Forms for non-life insurers

rrr Forms for non-life insurers Company Name: NEW JUBILEE INSURANCE CO. LIMITED PE Accounting Year Financial Year 28 Period Type: YEARLY Period No: 1 For the : Measurement Unit Actual Enter Text for SECP information or some basic information regarding this excel template or some guideline how to fil

Company Information 595 2828 7 ll remaining excel sheet

Y 1 2 7 Company Name: 19 Accounting Year Financial Year 28 72 Period Type YEARLY 2 Period Number 1 January 19 7 NEW JUBILEE INSURANCE CO. LIMITED 21 Share Capital and Reserves Note Balance Sheet Form GA Current Period Figures in Actual Prior Period 211 216 2111 2116 2121 2111 2116 Domestic companies Authorised Share Capital Paid-up share capital Retained earnings Reserves Other equity (please specify) Foreign companies Head office account Other domestic equity (please specify) 219 Total Equity 26 Underwriting provisions 261 Provision for outstanding claims (including IBNR) 266 Provision for unearned premium 2611 Additional provision for unexpired risks 2616 Commission income unearned

269 Total underwriting provisions 211 Deferred Liabilities 2111 Deferred Taxation 2116 Staff Retirement Benefits 21111 Others (please specify) 2119 Total Deferred Liabilities 216 Creditors and Accruals 2161 2166 21611 Accrued Expenses 21616 21621 Premiums Received in Advance Amounts due to other insurers/reinsurers Taxation - Provision less payments Other Creditors and Accruals (describe) 2169 Total Creditors and Accruals 221 Borrowings 2211 Short term running finance 2216 Loans received from banks 22111 Other loans 22116 Other debt security issued 2219 Total Borrowings 226 Other liabilities 2261 Other liabilities (please specify) 2266 Deposite and other payables 22611 Unclaimed dividend 2269 Total Other liabilities 2991 TOTAL LIABILITIES 2996 TOTAL EQUITY AND LIABILITIES CONTINGENCIES AND COMMITMENTS (if applicable) The annexed notes form an integral part of these accounts. Chairman (If any) Director

2 1 7 7 Company Name: NEW JUBILEE INSURANCE CO. LIMITED 17 Accounting Year Financial Year 28 7 Period Type YEARLY 2 Period Number 1 January 19 Note Current Period Balance Sheet Form GA Figures in Actual Prior Period 251 Cash and Bank Deposits 2511 Cash and other equivalent 2516 Current and other accounts 25111 Deposits maturing within 12 months 25116 Deposits maturing after 12 months 2519 Total Cash and Bank Deposits 256 Loans (Secured or un-secured - classify as appropriate) 2561 To employees or agents 25651 Others 2569 Total Loan (Secured or un-secured) 261 Investments 2611 Investments 266 Investment Property 2661 Investment Property 271 Deferred Taxation 2711 Deferred Taxation 276 Preliminary and Deferred Expenses 2761 Preliminary and Deferred Expenses 281 Current Assets - Others 2811 Premiums due but unpaid 2816 Amounts due from other insurers/ reinsurers 28111 Reinsurance recoveries due but unpaid 28116 Salvage recoveries accrued 28121 Premium and claim reserves retained by cedants 28126 Accrued investment income 28131 Reinsurance recoveries against outstanding claims 28136 Taxation - payments less provision 28141 Deferred commission expense 28146 Other deferred acquisition costs 28151 Prepayments 28151 Sundry receivables (provide details) 2819 Total Current Assets - Others 286 Fixed Assets Tangible & Intangible 2861 Land and Buildings 2866 Furniture, Fixtures and Office Equipment 28611 Motor Vehicles 28616 Capital Work in Progress 28651 Intangibles (Please specify) 286531 286536 2869 Total Fixed Assets 29911 TOTAL ASSETS Director Principal Officer

