1964_INSURANCE_COMPANIES_ORDINANCE — Page 64

$

XX

XX

XX

Recoverable

Gross from Amount Reinsurers

Net

Amount

FORM LI

REVENUE ACCOUNT OF

(name of insurer)

in respect of class(es)*

for the period commencing

and ending

Amount of Funds on

the beginning of the period

Commissions Payable

XX

(i) Direct Underwriting Business

(ii) Reinsurance Contracts Accepted

Premiums Receivable

!

XX

Reinsurance Net of

Claims Payable

Gross

Premiums

Premiums

Coded

Reinsurance

Premiums

(1) Direct Underwriting Business:

Single Premiums

Regular Premiums

(ii) Reinsurance Contracts Accepted:

Single Premiums

Regular Premiums

Interest or Income from Long Term Business Assets

Commissions Receivable

Other Receipts (accounts to be specified)

XX

XX

XX

XX

(i) Direct Underwriting Business:

On Death

On Surrender

By Way of Lump Sums

on Maturity

By Way of Periodic

Payments

(ii) Reinsurance Contracts Accepted:

On Death

On Surrender

By Way of Lump Sums

on Maturity

By Way of Periodic

Payments

Dividends to Policy holders

Other Payments (accounts to be specified) Amount of Funds on

the end of the period

XX

Transfer to Profit and Loss Account

XX

* The classes referred to correspond to the classes of Long Term Business set out in Part 2 of the First Schedule.

Transfer from Profit and Loss Account

1988 Ed.]

Insurance Companies

[CAP. 41

63

XX

XX

XX

XX

XX

XX