Manual for Preparation of Returns for Insurance and Reinsurance Firms

MANUAL FOR PREPARATION OF RETURNS
FOR INSURANCE AND REINSURANCE FIRMS
Unrestricted, AFSA-Q-PC-2019-0004 of 2019
(Approval date 30th October 2019, amended as of 21st May 2021)

MANUAL FOR
PREPARATION OF RETURNS FOR INSURANCE AND REINSURANCE FIRMS
TABLE OF CONTENT
Chapter 1. Introduction ......................................................................................................... 3
Chapter 2. Reporting templates for Insurers .......................................................................... 3
Chapter 3. Reporting rules..................................................................................................... 5
Chapter 4. Conclusion............................................................................................................ 5
Annex. 1.1. Balance Sheet of Insurer........................................................................................................6
Annex. 1.2. Balance Sheet of Branch of Insurer incorporated outside of AIFC ......................................11
Annex. 1.3. Income Statement of Insurer...............................................................................................13
Annex. 1.4. Income Statement of Branch of Insurer incorporated outside of AIFC ...............................16
Annex. 1.5. Analysis of Derivative Activities...........................................................................................18
Annex. 1.6. Analysis of Investment Concentrations in Foreign Currency ...............................................20
Annex. 1.7. Analysis of Investment Concentrations Risk ........................................................................22
Annex. 1.8. Supplementary Information.................................................................................................23
Annex. 1.9. Calculation of Eligible Capital...............................................................................................25
Annex. 1.10. Calculation of Prescribed Capital Requirements (PCR)......................................................27
Annex. 1.11. Calculation of asset Risk Component.................................................................................30
Annex. 1.12. Calculation of Off Balance Sheet Asset Risk Component...................................................33
Annex. 1.13. Calculation of Off Balance Sheet Liability Risk Component...............................................35
Annex. 1.14. Calculation of Premium Risk Component ..........................................................................36
Annex. 1.15. Calculation of Technical Provisions Risk Component ........................................................38
Annex. 1.16. Calculation of Long Term Insurance Risk Component .......................................................40
Annex. 1.17. Calculation of Insurance Concentration Risk Component .................................................42
Annex. 1.18. Statement of Reinsurance..................................................................................................43
Annex. 1.19. Statement of Premium Information ..................................................................................45
Annex. 1.20. Statement of Technical Provisions and Claims ..................................................................48
Annex. 1.21. Statement of Changes in Long-Term Business...................................................................52
Annex. 1.22. Statement of Intra-Group Transactions.............................................................................54
Annex. 1.23. Statement of Largest Clients..............................................................................................57
Annex. 1.24. Information on Controllers ................................................................................................59
Annex. 1.25. Calculation of Minimum Capital Requirements.................................................................60
Annex 2.1 Staffing and Conduct..............................................................................................................62

MANUAL FOR
PREPARATION OF RETURNS FOR INSURANCE AND REINSURANCE FIRMS
Chapter 1. Introduction

