PERIODIC DISCLOSURESFORM L-32-SOLVENCY MARGIN - KT331st Mar 2012Name of Insurer:MAX NEW YORK LIFE INSURANCE COMPANY LIMITEDClassification:Registration Number: 104(See Regulation 4)<strong>Insurance</strong> Regulatory and Development Authority (Actuarial Report and Abstract) Regulations, 2000.AVAILABLE SOLVENCY MARGIN AND SOLVENCY RATIO.<strong>Form</strong> Code:Classification Code:Item<strong>Description</strong>Adjusted Value(Amount (In ` '000)01 Available Assets in Policyholders' Fund: 150,253,994Deduct:02 Mathematical Reserves 146,594,02703 Other Liabilities04 Excess in Policyholders' funds 3,659,96705 Available Assets in Shareholders Fund: 30,649,702Deduct:06 Other Liabilities of shareholders’ fund 13,355,44507 Excess in Shareholders' funds 17,294,25608 Total ASM (04)+(07) 20,954,22409 Total RSM 3,924,22610 Solvency Ratio (ASM/RSM) 5.34I, the Appointed Actuary, certify that the above statements have been prepared in accordance with the section 64VA of the <strong>Insurance</strong> Act, 1938, and the amountsmentioned therein are true and fair to the best of my knowledge.Place: Gurgaon sd/-Date:Name and Signature of Appointed Actuary<strong>No</strong>tesSanchit Maini1. Item <strong>No</strong>. 01 shall be the amount of the Adjusted Value of Assets as mentioned in <strong>Form</strong> IRDA-Assets- AA as specified under Schedule I of <strong>Insurance</strong> Regulatoryand Development Authority (Assets, Liabilities, and Solvency Margin of Insurers) Regulations, 2000;2. Item <strong>No</strong>. 02 shall be the amount of Mathematical Reserves as mentioned in <strong>Form</strong> H;3. Item <strong>No</strong>s. 03 and 06 shall be the amount of other liabilities as mentioned in the Balance Sheet;4. Items <strong>No</strong>. 05 shall be the amount of the Total Assets as mentioned in <strong>Form</strong> IRDA-Assets- AA as specified under Schedule I of <strong>Insurance</strong> Regulatory andDevelopment Authority (Assets, Liabilities, and Solvency Margin of Insurers) Regulations, 2000.20
PERIODIC DISCLOSURESFORM L - 33 - NPAs - 7ANAME OF THE INSURER: MAX NEW YORK LIFE INSURANCE COMPANY LIMITEDREGISTRATION NO: 104; DATE OF REGISTRATION WITH IRDA : NOVEMBER 15, 2000STATEMENT AS ON: March 31, 2012NO. DESCRIPTION CONFIRMATION (YES / NO )Details of Approved Investments / Other Investments which have matured for payment and maturityamount is outstanding along with particulars of defaulted amount and period for which said default has<strong>No</strong>1 continued2 Any Investment as at (1), which subsequent to maturity have been rolled over <strong>No</strong>In respect of Investments where periodic income have fallen due, details of interest payment in default,3 along with period for which such default have persisted<strong>No</strong>Details of steps taken to recover the defaulted amounts, and the provisioning done / proposed in the4 accounts against such defaultsN.A.CertificationCertified that the information given herein are correct and complete to the best of my knowledge Signature: sd/-and belief and nothing has been concealed or suppressedFull Name: Rajesh Sud / Prashant SharmaDesignation: Chief Executive Officer/ Chief Investment OfficerDate:<strong>No</strong>te: If any of the confirmations is in the affirmative, details be provided21