3 14 12 Company Name: 16 24 Accounting Year 22 4 Period Type YEARLY 2 2 Period Number 1 January, 19 NEW JUBILEE INSURANCE CO. LIMITED Financial Year 28 Statement of Profit and Loss Account Form GB 31 Revenue Account Note Fire & Property Marine, Aviation & Transport Motor Act Liability Figures in Actual Others Treaty Current Prior Period Period Aggregate Aggregate 311 Net Premium Revenue 316 Net Claims 3111 Premium Deficiency Expenses 3116 Expenses 3121 Net Commission 319 Underwriting result 36 Other Income & Expenses 361 Investment Income 366 Rental Income 3611 Other Income (provide details) 3611 General and administration expenses 369 Total (Other Income & Expenses) 3695 Profit/(Loss) before tax 316 Provision for Taxation 3161 Provision for Taxation 3169 Profit/(Loss) after tax 321 Profit and Loss Appropriation Account 3211 Balance at commencement of year 3216 Profit/Loss after tax for the year 32111 Prior Year Adjustments (provide details) 32116 Proposed Dividend/Remittance to Head Office 32121 Transfers to/(from) reserves (provide details) 32126 Other appropriations (provide details) Balance Unappropriated Profit/(Loss) at end 3219 of Year The annexed notes form an integral part of these accounts. Chairman (If any) Director Director Principal Officer

41 4 411 8 8 Company Name: 19 Accounting Year 112 Period Type 2 Period Number Operating Cash Flows a) Underwriting activities NEW JUBILEE INSURANCE CO. LIMITED Financial Year 28 YEARLY 1 January, 19 Statement of Cash Flows Form GC Figures in Actual Current Prior Period Period Aggregate Aggregate 4111 4116 41111 41116 41121 41126 41151 41156 Premiums received Reinsurance premiums paid Claims paid Reinsurance and other recoveries received Commissions paid Commissions received Other underwriting payments, if any Other underwriting receipts, if any 4119 Net cash flow from underwriting activities 416 b) Other operating activities 4161 Income tax paid 4166 General management expenses paid 41611 Other operating payments 41616 Other operating receipts 41621 Loans advanced 41626 Loan repayments received 41651 Other payments on operating assets 41656 Other receipts in respect of operating assets 4169 Net cash flow from other operating activities 41695 Total cash flow from all operating activities 46 461 466 4611 4616 4621 4626 4631 Investment activities Profit/ Return received Dividends received Rentals received Payments for investments Proceeds from disposal of investments Fixed Capital Expenditure Proceeds from disposal of fixed assets 469 Total cash flow from investing activities 411 4111 4116 41111 41116 41121 41126 41131 Financing activities Share capital received Remittance to/from Head office Loans received Loans repaid Dividends paid Financial charges paid Payments on finance leases 4119 Total cash flow from financing activities 41195 Net cash inflow/outflow from all activities 4161 Cash at the beginning of the year 4169 Cash at the end of the year

8 8 Company Name: 19 Accounting Year 112 Period Type 2 Period Number NEW JUBILEE INSURANCE CO. LIMITED Financial Year 28 YEARLY 1 January, 19 Reconciliation to Profit and Loss Account 451 4511 4516 45111 45116 45121 45126 45131 451536 Reconciliation to Profit and Loss Account Operating cash flows Depreciation expense Financial charges expense Profit/(loss) on disposal of fixed assets Increase/(decrease) in assets other than cash (Increase)/decrease in liabilities other than running finance Revaluation adjustment Other adjustments (please specify) Figures in Actual Current Prior Period Period Aggregate Aggregate 4519 Profit or loss after taxation (must agree to Profit and Loss Account (shareholders' fund only)) 461 Definition of cash 46151 46156 461511 461516 461521 461526 461531 Please provide a definition of which items have been treated as cash for the purposes of this statement, and if different from Cash and Overdrafts as disclosed in the Balance Sheet, provide a reconciliation. Cash for the purposes of the Statement of Cash Flows consists of: 4619 Totals The annexed notes form an integral part of these accounts. Chairman (If any) Director Director Principal Officer

