Form Irda-12 - Format For Annual Submission Of Return To The Authority

ADVERTISEMENT

FORM IRDA-12
[Refer regulation 19(b)]
FORMAT FOR ANNUAL SUBMISSION OF RETURN TO THE AUTHORITY
1.
Name : .........................
2.
Current Licence No. & Date of Expiry : ............................
3.
Qualifications acquired in the past one year
-- Academic/Professional : ...........................
-- Insurance : ...........................
-- Training attended (Nature and duration) : ..................
4.
No. of surveys done in last financial year and the name of insurers:
20 .. - 20 ....
Insurers
Fire
Mrn. Cargo
Mrn. Hull
Engg.
Motor
Misc.
LOP
Total
A
B
C
D
5.
Quantum of losses assessed in last financial year 20 ... - 20 ..
Fire
No.
Mrn. Cargo
No.
Hull No.
No.
Engg.
No.
Motor
No.
Misc.
No.
LOP
No.
>10 lacs
>1 lac
>10 lacs
>2.5 lacs
>50000
>1 lac
>10 lacs
1-10 lacs
25000-1 lac
2.5-10 lacs
50000-2.5 lacs
10000-50000
25000-1 lac
1-10 lacs
0-1 lac
0-25000
0-2.5 lacs
0-50000
0-10000
0-25 000
0-1 lac
Total
6.
(a) Income derived from survey work during the year, Rs. ......
(b) Profit after deducting for management expenses, Rs. .......
I, ......., solemnly declare and confirm that the particulars given above are true to the best of my knowledge and belief.

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Form Dr-470a - Railroad Company Annual Report And Return To The State Of Florida Form Dr-470a - Railroad Company Annual Report And Return To The State Of Florida Financial
Form Dr-470a - Railroad Company Annual Report And Return To The State Of Florida Form Dr-470a - Railroad Company Annual Report And Return To The State Of Florida Financial
Form De 428c - Suggested Format For Filing A Written Protest To The De 428t - Employment Development Department Of California Form De 428c - Suggested Format For Filing A Written Protest To The De 428t - Employment Development Department Of California Legal
Form Com 2569 - Application For Automatic Extension Of Time To File The Annual Report Of Unclaimed Funds - Ohio Division Of Unclaimed Funds Form Com 2569 - Application For Automatic Extension Of Time To File The Annual Report Of Unclaimed Funds - Ohio Division Of Unclaimed Funds Financial
Form Dr-401 - Private Car And Freight Line Equipment Companies Annual Report And Return To The State Of Florida Form Dr-401 - Private Car And Freight Line Equipment Companies Annual Report And Return To The State Of Florida Financial
Form Dr-401 - Private Car And Freight Line Equipment Companies Annual Report And Return To The State Of Florida Form Dr-401 - Private Car And Freight Line Equipment Companies Annual Report And Return To The State Of Florida Financial
Form Ol-3 - Application For Automatic Extension Of Time To File Tax Year Ended City Of Covington Annual Occupational Fee & Business License Renewal Return Form Ol-3 - Application For Automatic Extension Of Time To File Tax Year Ended City Of Covington Annual Occupational Fee & Business License Renewal Return Financial
Form N-755 - Application For Automatic Extension Of Time To File Hawaii Franchise Tax Return (form F-1) Or Public Service Company Tax Return (form U-6) Form N-755 - Application For Automatic Extension Of Time To File Hawaii Franchise Tax Return (form F-1) Or Public Service Company Tax Return (form U-6) Financial
Form N-755 - Application For Automatic Extension Of Time To File Hawaii Franchise Tax Return (form F-1) Or Public Service Company Tax Return (form U-6) Form N-755 - Application For Automatic Extension Of Time To File Hawaii Franchise Tax Return (form F-1) Or Public Service Company Tax Return (form U-6) Financial
Form Ol-3 - Application For Automatic Extension Of Time To File City Of Covington Net Profit License Return Form Ol-3 - Application For Automatic Extension Of Time To File City Of Covington Net Profit License Return Legal

Related Categories

Parent category: Financial
Download
Go