.34 445.34 445.34 1,383.35 1,383.35 1,261.76 1,261.76 2,645.11 2,645.11 2,127.30 2,127.30 268.69 268.69 558.42 558.42 2,954.41 2,954.41 34.45 34.45 121.30 121.30 179.53 179.53 - - - - 741.35 741.35 6,676.16 6,676.16 8,159.00 8,159.00
15 Manipur
- - - - - - - - 158.19 158.19 50.20 50.20 208.39 208.39 0.17 0.17 - - - - 0.17 0.17 - - - - - - - - - - - - 208.56 208.56 208.56 208.56
16 Meghalaya
- - - - - - - - 85.24 85.24 40.57 40.57 125.81 125.81 0.70 0.70 - - - - 0.70 0.70 - - - - - - - - - - - - 126.51 126.51 126.51 126.51
17 Mizoram
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
18 Nagaland
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
19 Odisha
0.02 0.02 - - - - - - 337.67 337.67 457.24 457.24 794.91 794.91 4.50 4.50 0.55 0.55 - - 5.05 5.05 0.30 0.30 0.10 0.10 1.28 1.28 - - - - 0.67 0.67 802.32 802.32 802.34 802.34
20 Punjab
1.50 1.50 - - 11.41 11.41 11.41 11.41 445.61 445.61 380.03 380.03 825.64 825.64 15.01 15.01 13.88 13.88 - - 28.89 28.89 3.80 3.80 1.65 1.65 6.96 6.96 - - - - 46.54 46.54 913.48 913.48 926.39 926.39
21 Rajasthan
7.05 7.05 - - 4.64 4.64 4.64 4.64 692.28 692.28 357.28 357.28 1,049.57 1,049.57 62.42 62.42 8.07 8.07 - - 70.49 70.49 0.94 0.94 - - 4.26 4.26 - - - - 16.18 16.18 1,141.43 1,141.43 1,153.12 1,153.12
22 Sikkim
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
23 Tamil Nadu
460.44 460.44 - - 42.80 42.80 42.80 42.80 570.18 570.18 451.37 451.37 1,021.55 1,021.55 1,294.54 1,294.54 2.70 2.70 - - 1,297.24 1,297.24 6.18 6.18 54.45 54.45 102.72 102.72 - - - - 123.93 123.93 2,606.08 2,606.08 3,109.32 3,109.32
24 Telangana
92.36 92.36 - - 44.17 44.17 44.17 44.17 1,493.63 1,493.63 926.17 926.17 2,419.80 2,419.80 2,180.26 2,180.26 118.19 118.19 - - 2,298.45 2,298.45 13.89 13.89 12.71 12.71 150.94 150.94 - - - - 31.30 31.30 4,927.08 4,927.08 5,063.61 5,063.61
25 Tripura
- - - - - - - - 36.24 36.24 75.91 75.91 112.15 112.15 0.16 0.16 0.02 0.02 - - 0.17 0.17 - - - - - - - - - - - - 112.32 112.32 112.32 112.32
26 Uttarakhand
1.90 1.90 - - 0.17 0.17 0.17 0.17 104.78 104.78 95.06 95.06 199.83 199.83 8.11 8.11 11.31 11.31 - - 19.42 19.42 - - - - - - - - - - 1.31 1.31 220.57 220.57 222.64 222.64
27 Uttar Pradesh
4.15 4.15 - - 0.01 0.01 0.01 0.01 341.59 341.59 294.42 294.42 636.01 636.01 5.40 5.40 0.09 0.09 - - 5.48 5.48 0.14 0.14 - - - - - - - - (0.00) (0.00) 641.63 641.63 645.79 645.79
28 West Bengal
162.16 162.16 - - 29.31 29.31 29.31 29.31 296.39 296.39 373.62 373.62 670.02 670.02 54.58 54.58 2.02 2.02 - - 56.61 56.61 1.50 1.50 - - 38.92 38.92 - - - - 57.96 57.96 825.00 825.00 1,016.47 1,016.47
TOTAL (A)
2,605.89 2,605.89 - - 928.97 928.97 928.97 928.97 11,976.21 11,976.21 10,383.79 10,383.79 22,360.00 22,360.00 10,028.63 10,028.63 598.85 598.85 558.42 558.42 11,185.90 11,185.90 104.15 104.15 227.71 227.71 622.40 622.40 - - - - 1,743.89 1,743.89 36,244.05 36,244.05 39,778.91 39,778.91
UNION TERRITORIESc
1 Andaman and Nicobar Islands
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
2 Chandigarh
26.73 26.73 - - 7.69 7.69 7.69 7.69 196.24 196.24 285.16 285.16 481.39 481.39 32.61 32.61 0.92 0.92 - - 33.52 33.52 1.11 1.11 2.54 2.54 0.98 0.98 - - - - 29.95 29.95 549.49 549.49 583.91 583.91
3 Dadra and Nagar Haveli
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
4 Daman & Diu
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
5 Govt. of NCT of Delhi
1,103.32 1,103.32 - - 334.46 334.46 334.46 334.46 866.44 866.44 540.56 540.56 1,406.99 1,406.99 704.01 704.01 69.81 69.81 - - 773.82 773.82 21.41 21.41 111.88 111.88 263.23 263.23 - - - - 510.59 510.59 3,087.91 3,087.91 4,525.70 4,525.70
6 Jammu & Kashmir 0.02 0.02 - - 0.02 0.02 0.02 0.02 426.45 426.45 252.05 252.05 678.50 678.50 4.86 4.86 2.41 2.41 - - 7.27 7.27 0.05 0.05 - - 0.02 0.02 - - - - 2.77 2.77 688.60 688.60 688.65 688.65
7 Ladakh - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
8 Lakshadweep - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
9 Puducherry 0.13 0.13 - - - - - - 46.19 46.19 16.48 16.48 62.66 62.66 0.13 0.13 0.04 0.04 - - 0.17 0.17 - - - - - - - - - - - - 62.84 62.84 62.97 62.97
TOTAL (B)
1,130.21 1,130.21 - - 342.18 342.18 342.18 342.18 1,535.31 1,535.31 1,094.23 1,094.23 2,629.55 2,629.55 741.60 741.60 73.18 73.18 - - 814.78 814.78 22.57 22.57 114.42 114.42 264.22 264.22 - - - - 543.30 543.30 4,388.84 4,388.84 5,861.23 5,861.23