5 14 Company Name: 17 Accounting Year 3 Period Type 2 Period Number Class Direct and facultative NEW JUBILEE INSURANCE CO. LIMITED Financial Year 28 YEARLY 1 January, 19 Premiums wrtitten Premium Unearned premium reserve Opening Closing Reinsurance ceded Reinsurance Prepaid Reins Premium ceded Opening Closing Reinsurance expense Statement of Premiums Form GD Current Year Net premium revenue 51 511 1 Fire and Property Damage 19527 844425 141552 1779 15296 7268 741934 155826 2274 516 2 Marine, Aviation and Transport 883942 159844 17478 8696 365 159844 9372 366747 52259 5111 3 Motor Act 249512 1191933 311 3686742 4671 4671 368271 5116 4 Liability 5121 5 Workers' Compensation 5126 6 Credit and Suretyship Premiums earned Form GB Figures in Actual Prior Year Net premium revenue 5131 7 Accident and Health 5151 8 Miscellaneous 32293 133424 122866 312851 25261 11419 122866 241585 71266 519 Total 5586382 2329626 133959 6576499 276497 1834 95852 2118829 445767 56 Treaty 561 9 Proportional (*) 16718 6133 56128 172283 172283 566 1 Non-proportional (*) 569 Total 16718 6133 56128 172283 172283 599 Grand Total 575349 239929 1395637 6748782 276497 1834 95852 2118829 4629953 Note: If the business underwritten outside Pakistan is more than 1% of the net premium income, then a separate statement on a similar format should be prepared in respect of that business. (*) Can be combined for the purpose of Published Financial Statements The annexed notes form an integral part of these accounts. Chairman (If any) Director Principal Officer

6 14 Company Name: NEW JUBILEE INSURANCE CO. LIMITED 16 Accounting Year Financial Year 28 45 Period Type YEARLY 2 Period Number 1 January, 19 Statement of Claims Form GE Figures in Actual Outstanding Claims Reinsurance and other recoveries received Reinsurance and other recoveries in respect of outstanding claims Opening Closing Reinsurance and other recoveries revenue Rs Current Year Net claims expense Rs Class 1. Business underwritten inside Pakistan Claims Paid Opening Closing Claims Expenses 61 Direct and Facultative Rs Rs Rs Rs 611 1 Fire and Property Damage 616 2 Marine, Aviation and Transport 6111 3 Motor Act 6116 4 Liability 6121 5 Workers' Compensation 6126 6 Credit and Suretyship 6131 7 Accident and Health 6151 8 Miscellaneous 619 Total 66 Treaty 661 9 Proportional 666 1 Non-proportional 669 Total 699 Grand Total 2. Business underwritten outside Pakistan 651 6511 Direct and Facultative 1 Fire and Property Damage 6516 2 Marine, Aviation and Transport 65111 3 Motor Act 65116 4 Liability 65121 5 Worker's Compensation 65126 6 Credit and Surityship 65131 7 Accident and Health 65151 8 Miscellaneous 6519 Total 656 6561 Treaty 9 Proportional 6566 1 Non-proportional 6569 Total 659 Grand Total Prior Year Net claims expense

Y 8 6 13 Company Name: NEW JUBILEE INSURANCE CO. LIMITED 2 Accounting Year Financial Year 28 49 Period Type YEARLY 2 Period Number 1 January, 19 7 Statement of Expenses FORM GF Figures in Actual Current Year Prior Year Opening Closing Net Other management Commissions Commissions Deferred Deferred commission expenses Underwriting from reinsurers Net underwriting paid or Payable commission commission expense Rs expense Rs expense Rs Rs Rs Rs e Rs 9 Rs Class a b c d=a+b-c Refer note 5 f=d+e refer note below g=e-f 1. Business underwritten inside Pakistan 71 711 Direct and Facultative 1 Fire and Property Damage 716 2 Marine, Aviation and Transport 7111 3 Motor Act 7116 4 Liability 7121 5 Workers' Compensation 7126 6 Credit and Suretyship 7131 7 Accident and Health 7151 8 Miscellaneous 719 Total 76 Treaty 761 9 Proportional 766 1 Non-proportional 769 Total 759 Grand Total 2. Business underwritten outside Pakistan 751 Direct and facultative 7511 1 Fire and Property Damage 7516 2 Marine, Aviation and Transport 75111 3 Motor Act 75116 4 Liability 75121 5 Workers' Compensation 75126 6 Credit and Suretyship 75131 7 Accident and Health 75151 8 Miscellaneous 7519 Total 756 Treaty 7561 9 Proportional 7566 1 Non-proportional 7569 Total 799 Grand Total Note: Commission from reinsurers is arrived at taking impact of opening and closing unearned commission. Net underwriting expense Rs The annexed notes form an integral part of these accounts. Chairman (If any) Director Director Principal Officer

