FORM L2

(name of insurer)

and ending

4 7

1988 Ed.] Insurance Companies [CAP. 41

65

Amount of sums assured or annuities per annum including vested reversionary bonuses

Amount of yearly premiums

Office Net premiums premiums

Value of sums assured or annuities per annum including vested reversionary bonuses

Value of yearly net premiums

Amount of net Liability

Bases of valuation

2 VALUATION SUMMARY OF

for the period commencing

Class Type of insurance Number of contracts

(1) Life assurance other than annuities

(a) With participation in profits:

Whole life Endowment Other types (to be specified)

Total assurances with profits

(b) Without participation in profits:

Whole life Endowment Other types (to be specified)

Total assurances without profits

Total assurances

(II) Annuities

(a) With participation in profits:

Life annuities in course of payment Deferred life annuities Other types (to be specified)

Total annuities with profits

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