1. The purpose of this Manual for Preparation of Returns for Insurance and Reinsurance
   Firms (hereinafter – Manual) is to outline templates for reporting on financial, prudential and financial conduct performance and provide guidance on their completion. The Manual is applicable to all Firms authorised by the Astana Financial Services Authority (hereinafter – AFSA) to conduct Insurance Business (hereinafter – Insurer). This Manual is updated at the situation may require.
2. The Manual complies with the AIFC General Rules (AIFC Rules No. FR0001 of 2017,
   hereinafter – GEN), AIFC Conduct of Business Rules (AIFC Rules No. FR0005 of 2017, hereinafter – COB), AIFC Insurance and Reinsurance Prudential Rules (AIFC Rules No. FR0030 of 2018, hereinafter - PINS) except where otherwise provided.
   Chapter 2. Reporting templates for Insurers
3. The purpose of this Chapter is to set out reporting templates and provide Insurer with
   information on applicability of reporting templates.
4. Reporting templates include 3 main areas of supervision:
   4.1) Financial statement reporting templates;
   4.2) Prudential supervision reporting templates; 4.3) Financial Conduct supervision reporting templates.
5. Financial statement reporting templates include:
   Template Annex No. Applicability
   INS100 - Balance Sheet Annex 1.1. Not applicable for Branches of Insurers incorporated outside AIFC INS100 - Balance Sheet for Branch Annex 1.2. Applicable only for Branches of Insurers incorporated outside AIFC INS200 - Statement of Comprehensive Income / Income Statement
   Annex 1.3. Not applicable for Branches of
   Insurers incorporated outside AIFC
   INS200 - Statement of Comprehensive
   Income / Income Statement for Branch
   Annex 1.4. Applicable only for Branches of
   Insurers incorporated outside AIFC
6. Prudential supervision reporting templates include:
   Template Annex No. Applicability
   INS111 - Analysis of Derivative Activities Annex 1.5. Not applicable for Branches of Insurers incorporated outside AIFC INS113 - Analysis of Investment Concentrations in Foreign Currency
   Annex 1.6. Not applicable for Branches of
   Insurers incorporated outside AIFC
   INS114 - Analysis of Investment
   Concentrations Risk
   Annex 1.7. Not applicable for Branches of
   Insurers incorporated outside AIFC
   INS210 - Supplementary Information Annex 1.8. Applicable both for AIFC￾Incorporated Insurer and Branches of Insurers incorporated outside AIFC INS300 - Calculation of Eligible Capital Annex 1.9. Not applicable for Branches of Insurers incorporated outside AIFC

INS310 - Calculation of Prescribed
Capital Requirement (PCR)
Annex 1.10. Not applicable for Branches of
Insurers incorporated outside AIFC and Captive Insurers INS320 - Calculation of Asset Risk Component
Annex 1.11. Not applicable for Branches of
Insurers incorporated outside AIFC and Captive Insurers INS330 - Calculation of Off-Balance Sheet Asset Risk Component
Annex 1.12. Not applicable for Branches of
Insurers incorporated outside AIFC and Captive Insurers INS340 - Calculation of Off-Balance Sheet Liability Risk Component
Annex 1.13. Not applicable for Branches of
Insurers incorporated outside AIFC and Captive Insurers INS350 - Calculation of Premium Risk Component
Annex 1.14. Not applicable for Branches of
Insurers incorporated outside AIFC
INS360 - Calculation of Technical
Provisions Risk Component
Annex 1.15. Not applicable for Branches of
Insurers incorporated outside AIFC
INS370 - Calculation of Long-Term
Insurance Risk Component
Annex 1.16. Not applicable for Branches of
Insurers incorporated outside AIFC
INS380 - Calculation of Insurance
Concentration Risk Component
Annex 1.17. Not applicable for Branches of
Insurers incorporated outside AIFC
INS400 - Statement of Reinsurance Annex 1.18. Applicable both for AIFC￾Incorporated Insurer and Branches of Insurers incorporated outside AIFC INS500 - Statement of Premium Information
Annex 1.19. Applicable both for AIFC￾Incorporated Insurer and Branches of
Insurers incorporated outside AIFC
INS600 - Statement of Technical
Provisions and Claims
Annex 1.20. Applicable both for AIFC￾Incorporated Insurer and Branches of
Insurers incorporated outside AIFC
INS610 - Statement of Changes in Long￾Term Business (Complete Annually Only)
Annex 1.21. Not applicable for Branches of
Insurers incorporated outside AIFC
INS700 - Statement of Intra-Group
Transactions
Annex 1.22. Not applicable for Branches of
Insurers incorporated outside AIFC
INS800 - Statement of Largest Clients Annex 1.23. Applicable both for AIFC￾Incorporated Insurer and Branches of Insurers incorporated outside AIFC INS900 - Information on Controllers Annex 1.24. Not applicable for Branches of Insurers incorporated outside AIFC INS301 – Calculation of Minimum Capital Requirement (MCR)
Annex 1.25. Not applicable for Branches of
Insurers incorporated outside AIFC
7. Financial Conduct supervision reporting templates include:
Template Annex No. Applicability
Staffing and Conduct Annex 2.1 Applicable both for AIFC￾Incorporated Insurer and Branches of Insurers incorporated outside AIFC