Outside India - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

1 TOTAL (C)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Grand Total (A)+(B)+(C) 3,736.09 3,736.09 - - 1,271.15 1,271.15 1,271.15 1,271.15 13,511.52 13,511.52 11,478.02 11,478.02 24,989.54 24,989.54 10,770.23 10,770.23 672.03 672.03 558.42 558.42 12,000.69 12,000.69 126.72 126.72 342.13 342.13 886.62 886.62 - - - - 2,287.20 2,287.20 40,632.90 40,632.90 45,640.14 45,640.14

Note :-
(a) The grand total of GROSS DIRECT PREMIUM UNDERWRITTEN is consistent with the all relevant NL forms
(b) Separate disclosure to be made for segment/sub-segment which contributes more than 10 percent of the total gross direct premium
(c) Any changes under States / Union Territories by Govt. of India are to be suitably incorporated in the statement
(d) For the Quarter and Upto the Quarter information are to be shown in separate sheets
FORM NL-35- QUARTERLY BUSINESS RETURNS ACROSS LINE OF BUSINESS

Name of the Insurer:Liberty General Insurance Limited Date:30.06.2022

(Amount in Rs. Lakhs)


Sl.No. Line of Business For the Quarter For the corresponding upto the quarter Up to the corresponding
quarter of the previous year quarter of the previous year
___________ _________

Premium No. of Policies Premium No. of Premium No. of Policies Premium No. of
Policies Policies