Company Name: NEW JUBILEE INSURANCE CO. LIMITED Accounting Year Financial Year 28 Period Type YEARLY Period Number 1 January, 19 Statement of Investment Income FORM GG Income from Trading Investments Gain/loss on trading (I.e. buying and selling difference) Dividend Income ( earned while holding the securities) Others, if any (Please specify) Total Income from Non-Trading Investments Figures in Actual Current Prior Year Year Rs Rs Held to Maturity or Available for sale (classify as appropriate) Return on Government Securities Return on Other Fixed Income Securities and Deposits Dividend Income Amortisation of discount/premium relative to par Others, if any (Please specify) Total Gain/Loss on Sale of Non-Trading Investments (classify as appropriate) Gain/Loss on Revaluation of Investments - Trading Investments - Available for sale Total Provision for Impairment in Value of Investments Provision for Portfolio Held to Maturity Provision for Portfolio Available for Sale Total Less: Investment Related Expenses Net Investment Income The annexed notes form an integral part of these accounts. Chairman (If any) Director Director Principal Officer

Y 16 8 24 Company Name: NEW JUBILEE INSURANCE CO. LIMITED 19 Accounting Year Financial Year 28 187 Period Type YEARLY 2 Period Number 1 January, 19 9 Analysis of Claims FORM GH Policy year basis / Accident year basis (delete as applicable) Figures in Actual Class of Business Claims Paid Development year: Outstanding claims (notified) at end of year Development year: 1 2 3 4 5 and above Total 1 2 3 4 5 and above Total IBNR Total 9 1. Business underwritten inside Pakistan Rs Rs Rs Rs Rs Rs Rs Rs Rs Rs Rs Rs Rs Rs Rs Rs 911 Claims 916 1 Fire and Property Damage Recoveries on claims 9111 Net 921 Claims 926 2 Marine, Aviation and Transport Recoveries on claims 9211 Net 931 Claims 936 3 Motor Act Recoveries on claims 9311 Net 941 Claims 946 4 Liability Recoveries on claims 9411 Net 951 Claims 956 5 Workers' Compensation Recoveries on claims 9511 Net 961 Claims 966 6 Credit and Suretyship Recoveries on claims 9611 Net 971 Claims 976 7 Accident and Health Recoveries on claims 9711 Net 981 Claims 986 8 Miscellaneous Recoveries on claims 9811 Net 9131 Claims 9136 Total Recoveries on claims 91311 Net Treaty 9151 Claims 9156 9 Proportional Recoveries on claims 91511 Net 9161 Claims 9166 1 Non-proportional Recoveries on claims 91611 Net 921 Claims 926 Total Recoveries on claims 9211 Net 9221 Claims 9226 Grand Total Recoveries on claims 92211 Net Numbers of claims in year: 1 2 3 4 5 and above Total Rs Rs Rs Rs Rs Rs Rs 9241 Notified in year 9246 1 Fire and Property Damage Paid in year 92411 Outstanding at end of year 9251 Notified in year 9256 2 Marine, Aviation and Transport Paid in year 92511 Outstanding at end of year 9261 Notified in year 9266 3 Motor Act Paid in year 92611 Outstanding at end of year 9271 Notified in year 9276 4 Liability Paid in year 92711 Outstanding at end of year 9281 Notified in year 9286 5 Workers' Compensation Paid in year 92811 Outstanding at end of year