Chapter 3. Reporting rules
8. An Insurer must prepare and submit to the AFSA returns outlined in para.5, 6 and 7
made in thousand of USD with explanatory note disclosing key points of reports to be submitted, for following reports within submission periods outlined below:
8.1) annual returns within 4 months after reporting year ends; 8.2) biannual returns within 1 month after reporting period ends; 8.3) quarter returns within 1 month after reporting quarter ends;
9. If an AIFC Insurer breaches or expects to breach a prudential requirement set by the
AFSA or Financial Services Regulator in its jurisdiction of incorporation, it must immediately notify the AFSA and must give the AFSA copies of any relevant documents (including all relevant documents submitted to that Financial Services Regulator).
10. Reports outlined in para 5,6 and 7 of this Manual must be submitted to the AFSA by way
of official e-communication channels. The transmission should include scanned copies of signed reports and supporting documentation in Ms Excel.
Chapter 4. Conclusion
11. AIFC - Incorporated Insurers within a month period after approval of reports listed in
11.1) and 11.2), must submit reports of significant shareholders prepared in English language, if such reports are required to be created:
11.1) audited annual financial reports of significant shareholders; 11.2) annual report of significant shareholders, that includes information on business performance, implementation of strategic goals and other information about significant shareholders;
12. Branches of Insurers incorporated outside of AIFC within a month period after approval
of reports listed in 12.1), 12.2) and 12.3) must submit copies of reports Head Office Insurance Firm prepared in English language:
12.1) annual reports of its Head Office Insurance Firm; 12.2) audited annual financial reports of its Head Office Insurance Firm ; 12.3) Quarterly Financial Statements and Prudential reports required to be submitted to home financial services authority.
13. Information and reports outlined in para 11 and 12 of this Manual must be submitted to
AFSA by way of official e-communication channels.
14. AFSA by written Notice may extend the submission periods of returns.
15. AIFC- Incorporated Insurers and Branches of Insurers incorporated outside of AIFC
should be informed on amendments to this Manual within 10 working days after publication on the AFSA official website.

Annex. 1.1. Balance Sheet of Insurer
BALANCE SHEET OF INSURER INS100
Name:
Period Ending:
(All amounts rounded to nearest [USD]'000)
ASSETS LINE
NO.
INSURANCE Ltd or PLC
Reporting period
Reporting period -1
A B
Cash and balances 1
Cash in hand 2
Call Deposits 3
Term deposits < 3 months 4
Term deposits > 3 months 5
Premium Receivable 6
From unrelated entities 7
From associates and related parties 8
Less: Allowance for doubtful accounts 9
Reinsurance Receivable 10
Unrelated reinsurers - share of paid claims and other receivables/recoverable 10A Unrelated reinsurers - share of outstanding claims and IBNR 11 Unrelated reinsurers - share of unearned premiums 12 Related reinsurers - share of paid claims and other receivables / recoverables 12A Related or associated reinsurers - share of outstanding claims and IBNR 13 Related or associated reinsurers - share of unearned premium reserve 14 Less: Allowance for doubtful accounts 15 Deferred sales receivables (murabaha, salam, istisna'a) 16 Other Receivables 17 From unrelated parties 18 From associates and related parties 19 From directors, officers and/or employees 20 Less: Allowance for doubtful accounts 21 Short term negotiable securities 22 Negotiable Certificates of Deposit 23 Short-term government securities 24 Sukuk 25 Other 26 Less: Credit impairments 27 Investment and trading securities 28 Listed equities 29 Unlisted equities 30 Commodities 31 Sukuk 32 Other government and government-guaranteed securities 33 Other securities, loans or islamic investments 34 Other debt securities 35