1 Fire 3,736.09 4,463 4,316.22 4,295 3,736.09 4,463 4,316.22 4,295

2 Marine Cargo 1,271.15 4,043 1,173.42 4,052 1,271.15 4,043 1,173.42 4,052

3 Marine Other than Cargo - - - - - - - -

4 Motor OD 13,511.52 182,942 9,285.94 148,475 13,511.52 182,942 9,285.94 148,475

5 Motor TP 11,478.02 478,866 7,721.42 353,711 11,478.02 478,866 7,721.42 353,711

6 Health 10,770.23 30,475 7,182.23 21,687 10,770.23 30,475 7,182.23 21,687

7 Personal Accident 672.03 44,855 647.83 27,731 672.03 44,855 647.83 27,731

8 Travel 558.42 3 219.23 6 558.42 3 219.23 6

9 Workmen’s Compensation/ Employer’s liability 126.72 718 132.64 718 126.72 718 132.64 718

10 Public/ Product Liability 342.13 290 364.48 353 342.13 290 364.48 353

11 Engineering 886.62 551 882.54 792 886.62 551 882.54 792

12 Aviation - - - - - - - -

13 Crop Insurance - - - - - - - -

14 Other segments ** - - - - - - - -

15 Miscellaneous 2,287.20 72,200 1,769.65 8,057 2,287.20 72,200 1,769.65 8,057

Notes:

(a) Premium stands for amount of gross direct premium written in India

(b) The line of business which are not applicable for any company should be filled up with NA.

(c) Figure '0' in those fields will imply no business in the segment.

(d) Separate disclosure to be made for segment/sub-segment which contributes more than 10 percent of the total gross direct premium

(e) The aforementioned Business figures are matching with all relevant NL forms. In case of difference, pl give reasons
FORM NL-36- BUSINESS -CHANNELS WISE

Date:30.06.2022
Name of the Insurer:Liberty General Insurance Limited
Sl.No. Up to the corresponding quarter
For the corresponding quarter
of the previous year
For the Quarter Upto the Quarter of the previous year
___________
_________
Channels

Premium Premium Premium Premium


No. of Policies No. of Policies No. of Policies No. of Policies
(Rs.Lakhs) (Rs.Lakhs) (Rs.Lakhs) (Rs.Lakhs)

Individual agents 24,780 2,522.45 24,780 2,522.45 26,471 2,459.00 26,471 2,459.00
1

Corporate Agents-Banks 3,711 46.05 3,711 46.05 458 13.48 458 13.48
2

Corporate Agents -Others 4,434 761.54 4,434 761.54 6,007 488.09 6,007 488.09
3

Brokers 478,861 35,116.35 478,861 35,116.35 270,537 25,005.76 270,537 25,005.76


4

Micro Agents - - - - - - - -
5
Direct Business
-Officers/Employees
6 18,338 3,520.28 18,338 3,520.28 15,078 2,682.14 15,078 2,682.14
-Online (Through Company Website)
-Others

Common Service Centres(CSC) 221 4.79 221 4.79 - - - -


7

Insurance Marketing Firm 375 73.96 375 73.96 271 18.81 271 18.81
8

Point of sales person (Direct) 53,976 2,428.07 53,976 2,428.07 46,253 1,908.34 46,253 1,908.34
9

MISP (Direct) 77,801 1,157.71 77,801 1,157.71 72,430 1,053.91 72,430 1,053.91
10

Web Aggregators 927 8.93 927 8.93 6,112 66.10 6,112 66.10
11

Referral Arrangements - - - - - - - -
12
13
Other (to be sepcified)
(i) __________________ - - - - - - - -
(ii) __________________

Total (A) 663,424 45,640.14 663,424 45,640.14 443,617 33,695.62 443,617 33,695.62

Business outside India (B) - - - - - - - -


14

Grand Total (A+B) 663,424 45,640.14 663,424 45,640.14 443,617 33,695.62 443,617 33,695.62

Note:

(a). Premium means amount of premium received from business acquired by the source

(b). No of Policies stand for no. of policies sold

(c). Grand Total (A+B) should be consistent with all relevant NL forms e.g. NL-4 etc., as applicable
FORM NL-37-CLAIMS DATA

