982

THE HONGKONG GOVERNMENT GAZETTE, AUGUST 2, 1907.

(Form referred to under heading No. 7 in Fifth Schedule.)

Summary and Valuation of the Policies of the

DESCRIPTION OF TRANS-

ACTIONS.

as at

19

VALUATION.

PARTICULARS OF THE

POLICIES,

FOR

VALUATION.

Value by the

Interest,

Table.

per cent.

| Number of

Policies.

Sums Assured,

and Bonuses,

Office Yearly Premiums.

Net Yearly

Premiums if

ascertained.

Sums Assured,

and Bonuses.

Premiums

Office Yearly

computed.

Net Yearly Premiums if

Net Liability.

ASSURANCES,

I. With participation in profits.

For whole term of life,..

Other classes (to be specified )........! Extra premiums payable,

Total Assurances with profits.

11. Without participation

in profits.

For whole term of life...

Other classes (to be specified),. Extra premiuins payable.........

Total

Assurances

profits,

Total Assurances,

Deduct Reassurances,

without

Net amount of Assurances. Adjustment (if any),

ANNUITIES.

Immediate,

Other classes (to be specified)........]

Total of the results,

The term

"extra premium" in this Ordinance shall be taken to mean the charge for any risk not provided for in the minimum contract premium. TË policies are issued in or for any country at rates of premium deduced from tables other than the European mortality tables adopted by the Company, separate Schedules similar in form to the above minst be furnished.

Dr.

(Form referred to under heading No. 7 in Fifth Schedule.)

Valuation Balance Sheet of

us ut

19

Cr.

To uct liability under Assur- auce and Annuity trans- actions (as per summary statement provided in Sche- dule 5)

To surplus (if any)

By Life Assurance and Au- nuity Funds (as per

balance sheet under Sche- dale 2 or 4).

By deficiency (if any)

*

SIXTH SCHEDULE.

STATEMENT OF THE LIFE ASSURANCE AND ANNUITY BUSINESS OF THE

ON

THE

19

(The answers should be numbered to accord with the numbers of the correspond- ing questions. Statements of reassurances, corresponding to the statements in respect of assurances under headings 2, 3, 4, 5, and 6, are to be given.)

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