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1 PERIODIC DISCLOSURES FORM NL-31 : Insurer: Bajaj Allianz General Insurance Co. Ltd. Date: 31st Dec 2012 (Rs in Lakhs) Sl.No. of 1 Bajaj Finserv Ltd Holding Contribution to Equity Rent for premises hired Deposits for Rented Premises - (16) - - Insurance Premia received (0) Insurance Claims paid Billable expense incurred on behalf (0) (5) Bajaj Finserv House Owners Associat Group Association Society Maintenance deposit Society Share Certificate Society maintenance charges Insurance Premia received Bajaj Auto Ltd Group Insurance Premia received Insurance Claims paid Purchases or Sale of Investments Other expenses Paid/Payable Bajaj Holdings & Investments Ltd Group Insurance Premia received Insurance Claims paid Purchases or Sale of Investments Bajaj Allianz Financial Distributors Ltd Group Insurance Premia received 1 36 (1) 10 Insurance Claims paid Manpower supply charges 1,262 3, ,901 Billable expense incurred on behalf Premium Received as an Agent 4,056 11,468 3,809 3,810 Insurance commission paid/payable Bajaj Electricals Ltd Group Insurance Premia received Insurance Claims paid Bajaj Finance Limited Group Insurance Premia received Insurance Claims paid Other expenses Paid/Payable Billable expense incurred on behalf Premium Received as an Agent Insurance commission paid/payable Investment in Corporate Bonds (Book V 2,500 5, Income on investment
2 of 8 Bajaj Allianz Life Insurance Co Ltd Group Expenditure incurred by BALIC on beha Expenditure incurred by BAGIC on beh (108) (307) 140 (87) Insurance Premia received Insurance Claims paid Insurance Premium paid to BALIC Insurance Claims received from BALIC Payment against Gratuity Fund (7) (24) - - Withdrawal from Gratuity Fund Bajaj Financial Solutions Limited Group Insurance Premia received Mukand Engineers Ltd Enterprise where key mgmt p Insurance Premia received Insurance Claims paid Mukand Ltd Enterprise where key mgmt p Insurance Premia received Insurance Claims paid Hind Musafir Agency Ltd. Enterprise where key mgmt p Travel Agency Services Insurance Premia received Insurance Claims paid Other expenses Paid/Payable Allianz SE, Germany Shareholder Billable expenses incurred on behalf Income from Software Consultancy License & Maint fees for Opus Allianz Insurance Management Asia P Group Billable expenses incurred on behalf - (6) (2) (1) 15 Allianz Investment Management Sing Group Investment Management M/s. AGCS Marine Insurance CompanGroup Reinsurance premium paid/payable Commission on reinsurance premium (3) (4) - - Claims recovery on reinsurance (22) (22) M/s. Allianz Global Risks US Insuranc Group Reinsurance premium paid/payable (0) Commission on reinsurance premium 0 (15) (4) (11) Claims recovery on reinsurance (4) (37) - (1) 18 M/s. Allianz Global Corporate & Speci Group Reinsurance premium paid/payable Commission on reinsurance premium - (1) - (1) 19 M/s. Allianz Global Corporate & Speci Group Reinsurance premium paid/payable Commission on reinsurance premium (12) (43) (5) (30) Claims recovery on reinsurance (2) (28) (34) (117) 20 M/s. Allianz Global Corporate & Speci Group Reinsurance premium paid/payable Commission on reinsurance premium - (3) - (6)
3 of 21 M/s. Allianz Global Corporate & Speci Group Reinsurance premium paid/payable Commission on reinsurance premium (3) (6) (1) (4) Claims recovery on reinsurance (0) (4) M/s. Allianz Global Corporate & Speci Group Reinsurance premium paid/payable Commission on reinsurance premium - (1) (1) (1) 23 M/s. Allianz Global Corporate & Speci Group Reinsurance premium paid/payable Commission on reinsurance premium (4) (5) (1) (1) 24 M/s. Allianz Global Corporate & Speci Group Reinsurance premium paid/payable Commission on reinsurance premium - (4) M/s. Insurance Joint Stock Group Reinsurance premium paid/payable Commission on reinsurance premium (1) (1) (1) (1) 26 M/s. Allianz Global Corporate & Speci Group Reinsurance premium paid/payable 959 3, ,499 Commission on reinsurance premium (60) (302) (46) (165) Claims recovery on reinsurance (155) (865) (321) (512) 27 Allianz AG Reinsurance, branch Asia Group Reinsurance premium paid/payable 699 2,451 1,657 5,662 Commission on reinsurance premium (179) (626) (374) (1,308) Claims recovery on reinsurance (154) (1,120) (1,209) (2,933) No claim Bonus on XOL premium Portfolio Premium withdrawal - (1,721) - (5,502) Portfolio Claims withdrawal - (5,278) - 4,826 Portfolio Premium Entry (1,788) Portfolio Claims Entry ,568 CAT XOL Premium Paid/Payable , Allianz Ins Co of Singapore - PTE Group Reinsurance premium paid/payable Commission on reinsurance received/r (28) (49) - (6) Reinsurance premium received/receiva - (6) Allianz Belgium Reinsurance premium paid/payable 1 2,195-1,798 Group Commission on reinsurance received/r 0 (27) - (18) Claims recovery on reinsurance (473) (473) (19) (6,944) 30 Allianz Elementar Versicherungs - Au Group Reinsurance premium paid/payable Commission on reinsurance received/r (1) (1) - (1)
4 of 31 M/s. Allianz Global Corporate & Speci Group Reinsurance premium paid/payable Commission on reinsurance received/r (19) (51) (9) (45) Claims recovery on reinsurance (331) (353) (1) (12) 32 M/s. AGA INTERNATIONAL S.A Group Reinsurance premium paid/payable Commission on reinsurance received/r - (6) M/s. ALLIANZ RISK TRANSFER AG Group Reinsurance premium paid/payable Commission on reinsurance received/r - (24) Euler Hermes Deutschland [Formerly Group Reinsurance premium paid/payable Commission on reinsurance received/r (34) (62) (53) (150) Claims recovery on reinsurance (56) (295) - (183) Billable expenses incurred on behalf of 21 (5) Allianz CP General Ins Co. Ltd Group Reinsurance premium received/receiva - - (4) 1 Commission on reinsurance paid/payab Claims paid/ payable Deposits with the Ceding Billable expense incurred on behalf PT ASURANSI Allianz Life Indonesia Group Billable expense incurred on behalf (1) 37 Allianz Risk Consultants, LLC Group Risk Survey Fee Allianz Global Corporate & Speciality Group Billable expense incurred on behalf Risk Survey Fee Allianz Managed Operations & Servic Group Billable expense incurred on behalf AGA Assistance (India) Private Limite Group Insurance Claims paid
5 of 41 Allianz Insurance Co. Egypt (Non-Life Group Reinsurance premium received/receiva Commission on reinsurance paid/payab Claims paid/ payable S H Khan Director Sitting fees Suraj Mehta Director Sitting fees Dipak Poddar Director Sitting fees Manu Tandon Director Sitting fees Sanjay Asher Director Sitting fees Tapan Singhel Key Management Personnel Remuneration Perquisites Hemant Kaul Key Management Personnel Remuneration Perquisites
Society Maintenance deposit Society Share Certificate Society maintenance charges Insurance Premia received - - -
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