Y 16 8 24 Company Name: NEW JUBILEE INSURANCE CO. LIMITED 19 Accounting Year Financial Year 28 187 Period Type YEARLY 2 Period Number 1 January, 19 9 9291 Notified in year 1 1 9296 6 Credit and Suretyship Paid in year 92911 Outstanding at end of year 1 1 931 Notified in year 936 7 Accident and Health Paid in year 9311 Outstanding at end of year 9311 Notified in year 9316 8 Miscellaneous Paid in year 93111 Outstanding at end of year 9321 Notified in year 1 1 9326 Total Paid in year 93211 Outstanding at end of year 1 1 Analysis of Claims FORM GH Treaty 9331 Notified in year 9336 9 Proportional Paid in year 93311 Outstanding at end of year 9341 Notified in year 9346 1 Non-proportional Paid in year 93411 Outstanding at end of year 2. Business underwritten outside Pakistan Class of Business Claims Paid Outstanding claims Development year: (notified) 1 2 3 4 5 and above Total 1 2 3 4 5 and above Total IBNR Total $ ' $ ' $ ' $ ' $ ' $ ' $ ' $ ' $ ' $ ' $ ' $ ' $ ' $ ' $ ' $ ' 9351 Claims 9356 1 Fire and Property Damage Recoveries on claims 93511 Net 9361 Claims 9366 2 Marine, Aviation and Transport Recoveries on claims 93611 Net 9371 Claims 9376 3 Motor Act Recoveries on claims 93711 Net 9381 Claims 9386 4 Liability Recoveries on claims 93811 Net 9391 Claims 9396 5 Workers' Compensation Recoveries on claims 93911 Net 941 Claims 946 6 Credit and Suretyship Recoveries on claims 9411 Net 9411 Claims 9416 7 Accident and Health Recoveries on claims 94111 Net 9421 Claims 9426 8 Miscellaneous Recoveries on claims 94211 Net 9431 Claims 9436 Total Recoveries on claims 94311 Net Treaty 9441 Claims 9446 9 Proportional Recoveries on claims 94411 Net 9451 Claims 9456 1 Non-proportional Recoveries on claims 94511 Net 9461 Claims 9466 Total Recoveries on claims 94611 Net 9471 Claims 9476 Grand Total Recoveries on claims 94711 Net

Y 16 8 24 Company Name: NEW JUBILEE INSURANCE CO. LIMITED 19 Accounting Year Financial Year 28 187 Period Type YEARLY 2 Period Number 1 January, 19 9 Analysis of Claims FORM GH Numbers of claims in year: 1 2 3 4 5 and above Total $ ' $ ' $ ' $ ' $ ' $ ' $ ' 9481 Notified in year 9486 1 Fire and Property Damage Paid in year 94811 Outstanding at end of year 9491 Notified in year 9496 2 Marine, Aviation and Transport Paid in year 94911 Outstanding at end of year 951 Notified in year 956 3 Motor Act Paid in year 9511 Outstanding at end of year 9511 Notified in year 9516 4 Liability Paid in year 95111 Outstanding at end of year 9521 Notified in year 9526 5 Workers' Compensation Paid in year 95211 Outstanding at end of year 9531 Notified in year 9536 6 Credit and Suretyship Paid in year 95311 Outstanding at end of year 9541 Notified in year 9546 7 Accident and Health Paid in year 95411 Outstanding at end of year 9551 Notified in year 9556 8 Miscellaneous Paid in year 95511 Outstanding at end of year 9561 Notified in year 9566 Total Paid in year 95611 Outstanding at end of year Treaty 9571 Notified in year 9576 9 Proportional Paid in year 95711 Outstanding at end of year 9581 Notified in year 9586 1 Non-proportional Paid in year 95811 Outstanding at end of year The annexed notes form an integral part of these accounts. Chairman (If any) Director Director Principal Officer

Y 4 6 1 9 Company Name: NEW JUBILEE INSURANCE CO. LIMITED 17 Accounting Year Financial Year 28 5 Period Type YEARLY 2 Period Number 1 January, 19 Statement of Estimated Exposures FORM GI 1) Risk Exposures 11 111 Direct and Faculative 1 Fire and Property Damage 116 2 Marine, Aviation and Transport 1111 3 Motor Act 1116 4 Liability 1121 5 Workers' Compensation 1126 6 Credit and Suretyship 1131 7 Accident and Health 1136 8 Miscellaneous 16 161 Treaty 9 Proportional 166 1 Non-proportional Maximum Maximum Highest Maximum Gross Risk Gross Risk Net Risk Reinsurance Exposure PML Retention Cover Rs million Rs million Rs million Rs million 151 2) Aggregate Event Exposures Provide below up to five aggregate events which constitute the maximum exposures of the company. Include: the highest gross aggregate exposure; the highest gross maximum probable loss; the highest net maximum probable loss. 1511 1516 15111 15116 15121 15126 15131 Event Gross Gross Net Maximum (description) Aggregate Event Event Reinsurance Exposure PML Retention Cover Rs million Rs million Rs million Rs million The annexed notes form an integral part of these accounts. Chairman (If any) Director Director Principal Officer