Less: Impairment 36
Derivative financial instruments 37
Deferred acquisition costs 38
Other loans or Islamic investments 39
Mudaraba and Musharaka financing 40
Pledged Assets 41
Funds Withheld 42
Investment property 43
Investment in subsidiaries, associates or joint arrangements 44 Investment in subsidiary companies 45 Investment in associate companies 46 Investment in joint arrangements 47 Non-current assets held for sale 48 Intangible assets 49 Goodwill 50 Software and capitalised development costs 51 Other 52 Property, plant and equipment 53 Current income tax receivables 55 Deferred tax assets 56 Investments for account of holders of funds 57 Post-employment assets 60 Other assets 61 TOTAL ASSETS 63 LIABILITIES LINE NO. INSURANCE Ltd or PLC Reporting period Reporting period -1 A B Technical reserves - general insurance 64 Gross outstanding claims 65 Claims incurred but not reported 66 Premium deficiency reserve 67 Other technical reserves 68 Technical reserves - long-term insurance 69 Unearned premium reserve 70 Reinsurance balances payable 71 To unrelated reinsurers 72 To related or associated reinsurers 73 Accounts payable 73A Bank loans and mortgages 74 Derivative financial instruments 75 Term debt instruments 76 Qualifying as capital 77 Sukuk 78 Other 79 Dividends payable 80 Retirement benefit obligations 83 Current income tax liabilities 85

Deferred tax liabilities 86
Other intra-group liabilities 87
Investment contracts for holders of funds 90
Other liabilities 91
TOTAL LIABILITIES 93
Total equity attributable to equity holders 95 Share capital 96 Retained earnings 97 Accumulated foreign exchange reserves 98 Unrealized gains/losses on investments 99 Other reserves 100 Other distributable reserves 101 Other non-distributable reserves 102 Preferential shareholders 103 Non-controlling Interests 104 TOTAL SHAREHOLDER EQUITY 105 TOTAL EQUITY AND LIABILITIES 106 Analysis of Cash and Balances LINE NO. INSURANCE Ltd or PLC Reporting period Reporting period -1 A B Domestic Bank 107 of which: Inside AIFC 108 Foreign Bank 109 OFF-BALANCE SHEET ACTIVITIES COMMITMENTS AND CONTINGENCIES LINE NO. INSURANCE Ltd or PLC Reporting period Reporting period -1 A B Lending of securities or posting of securities as collateral 111 Committed capital expenditure 112 Operating lease commitments 113 Other contingencies and commitments 114 TOTAL 115 Instructions on Annex 1.1. template on Balance Sheet of Insurers to the Manual is aimed at reporting on assets, liabilities, shareholders’ equity with disclosure of each line. The Balance Sheet Report must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC for reporting quarter and quarter prior to reporting quarter. Name/ Position Signature Date Name/ Position Signature Date

Line 63. Total Assets – is total of the line 1. Cash and balances, line 6. Premium receivables, line
10. Reinsurance receivables, line 17. Other receivables, line 22. Short term negotiable securities,
line 28. Investment and trading securities, line 37. Derivative financial instruments, line 38. Deferred acquisition costs, line 39. Other loans or Islamic investments, line 41. Pledged assets, line 42. Funds withheld, line 43. Investment property, line 44. Investment in subsidiaries, associates or joint arrangements, line 48. Non-current assets held for sale, line 49. Intangible assets, line 53. Property, plant and equipment, line 55. Current income tax receivables, line 56. Deferred tax assets, line 57. Investments for account of holders of funds, line 60. Post￾employment assets and line 61. Other assets. Line 1 Cash and balances – is the total of line 2. Cash in hand, line 3. Call Deposits, line 4. Term deposits with yield-to-maturity less than 3 months and line 5. Term deposits with yield-to-maturity over 3 months; Line 6. Premium receivables – is the total of line 7. From unrelated entities, line 8. From associates and related parties and subtract line 9. Less: Allowance for doubtful accounts Line 10. Reinsurance receivables – is the total of line 10A. Unrelated reinsurers - share of paid claims and other receivables/recoverable, line 11. Unrelated reinsurers - share of outstanding claims and IBNR, line 12. Unrelated reinsurers -share of unearned premiums, line 12A. Related reinsurers - share of paid claims and other receivables / recoverables, line 13. Related or associated reinsurers - share of outstanding claims and IBNR, line 14. Related or associated reinsurers - share of unearned premium reserve and subtract line
15. Less: Allowance for doubtful accounts.
Line 17. Other receivables – is the total of line 18. From unrelated parties, line 19. From associates and related parties, line 20. From directors, officers and/or employees and subtract line 21. Less: Allowance for doubtful accounts. Line 22. Short term negotiable securities – is the total of line 23. Negotiable Certificates of Deposit, line 24. Short-term government securities, line 25. Sukuks, line 26. Other Short term negotiable securities and subtract the line 27. Less: Credit impairments. Line 28. Investment and trading securities – is the total of line 29. Listed equities, line 30. Unlisted equities, line 31. Commodities, line 32. Sukuks, Line 33. Other government and government-guaranteed securities, line 35. Other debt securities and subtract the line 36. Less: Impairment. Line 44. Investment in subsidiaries, associates or joint arrangements – is the total of line
45. Investment in subsidiary companies, line 46. Investment in associate companies and
line 47. Investment in joint arrangements.
Line 49. Intangible assets – is the total of the line 50. Goodwill, line 51. Software and capitalised development costs and line 52. Other Intangible assets. Line 106. Total Equity and Liabilities – is the total of line 93. Total Liabilities and line 105. Total Shareholder Equity.

