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Form No Description Pages - Max Life Insurance

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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, 2012COICompanyNameInstrumenttypeInterest Rate%age Has there been arevisionTotal O/s ( BookValue)Default Principal (Book Value)Default Interest (Book Value)PrincipalDue fromInterestDue fromDeferredInterestName of the Fund: Annuity FundRolled OverHas there been any principal Classification Provision %waiverAmount BoardApproval ref.` in LacsProvisionRs.NILCertification :Certified that the information given herein are correct and complete to the best of my knowledge and belief and nothing has been concealed or suppressedDATE:Signature: sd/-<strong>No</strong>te :Full Name: Rajesh Sud / Prashant SharmaA. Category of Investment ( COI) shall be as per INV/GLN001/2003-04 Designation: Chief Executive Officer/ Chief Investment OfficerB. <strong>Form</strong> 7A shall be submitted in respect of each fundC. Classification shall be as per F&A circular 169 Jan 07 dt.24-01-0723

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