Last Updated: 1 August 2022
[INS 10,250] FORM 6J STATEMENT OF GROSS AGGREGATE EXPOSURES
NAME OF INSURER:                                                   YEAR ENDING: 31 DECEMBER                                                             
PARTICULARSRow NoFireHOUSE
HOLDERS
MOTOR
VEHICLE
MARINE
HULL
MARINE
CARGO
CIT &
BURGLARY
MOTOR
CTP
PERSONAL
ACCIDENT
PROF
IDENTITY
PUBLIC
LIABILITY
WORKERS
COMP
MEDICALTERM
LIFE
OTHERTOTAL
$$$$$$$$$$$$$$$
GROSS AGGREGATE EXPOSURES
INSIDE FIJI
-Western Division1
-Central Division2
-Northern Division3
-Eastern Division4
Sub-total — Inside fiji5
OUTSIDE FIJI6
TOTAL7
Signature .........................Date ........................./........................./.........................Signature .........................Date ........................./........................./.........................
(Principal Officer)(Auditor)