Name of the Insurer: Liberty General Insurance Ltd. Upto the quarter ending _April-22-June-22__________
Sl. No. Claims Experience Fire Marine Cargo Marine Hull Total Marine Motor OD Motor TP Total Motor Health Personal Travel Total Health Workmen’s Public/ Product Engineering Aviation Crop Other Miscellaneous Total
Accident Compensation/ Liability Insurance segments **
Claims O/S at the beginning of the period Employer’s
40 264 0 264 3206 8062 11268 1787 191 415 1787 81 16 190 0 0 0 270 14522
1
Claims reported during the period
39 939 0 939 34152 1268 35420 13249 125 7826 13249 27 2 290 0 0 0 281 58198
2
(a) Booked During the period
37 924 0 924 34,012 1,233 35245 13116 115 7812 13116 26 2 288 0 0 0 279 57844

(b) Reopened during the Period


2 15 0 15 140 35 175 133 10 14 133 1 0 2 0 0 0 2 354

(c) Other Adjustment (to be specified)


(i)__________ 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(ii)
Claims Settled during the period
14 836 0 836 31,003 487 31490 10740 100 7481 10740 12 1 251 0 0 0 196 51121
3
(a) paid during the period
(b) Other Adjustment ( to be specified)
(i)_______ 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(ii)_______

Claims Repudiated during the period


6 120 0 120 2451 171 2622 2291 30 345 2291 17 0 50 0 0 0 103 5584
4
Other Adjustment ( to be specified)
(i)_Repudiation 2121_
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(ii)_CWP_3463_

Unclaimed (Pending claims which are transferred to


Unclaimed A/c. after the mandatory period as prescribed by
5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
the Authority)

Claims O/S at End of the period


59 247 0 247 3,904 8,672 12576 2005 186 415 2005 79 17 179 0 0 0 252 16015
6
Less than 3months
31 120 0 120 3325 1184 4509 1859 42 406 1859 25 2 95 0 0 0 117 7206

3 months to 6 months
8 23 0 23 160 1079 1239 47 15 5 47 23 2 32 0 0 0 33 1427

6months to 1 year
14 29 0 29 64 1297 1361 47 4 0 47 16 1 32 0 0 0 39 1543

1year and above


6 75 0 75 355 5112 5467 125 4 52 15 12 20 0 0 0 63 5839
52

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Notes:-
(a) The Claims O/S figures are consistent with all relevant NL forms
(b) Repudiated means rejected, partial rejection on account of policy terms and conditions
(c) Claim o/s should be exclusive of IBNR AND IBNER reserves

Sl. No. Claims Experience Fire Marine Cargo Marine Hull Total Marine Motor OD Motor TP Total Motor Health Personal Travel Total Health Workmen’s Public/ Product Engineering Aviation Crop Other Miscellaneous Total
Accident Compensation/ Liability Insurance segments **
Employer’s
liability