Line 93. Total Liabilities – is the total of line 64. Technical reserves - general insurance, line 69. Technical reserves - long-term insurance, line 70. Unearned premium reserve, line
71. Reinsurance balances payable, line 73A. Accounts payable, line 74. Bank loans and
mortgages, line 75. Derivative financial instruments, line 76. Term debt instruments, line
80. Dividends payable, line 83. Retirement benefit obligations, line 85. Current income
tax liabilities, line 86. Deferred tax liabilities, line 87. Other intra-group liabilities, line 90. Investment contracts for holders of funds and line 91. Other liabilities Line 64. Technical reserves - general insurance – is the total of line 65. Gross outstanding claims, line 66. Claims incurred but not reported, line 67. Premium deficiency reserve and 68. Other technical reserves. Line 71. Reinsurance balances payable – is the total of line 72. Reinsurance balances payable to unrelated reinsurers and line 73. Reinsurance balances payable to related or associated reinsurers. Line 76. Term debt instruments - is the total of line 77. Qualifying as capital, line
78. Sukuk and line 79. Other term debt instruments
Line 105. Total shareholder equity – is the total of line 95. Total equity attributable to equity holders, line 103. Preferential shareholders and line 104. Non-controlling Interests. Line 95. Total equity attributable to equity holders – is the total of line 96. Share capital, line 97. Retained earnings, line 98. Accumulated foreign exchange reserves, line 99. Unrealized gains/losses on investments and line 100. Other reserves (includes line 101. Other distributable reserves and line 102. Other non-distributable reserves). The total of line 107. Cash and Balances placed in Domestic Bank (incl. line 108. Cash and Balances placed in Banks inside AIFC) and line 109. Cash and Balances placed in Foreign Bank of Analysis of Cash and Balances is equal to the line 1. Cash and balances of Assets. Line 115. Total off-balance sheet activities – is the total of the line 111. Lending of securities or posting of securities as collateral, line 112. Committed capital expenditure, line 113. Operating lease commitments and line 114. Other contingencies and commitments.

Annex. 1.2. Balance Sheet of Branch of
Insurer incorporated outside of AIFC
BALANCE SHEET OF BRANCH OF INSURER INCORPORATED OUTSIDE OF AIFC INS100 Name:
Period Ending:
(All amounts rounded to nearest [USD]’000)
ASSETS LINE
NO.
INSURANCE -Branch
(Company level)
Reporting period
Reporting period -1
C D
Cash and balances 1
Premium Receivable 6
Reinsurance Receivable 10
Other Receivables 17
Short term negotiable securities 22
Investment and trading securities 28
Deferred acquisition costs 38
Other loans or Islamic investments 39
Pledged Assets 41
Funds Withheld 42
Investment property 43
Investment in subsidiaries, associates or joint arrangements 44 Intangible assets 49 Property, plant and equipment 53 Current and deferred tax asset 54 Investments for account of holders of funds 57 Other assets 61 TOTAL ASSETS 63 LIABILITIES LINE NO. INSURANCE -Branch (Company level) Reporting period Reporting period -1 C D Technical reserves - general insurance 64 Technical reserves - long-term insurance 69 Unearned premium reserve 70 Reinsurance balances payable 71 Accounts payable 73A Term debt instruments 76 Current and deferred tax liabilities 84 Investment contracts for holders of funds 90 Other liabilities 91

