Page 209 - Ebook IC S01
P. 209

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                 4.  No. of surveys done in last financial year and the name of insurers: 20 _  20 __


                                   Insurers   Fire   Marine   cargo   Marine Hull   Engg   Motor   Misc   Crop   Insurance   LOP   Total




                                  A
                                  B

                                  C
                                  D
                  5.  No. of surveys done in last financial year as surveyor appointed by the policyholders : 20 _____ 20 _____

                                  Name of   Policyholder   Fire   Marine cargo   Marine Hull   Engg   Motor   Misc   Crop   Insurance   LOP   Total






                                  A
                                  B

                                  C
                                  D

                 6.     Income from other risk assessment assignments during the last financial year



                              Risk   Assessment   carried out   with(person  /legal   entity)    Fire   Marine   cargo   Marine Hull   Engg   Motor   Misc   Crop   Insurance   LOP   Total


                                   A
                                   B

                                   C
                                   D
                 7.     Quantum of losses assessed in last financial year:
                        20XX-20XX

                                  Marine cargo   No.   Marine Hull   No.   Engg   No.   Motor   No.   Misc   No.   CROP    INSURANCE   No.   LOP   No.
                             No.
                        Fire



                      > 10                  > 10      > 2.5      >                   > 50,000      > 10
                                > 1 Lac                                   > 1 Lac
                      Lacs                  Lacs      Lacs      50,000                           Lacs
                                            2.5 -     50,000   10,000                10,000 -
                      1 - 10      25,000      10      - 2.5      -        25,000 -      50,000   1 - 10
                      Lacs      - 1 Lac                                   1 Lac                  Lacs
                                            Lacs      Lacs      50,000
                      0 - 1      0 -       0 - 2.5      0 -      0 -       0 -         0 -       0 - 1
                       Lac      25,000      Lacs      50,000    10,000    25,000      10,000     Lac

                      Total










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