Claims O/S at the beginning of the period


69646.98193
1 6157.840684 984.933094 0 984.933094 3825.871179 51946.6069 55772.47808 2278.397982 808.24628 62.256391 2278.397982 398.51722 50.38442 1546.067153 0 0 0 1587.86063
Claims reported during the period
27685.49427
2 457.47997 665.3289 0 665.3289 9188.79148 9297.36072 18486.1522 6378.39293 338.91699 362.26038 6378.39293 71.31157 10.99869 311.51419 0 0 0 603.13845
(a) Booked During the period
26805.14389
373.84559 630.15767 0 630.15767 8987.0891 9146.53304 18133.62214 6000.77193 332.79066 351.80581 6000.77193 69.39436 10.99869 309.89823 0 0 0 591.85881
(b) Reopened during the Period
880.35038
83.63438 35.17123 0 35.17123 201.70238 150.82768 352.53006 377.621 6.12633 10.45457 377.621 1.91721 0 1.61596 0 0 0 11.27964
(c) Other Adjustment (to be specified)
(i)__________
0
(ii)
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Claims Settled during the period
17170.23974
3 343.8369 444.68954 0 444.68954 7688.38228 3366.46113 11054.84341 4271.59883 194.80552 247.21189 4271.59883 81.7928 9.70055 315.25199 0 0 0 206.50831
(a) paid during the period
(b) Other Adjustment ( to be specified)
(i)_______ 0
(ii)_______
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Claims Repudiated during the period
3826.076066
4 5.21501 69.38493 0 69.38493 682.57653 928.34805 1610.92458 1797.85075 104.60361 14.34502 1797.85075 37.00244 0 122.60351 0 0 0 64.146216
Other Adjustment ( to be specified)
(i)_Repudiation_1844.0767_
0
(ii)_CWP_1981.99936599997_
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Unclaimed (Pending claims which are transferred to
5 Unclaimed A/c. after the mandatory period as prescribed by 0
the Authority)
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Claims O/S at End of the period
76336.1604
6 6266.268744 1136.187524 0 1136.187524 4643.703849 56949.15844 61592.86229 2587.341332 847.75414 162.959861 2587.341332 351.03355 51.68256 1419.725843 0 0 0 1920.344554
Less than 3months
14109.30436
385.31273 332.84022 0 332.84022 3128.56078 7476.67004 10605.23082 1403.669017 312.80487 125.70236 1403.669017 72.3607 6 230.0123 0 0 0 635.37134
3 months to 6 months
8902.252996
416.56918 119.026321 0 119.026321 393.39337 7109.14167 7502.53504 355.053802 50.713263 37.1 355.053802 71.23525 10.80002 120.97982 0 0 0 218.2403
6months to 1 year
12203.26768
1343.01119 207.095541 0 207.095541 146.638 9488.653891 9635.291891 88.218248 208.35965 0.1575 88.218248 107.66875 2.5 405.35537 0 0 0 205.60954
1year and above
41121.33536
4121.375644 477.22543 0 477.22543 975.1116989 32874.69284 33849.80454 740.400235 275.876357 0 740.400235 99.76885 32.38254 663.378352 0 0 0 861.1234185

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Notes:-
(a) The Claims O/S figures are consistent with all relevant NL forms
(b) Repudiated means rejected, partial rejection on account of policy terms and conditions
(c) Claim o/s should be exclusive of IBNR AND IBNER reserves

Page 44 of 52
FORM NL-39- AGEING OF CLAIMS

Name of the Insurer: Liberty General Insurance Ltd.


For the Quarter ending on 30.6.22
(Amount in Rs. Lakhs)
Ageing of Claims (Claims paid)

Sl.No. Line of Business No. of claims paid Amount of claims paid Total No. of Total amount
claims paid of claims paid

upto 1 > 1 month and > 3 months and > 6 months and > 1 year and > 3 years > 5 years upto 1 > 1 month > 3 months > 6 months > 1 year and > 3 years and > 5 years
month <=3 months <= 6 months <= 1 year <= 3 years and <= 5 month and <=3 and <= 6 and <= 1 year <= 3 years <= 5 years
years months months

1 Fire 3 3 2 6 0 0 0 94 1 70 172 6 0 0 14 344

2 Marine Cargo 683 129 15 9 0 0 0 223 143 39 39 0 0 0 836 445

3 Marine Other than Cargo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

4 Motor OD 28155 2571 235 36 5 1 0 5221 2002 406 62 1 -4 0 31003 7688

5 Motor TP 17 31 48 62 235 77 17 86 225 345 354 1713 550 94 487 3366

6 Health 9777 859 98 6 0 0 0 3561 622 72 13 3 0 0 10740 4272

7 Personal Accident 66 22 10 1 1 0 0 72 43 58 2 18 0 2 100 195

8 Travel 7404 69 8 0 0 0 0 235 2 10 0 0 0 0 7481 247

9 Workmen’s Compensation/ 1 0 2 7 2 0 0 2 0 16 41 10 13 0 12 82
Employer’s liability
10 Public/ Product Liability 0 0 0 0 1 0 0 4 0 0 0 6 0 0 1 10