Y 1 6 6 Company Name: NEW JUBILEE INSURANCE CO. LIMITED 15 Accounting Year Financial Year 28 68 Period Type YEARLY 2 Period Number 1 January, 19 11 Figures in Rs Note Current Prior ADMISSIBLE ASSETS Year Year Rs Rs 111 1111 Cash and Bank Deposits Cash and other equivalent 1116 Current and other accounts 11111 Deposits maturing within 12 months 11116 Deposits maturing after 12 months 1119 Total 116 1161 Loans (Secured or un-secured - classify as appropriate) To employees or agents 1166 Others 1169 Total 1111 11111 Investments (Classification of investment are in notes) Government Securities 11116 Other Fixed Income Securities 111111 Listed Equities 111116 Unlisted Equities 111151 Others (describe) 11119 Total Statement of Assets for Solvency Purposes FORM GJ 11161 11211 11261 Investment Property Deferred Taxation Preliminary and Deferred Expenses 1131 11311 Current Assets - Others Premiums due but unpaid 11316 Amounts due from other insurers/ reinsurers 113111 Reinsurance recoveries due but unpaid 113116 Salvage recoveries accrued 113121 Premium and claim reserves retained by cedants 113126 Accrued investment income 113131 Reinsurance recoveries against outstanding claims 113136 Taxation - payments less provision 113141 Deferred commission expense 113146 Other deferred acquisition costs 113151 Prepayments 113156 Sundry receivables (provide details) 11319 Total 1136 11361 Fixed Assets Tangible & Intangible 11366 Land and Buildings 113611 Furniture, Fixtures and Office Equipment 113616 Motor Vehicles 113621 Capital Work in Progress 113626 Intangibles (Please specify) 11369 Total 1199 TOTAL ADMISSIBLE ASSETS 11995 TOTAL INADMISSIBLE ASSETS 11991 TOTAL ASSETS Chairman (If any) Director Director Principal Officer

Company Name: NEW JUBILEE INSURANCE CO. LIMITED Accounting Year Financial Year 28 Period Type YEARLY Period Number 1 January, 19 Classified Summary of Assets in Pakistan FORM GK CLASS OF ASSETS Cash and Bank Deposits Cash and other equivalant Current and other accounts Deposits muturing within 12 months Total Figures in Rs Current year Prior year Valuation Remarks Cost or book Market value Cost or book Market value basis value value Loans Loans secured (To employees) Investments Government Securities Other Fixed Income Securities Listed Equities Total

Deffered Tax Detail Deffered Tax Investment Property Detail Investment Property Other Assets Premium due but unpaid Amounts due from other insurers/reinsurers Salvage recovries accrued Premium and claims reserves retained by cedants Accrued investment income Reinsurance recovries against outstanding claims Taxation payment less provision Deffered commission expenses Prepayments Securities deposits Other receivables Amount due from State Life Insurance Corp of Pakistan Lands and Buildings Furniture Fixtures and Office equipments Motors Vehicles Total TOTAL ASSETS The annexed notes form an integral part of these accounts. Chairman (if any) Director Director Principal O

Company Name: Financial Year ended 31 December... Note to the accounts FORM GL 1. STATUS AND NATURE OF BUSINESS Disclose the domicile and legal form of the company, its country of incorporation and the address of the registered office (or principal place of business, if different from the registered office); a description of the nature of its operations and its principal activities; the name of the parent enterprise and the ultimate parent enterprise of the group. 2. BASIS OF PRESENTATION 3. STATEMENT OF COMPLIANCE 4. BASIS OF MEASUREMENT 5. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES, such as: Investment Property Investments Preliminary and Deferred Expenses Revenue recognition - Premiums Claims Acquisition costs Operating fixed assets Capital work-in-progress Property and equipment (owned and leased) Intangible Taxation Current Deferred Staff retirement benefits Defined benefit plan Defined contribution plan Foreign currencies Others (to be specified) 6 Management Expenses State policy of allocation to class of business Break up of Expenses Salaries, wages and benefits Rent, taxes, electricity etc Communications Printing and stationery Traveling and entertainment Depreciation Repairs and maintenance Legal and professional charges Advertisement and sales promotion Other expenses 7 INVESTMENTS Government Securities Other Fixed Income Securities Listed Equities Unlisted Equities Others (describe) TOTAL