LIFE INSURANCE COMPANIES. No. 11 of 1907.
(Form referred to under heading No. 6 in the Fifth Schedule.)
Consolidated revenue account of the ... commencing ... and ending ... $ c.
Amount of funds on 1st January 19.. the beginning of the year, for ... years, commencing ...
Claims under policies (after deduction of sums reassured)
Surrenders
Premiums (after deduction of reassurance premiums)... Consideration for annuities granted
Interest and dividends.. Other receipts (accounts to be specified).
Annuities
Commission
Expenses of management...... Dividends and bonuses to shareholders.......
Other payments (accounts to be specified)
Amount of funds on 31st December 19.. the end of the period, as per First (or Third) Schedule.............. $
(Form referred to under heading No. 7 in the Fifth Schedule.)
Summary and valuation of the policies of the ... as at ... 19..
DESCRIPTION OF TRANSACTIONS.
PARTICULARS OF THE VALUATION.
POLICIES FOR VALUATION.
Value by the table. Interest, per cent.
Number of policies. Sums assured, and bonuses. Office yearly premiums. Net yearly premiums if ascertained.
Sums assured, and bonuses. Office yearly premiums. Net yearly premiums if computed.
Net liability.
ASSURANCES. 1.—With participation in profits.
For whole terms of life with uniform premiums throughout life.......
For whole terms of life with limited premiums
Other classes (to be specified) Extra premiums payable..........
Total assurances with profits....
* As amended by Law Rev. Ord., 1924.
... 1705