11 Engineering 157 53 23 17 1 0 0 141 52 49 49 23 0 0 251 315

12 Aviation 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

13 Crop Insurance 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

14 Other segments (a)


0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

15 Miscellaneous 99 54 16 16 9 2 0 53 22 13 48 64 8 0 196 207

Note: (a) Separate disclosure to be made for segment/sub-segment which contributes more than 10 percent of the total gross direct premium

Upto the Quarter ending on_April-22-June-22


(Rs in Lakhs)

Ageing of Claims (Claims paid)

Sl.No. Line of Business Total No. of Total amount


No. of claims paid Amount of claims paid
claims paid of claims paid
upto 1 > 1 month and > 3 months and > 6 months and > 1 year and > 3 years > 5 years upto 1 > 1 month > 3 months > 6 months > 1 year and > 3 years and > 5 years
month <=3 months <= 6 months <= 1 year <= 3 years and <= 5 month and <=3 and <= 6 and <= 1 year <= 3 years <= 5 years
years months months

1 Fire 3 3 2 6 0 0 0 94 1 70 172 6 0 0 14 344

2 Marine Cargo 683 129 15 9 0 0 0 223 143 39 39 0 0 0 836 445

3 Marine Other than Cargo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

4 Motor OD 28155 2571 235 36 5 1 0 5221 2002 406 62 1 -4 0 31003 7688

5 Motor TP 17 31 48 62 235 77 17 86 225 345 354 1713 550 94 487 3366

6 Health 9777 859 98 6 0 0 0 3561 622 72 13 3 0 0 10740 4272

7 Personal Accident 66 22 72 43 58 2 18 0 2 100 195


10 1 1 0 0
8 Travel 7404 69 8 0 0 0 0 235 2 10 0 0 0 0 7481 247

9 Workmen’s Compensation/ 1 0 2 7 2 0 0 2 0 16 41 10 13 0 12 82
Employer’s liability
10 Public/ Product Liability 0 0 0 0 1 0 0 4 0 0 0 6 0 0 1 10

11 Engineering 157 53 23 17 1 0 0 141 52 49 49 23 0 0 251 315

12 Aviation 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

13 Crop Insurance 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

14 Other segments (a)


0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

15 Miscellaneous 99 54 16 16 9 2 0 53 22 13 48 64 8 0 196 207

Note: (a) Separate disclosure to be made for segment/sub-segment which contributes more than 10 percent of the total gross direct premium

Page 45 of 52
FORM NL-41 OFFICES INFORMATION As at: 30th June, 2022

Name of the Insurer: Liberty General Insurance Ltd. Date: 30.06.2022

Sl. No. Office Information Number

1 No. of offices at the beginning of the year 114

2 No. of branches approved during the year 0

3 Out of approvals of previous year 0


No. of branches opened
4 during the year Out of approvals of this year 0

5 No. of branches closed during the year 0

6 No of branches at the end of the year 114

7 No. of branches approved but not opened 0

8 No. of rural branches 1

9 No. of urban branches 67


No. of Directors:- No. of Directors:-
(a) Independent Director (a) 3
(b) Executive Director (b) 1
(c) Non-executive Director (c) 8 (Includes independent
(d) Women Director directors)
10 (e) Whole time director (d) 2
(e) 1 * WTD is executive
director

No. of Employees No. of Employees


(a) On-roll: (a) 1079
11 (b) Off-roll: (b) 231
(c) Total (c) 1310

No. of Insurance Agents and Intermediaries No. of Insurance Agents and


(a) Individual Agents, Intermediaries
(b) Corporate Agents-Banks (a) 2431
(c)Corporate Agents-Others (b) 6
(d) Insurance Brokers ©14
(e) Web Aggregators (d) 560
(f) Insurance Marketing Firm (e) 5
12 (g) Motor Insurance Service Providers (DIRECT) (f) 5
(h) Point of Sales persons (DIRECT) (g)863
(i) Other as allowed by IRDAI (To be specified) (h) 10264
(i) -

