Document ID: chunk:federal_register_of_legislation:F2017L00435:body:0:p10
Version: federal_register_of_legislation:F2017L00435
Segment Type: other
Provision Reference: 
Character Range: 32361–45336

Year
C.   Aircraft Damage and Liability
          Current Year
          First Preceding Year
          Second Preceding Year
D.   Ships' Damage and Liability
          Current Year
          First Preceding Year
          Second Preceding Year
E.   Goods in Transit
          Current Year
          First Preceding Year
          Second Preceding Year
F.   Property Damage
          Current Year
          First Preceding Year
          Second Preceding Year
G.   General Liability
          Current Year
          First Preceding Year
          Second Preceding Year
H.   Pecuniary Loss
          Current Year
          First Preceding Year
          Second Preceding Year

Total for all classes and years of account
Note:  For Column 5, the amount of management expenses may be determined as a proportion of global management expenses according to the ratio of Australian Premium Income to Global Premium Income.  These expenses are to be further allocated to class of business on a basis to be specified.

Lloyd's Agent in Australia

Name:                                                                                                                                                                                                                                                                                                                                                                       Signature:                                          Date:

FORM L3Q

                                                               Insurance Act 1973       QUARTERLY STATEMENT OF REPORTED CLAIMS OUTSTANDING
                                                               Form L3Q                 1992 AND PRIOR BUSINESS   ("EQUITAS FUND" AS DEFINED)

Report for Quarter Ended:  ..................................

                                                               GROSS KNOWN                                                                     RESERVING   NOMINAL BASE  PLUS $A2M  TOTAL NOMINAL
                                                               OUTSTANDING                                                                     FACTOR                    RESERVE                         RESERVE
                                                               CLAIMS (at quarter end)
                                                               ($A'000)                                                                                                                                  ($A'000)

Lloyd's Agent in Australia:

................................................................................  .........................................................................................      ....................................
                             Name                                                                           Signature                                                                    Date

FORM L4Q

Insurance Act 1973                                                                                                                                                                                                                                  QUARTERLY STATEMENT OF PREMIUMS AND CLAIMS
Form L4Q                                                                                                                                                                                                                                            1/1/93 TO 30/6/98 BUSINESS ("INTERIM FUND" AS DEFINED)
Report for Quarter Ended:  ..................................
                                                                                                                                              Originating                                                                                           Long tail business                                      Short tail business   Total business
PARTICULARS                                                                                                                                   (pure) year                                                                                                                                                   Reserving             Nominal                    Reserving   Nominal            Nominal
                                                                                                                                              of account                                                                                            ($A'000)                                                Factor                Reserve          ($A'000)  Factor      Reserve  ($A'000)  Reserve

DETAILS OF                                                                                                                                    1998*
NET PREMIUMS#                                                                                                                                 1997*
                                                                                                                                              1996*
                                                                                                                                              1995*
                                                                                                                                              1994*
                                                                                                                                              1993*
                                                                                                                                              TOTAL

GROSS KNOWN                                                                                                                                   1998*
OUTSTANDING                                                                                                                                   1997*
CLAIMS (at quarter end)                                                                                                                       1996*
                                                                                                                                              1995*
                                                                                                                                              1994*
                                                                                                                                              1993*
                                                                                                                                              TOTAL

NET PREMIUMS
SIGNED IN CALENDAR
YEAR (to date)

GROSS CLAIMS
PAID IN CALENDAR
YEAR (to date)
#  Cumulative net premiums to the report date since commencement of the particular years of account
*  Only report information in respect of these years to the extent that they HAVE NOT been closed into a 1999 or subsequent year of account

Lloyd's Agent in Australia:

...............................................................................                                                               ....................................................................................................   ..............................
Name                                                                                                                                          Signature                                                                                              Date

FORM L5Q

Insurance Act 1973                                                                                                                                    QUARTERLY STATEMENT OF PREMIUMS AND CLAIMS
                                                                                                                                                      AGGREGATE BUSINESS ON AND FROM 1/7/98
Form L5Q                                                                                                                                              ("NEW BUSINESS FUND" AS DEFINED)
Report for Quarter Ended:  ..................................
                                                                                                                                                      Originating                                                                         Long tail business                         Short tail business   Total business
PARTICULARS                                                                                                                                           (pure) year                                                                                                                    Reserving             Nominal                    Reserving   Nominal            Nominal
                                                                                                                                                      of account                                                                          ($A'000)                                   Factor                Reserve          ($A'000)  Factor      Reserve  ($A'000)  Reserve

DETAILS OF                                                                                                                                            Current yr
NET PREMIUMS#                                                                                                                                         Previous yr
                                                                                                                                                      2 yrs previous
                                                                                                                                                      (etc)
                                                                                                                                                      1998*
                                                                                                                                                      1997*
                                                                                                                                                      1996*
                                                                                                                                                      1995*
                                                                                                                                                      1994*
                                                                                                                                                      1993*
                                                                                                                                                      TOTAL

GROSS KNOWN                                                                                                                                           Current yr
OUTSTANDING                                                                                                                                           Previous yr
CLAIMS (at quarter                                                                                                                                    2 yrs previous
end)                                                                                                                                                  (etc)
                                                                                                                                                      1998*
                                                                                                                                                      1997*
                                                                                                                                                      1996*
                                                                                                                                                      1995*
                                                                                                                                                      1994*
                                                                                                                                                      1993*
                                                                                                                                                      TOTAL

NET PREMIUMS
SIGNED IN
CALENDAR YEAR
(to date)

GROSS CLAIMS
PAID IN CALENDAR
YEAR (to date)
#