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  • PRU 4 PRU 4 PIN Forms

    Forms PRU PIN1–17

    Purpose of these forms

    An Insurer is required to submit the appropriate forms contained in this chapter in accordance with PIN App10 and PRU chapter 3.

    Notes for completing these forms

    •   All figures must by typed.
    •   The Authorised Firm's name, licence number and reporting period must be identified on each form.
    •   Unless otherwise agreed with the DFSA, the Authorised Firm or Financial Group's reporting currency must be US Dollars.
    •   Authorised Firms are reminded that Instructional guidelines are provided in chapter 3.
    •   When completed, submit the forms in line with SUP chapter 8. You may send applications by post or hand delivered and addressed to your usual supervisory contact.

    The address for postal submission is:

    DUBAI FINANCIAL SERVICES AUTHORITY
    SUPERVISION DEPARTMENT
    LEVEL 13, THE GATE
    PO BOX 75850
    DUBAI, UAE

    Amended from DFSA RM44/2007 (Made 1 June 2007). [VER2/06-07]
    Amended from DFSA GM/2/2007 (Made 5 July 2007). [VER3/08-07]

    • PRU PIN1 Statement of Financial Position

      Please download the Form in PDFPDF format.

    • PRU PIN2 Statement of Calculation of Capital Adequacy

      Please download the Form in PDFPDF format.

    • PRU PIN3 Statement of Financial Performance

      Please download the Form in PDFPDF format.

    • PRU PIN4 Statement of Premiums and Reinsurance Expense

      Please download the Form in PDFPDF format.

    • PRU PIN5 Statement of Claims and Reinsurance and other Recoveries

      Please download the Form in PDFPDF format.

    • PRU PIN6 Statement of Movement in Insurance Provisions

      Please download the Form in PDFPDF format.

    • PRU PIN7 Statement of Investment Income

      Please download the Form in PDFPDF format.

    • PRU PIN8 Statement of Acquisition Expenses

      Please download the Form in PDFPDF format.

    • PRU PIN9 Reconciliation of Financial Statements

      Please download the Form in PDFPDF format.

    • PRU PIN10 Summary Statement of Operations

      Please download the Form in PDFPDF format.

    • PRU PIN11 Reconciliation of Direct to Total Long-Term Insurance Business

      Please download the form in PDFPDF format.

      [Added] DFSA GM2/2007 (Made 5th July 2007). [VER3/08-07]

    • PRU PIN12 Statement of Direct Long-Term Insurance Business

      Please download the form in PDFPDF format.

      [Added] DFSA GM2/2007 (Made 5th July 2007). [VER3/08-07]

    • PRU PIN13 Statement of Direct Long-Term Insurance Policy Liabilities

      Please download the form in PDFPDF format.

      [Added] DFSA GM2/2007 (Made 5th July 2007). [VER3/08-07]

    • PRU PIN14 Statement of assets covering linked Direct Long-Term Insurance Liabilities.

      Please download the form in PDFPDF format.

      [Added] DFSA GM2/2007 (Made 5th July 2007). [VER3/08-07]

    • PRU PIN15 Statement of assets covering non-linked Direct Long-Term Insurance Liabilities and Minimum Capital Requirement.

      Please download the form in PDFPDF format.

      [Added] DFSA GM2/2007 (Made 5th July 2007). [VER3/08-07]

    • PRU PIN16 Calculation of Direct Long-Term Insurance element of Long- Term Insurance Component

      Please download the form in PDFPDF format.

      [Added] DFSA GM2/2007 (Made 5th July 2007). [VER3/08-07]

    • PRU PIN17 Statement of Financial Group Capital Adequacy.

      Please download the form in PDFPDF format.

      Please download Appendix 1: Continuation Sheet in PDFPDF format.

      [Added] DFSA GM2/2007 (Made 5th July 2007). [VER3/08-07]