Employees and Insurance Agents and Intermediaries -Movement

Particulars Employees Insurance Agents and


Intermediaries

Number at the beginning of 13843


the quarter 1299(on roll-1079, off roll-220)
Recruitments during the 343
quarter 133(on roll 78, off roll 55)
38
Attrition during the quarter 122(on roll-78, off roll-44)
Number at the end of the 14148
quarter 1310(on roll-1079, off roll-231)

* Whole Time Director-WTD


BOARD OF DIRECTORS & KEY MANAGEMENT PERSONS
FORM NL-42

Name of the Insurer: Liberty General Insurance Ltd. Date: 30.06.2022

Board of Directors and Key Management Persons

Sl. No. Name of person Designation Role /Category Details of change in the period, if any

1 Ms. Defne Turkis Director Director

2 Mr. Shripad Nadkarni Independent Director Director Resigned w.e.f.1st April 22

3 Mr. James Czapla Director Director

4 Mr.Gautam Jain Director Director

5 Mr.Nandkishor Toshniwal Director Director

6 Mr.Sunil Gautam Director Director

7 Mr.Abraham Chacko Independent Director Director

8 Mr.Roopam Asthana Whole Time Director and Chief Executive Officer Director

9 Mrs.Monica Agarwal Independent Director Director

10 Mr. Ritesh Jiwarajka President-Finance KMP

11 Mr.Sachin Joshi SVP Head Operations & Customer Experience KMP

12 Mr.Ryan Samaratunga Appointed Actuary KMP

SVP,Company Secretary & Head Legal-Compliance and


13 Mr.Vimal Kishor KMP
ERM

14 Mr.Kashyap Trivedi SVP & Head - Investments & Advisory KMP

15 Mr.Suresh Kumar S Nayar President - Information Technology KMP

16 Mr. Udayan Joshi President - Underwriting & Reinsuance KMP

President - Personal Lines, Bancassurance & Affinity


17 Mr. Amit Jain KMP
and Marketing

18 Mrs.Priya Vasudevan President - Human Resources KMP

19 Mr. Sameer Malgundkar VP & National Mgr. Corporate Strategy, PMO & PEQ KMP

20 Mr. Rahul Sharma President -Claims KMP

21 Mr. Nainoor Desai SVP- Commercial Line sales KMP

22 Mr. Hardik Shah Chief Risk Officer KMP

Notes:-
(a) "Key Management Person" as defined under Annexure 4 (Guidelines on appointment and reporting of Key Management Persons) of Corporate Governance Guidelines for Insurers in India
2016

b) In case of directors, designation to include "Independent Director / Non-executive Director / Executive Director / Managing Director/Chairman"
FORM NL-43-RURAL & SOCIAL OBLIGATIONS (QUARTERLY RETURNS)

Upto the Quarter ending on


Insurer: Liberty General Insurance Limited 30.06.2022

(Amount in Rs. Lakhs)

Rural & Social Obligations (Quarterly Returns)

Sl.No. Line of Business Particular No. of Policies Premium Sum Assured


Issued Collected

Rural 950 573 6,943,716


1 FIRE

Social - - -

2 MARINE CARGO Rural 182 253 1,031,907

Social - - -

3 MARINE OTHER THAN CARGO Rural - - -

Social - - -

Rural 30,650 2,270 129206.9054


4 MOTOR OD

Social - - -

5 MOTOR TP Rural 92,014 1,988 -

Social - - -

6 HEALTH Rural 79 28 2,700

Social - - -

7 PERSONAL ACCIDENT Rural 63 3 5,482

Social - - -

8 TRAVEL Rural - - -

Social - - -

Rural 96 16 65,515
9 Workmen’s Compensation/ Employer’s liability

Social - - -

Rural 21 26 94,800
10 Public/ Product Liability

Social - - -

11 Engineering Rural 114 158 322,290

Social - - -

12 Aviation Rural - - -

Social - - -

(a) Rural - - -
13 Other Segment

Social - - -

14 Miscellaneous Rural 17,790 261 1,574,855

Social - - -

Rural 141959 5575.07 10170473.12


Total

Social 0 0 0

Notes:

(a) Separate disclosure to be made for segment/sub-segment which contributes more than 10 percent of the total gross direct premium

(b) Premium Collected means gross direct written premium


(c) Rural and Social segments are defined under IRDAI regulations, as issued and amended time to time
FORM NL-44-MOTOR TP OBLIGATIONS (QUARTERLY RETURNS)

(i) Name of the Insurer: Liberty General Insurance Limited

(ii) Registration No.150 and Date of Registration with the IRDAI: 22nd May, 2012

(iii) Gross Direct Premium Income during immediate preceding FY: 33696 Lakhs

(iv) Gross Direct Motor Third Party Insurance Business Premium during immediate preceding FY: 7721 Lakhs

(v) Obligation of the Insurer to be met in a financial year_43,358 Lakhs

Statement Period: Quarter ending 30.06.2022

(Amount in Rs. Lakhs)

Items
For the Quarter Up to the Quarter

Gross Direct Motor Third Party Insurance Business

Premium in respect of liability only policies (L) 2169 2169

Gross Direct Motor Third Party Insurance Business

Premium in respect of package policies (P) 9309 9309

Total Gross Direct Motor Third Party Insurance

Business Premium (L+P) 11478 11478

Total Gross Direct Motor Own damage Insurance Business Premium 13512 13512

Total Gross Direct Premium Income 45640 45640

Refer IRDAI regulations /circular/order/directions/guidelines as issued and amended from time to time
PERIODIC DISCLOSURERS
FORM NL45 GRIEVANCE DISPOSAL
Insurer: Liberty General Insurance Ltd Date: 30.06.2022
GRIEVANCE DISPOSAL FOR THE PERIOD UPTO 30.06.2022 DURING THE FINANCIAL YEAR 2022 - 2023

Sl. No. Particulars Opening Balance* As Additions during Complaints Resolved / Settled Complaints Total Complaints
on beginning of the the quarter during the quarter Pending at the registered upto the
quarter end of the quarter during the
quarter financial year

Full Partial Rejected 17


Accepted Accepted

1 Complaints made by customers


a) Proposal Related 0 0 0 0 0 0 0
b) Claim 0 88 19 14 55 0 88
c) Policy Related 0 14 9 2 3 0 14 32
d) Premium 0 0 0 0 0 0 0
e) Refund 0 2 1 0 1 0 2
f) Coverage 0 0 0 0 0 0 0
g) Cover Note Related 0 0 0 0 0 0 0
h) Product 0 1 0 1 0 0 1
i) Others 0 15 3 4 8 0 15
j) 0 0
Total Number of complaints: 0 120 32 21 67 0 120

2 Total No. of policies during previous year: 2,566,309

3 Total No. of claims during previous year: 219658

4 Total No. of policies during current year: 636,464

5 Total No. of claims during current year: 58198


Total No. of Policy complaints (current year) per
6 10,000 policies (current year) ; 0.27
Total No. of Claim Complaints (current year) per
7 10,000 claims registered (current year) 15

Complaints made by Complaints made


8 Duration wise Pending Status Customers by Intermediaries Total
( a ) Upto 7 days 0 0 0
(b) 7 - 15 Days 0 0 0
(c) 15 - 30 Days 0 0 0
(d) 30 - 90 Days 0 0 0
(e) 90 days & Beyond 0 0 0
Total No. of Complaints 0 0 0
* Opening balance should tally with the closing balance of the previous financial year SIGNATURE
Form NL-46-VOTING ACTIVITY DISCLOSURE UNDER STEWARDSHIP CODE

Name of the Insurer: Liberty General Insurance Limited For the Quarter ending: Date: 30-06-2022

Management Vote Reason


Meeting Date Investee Company Name Type of Meeting (AGM / EGM) Proposal of Management / Shareholders Description of the proposal Recommenda (For / supporting the
tion Against/ vote decision
- - - - - - - -

NIL

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