Head Office Accounts 92
TOTAL LIABILITIES 93
Instructions on Annex 1.2. template on Balance Sheet of Branch of Insurer incorporated outside of AIFC to the Manual is aimed at reporting on assets and liabilities with disclosure of each line. The Balance Sheet of Branch of Insurer incorporated outside of AIFC must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC for reporting quarter and quarter prior to reporting quarter. Line 63. Total Assets – is the total of the line 1. Cash and balances, line 6. Premium Receivable, line 10. Reinsurance Receivable, line 17. Other Receivables, line 22. Short term negotiable securities, line 28. Investment and trading securities, line 38. Deferred acquisition costs, line 39. Other loans or Islamic investments, line 41. Pledged Assets, line 42. Funds Withheld, line 43. Investment property, line 44. Investment in subsidiaries, associates or joint arrangements, line
49. Intangible assets, line 53. Property, plant and equipment, line 54. Current and deferred tax
asset, line 57. Investments for account of holders of funds and line 61. Other Assets. Line 93. Total Liabilities – is the total of line 64. Technical reserves - general insurance, line 69. Technical reserves - long-term insurance, line 70. Unearned premium reserve, line 71. Reinsurance balances payable, line 73A. Accounts payable, line 76. Term debt instruments, line
84. Current and deferred tax liabilities, line 90. Investment contracts for holders of funds, line 91.
Other Liabilities and line 92. Head Office Accounts.
Line 92. Head Office Accounts – is the total of liabilities of Branch of Insurer incorporated outside of AIFC which has characteristics of Equity Share Capital (e.g. working capital) and adjuster due to the financial results of a branch. Name/ Position Signature Date Name/ Position Signature Date

Annex. 1.3. Income Statement of Insurer
INCOME STATEMENT OF INSURER INS200
Name:
Period Ending:
(All amounts rounded to nearest [USD]’000)
DESCRIPTION Line no.
INSURANCE Ltd or PLC
Reporting period since the beginning of the year Reporting period -1 since the beginning of the year Total A B Gross premiums written 1 Less: Reinsurance premiums ceded 2 Net premiums written 3 Change in Net unearned premiums 4 Net premiums earned 5 Fee income 6 Commission income 7 Other operating income 9 Total Insurance Income 10 Loss and loss adjustment expenses 14 Gross claims paid 15 Less: reinsurance share of gross claims paid 16 Outstanding claims adjustment - gross 17 Less: Outstanding claims adjustment – reinsurance share 18 Policyholder benefits and claims (long-term insurance) 19 Commission, brokerage expenses, and acquisition costs 20 Staff costs 22 Computer processing 23 Communication and travel 24 Occupation and accommodation 25 Marketing 26 Professional fees 27 Office equipment and consumables 28 Auditors' remuneration 29 Other operating expenses 31 Total Insurance Expenses 36 Underwriting profit/(loss) 37 Investment income Interest income 38 Dividend income - from subsidiary and associate companies 40 Dividend income - other 41 Fair value gains and losses through profit and loss 42 Profit / (loss) on sale of available-for-sale assets 43 Other realized gain/(loss) on sale of investments 44 Rental Income 46

Other investment income 47
Less: investment expenses 48
Net Investment Income 51
Operating profit from ordinary activities 56
Intangibles (impairment/realisation) 59
Impairment of investments 60
Impairment of other capital items 61
Share of profit / (loss) of associates and joint ventures 62 Profit (loss) before taxation 64 Tax on profit / (recoverable) 65 Profit / (loss) for the period 66 Attributable to:
Equity holders of the company 69
Preference shareholders and minority shareholders 70 Instructions on Annex 1.3. template on Income Statement of Insurers to the Manual is aimed at reporting on profits and losses. The Income Statement of Insurers must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC for reporting quarter since the beginning of the year and quarter prior to reporting quarter since the beginning of the year. Line 66. Profit / (loss) for the period – is line 65. Tax on profit / (recoverable) subtracted out of line 64. Profit (loss) before taxation. Line 65. Tax on profit / (recoverable) – is the taxes on profits recorded in compliance with the International Financial Reporting standards and requirements of the AIFC on taxation. Line 64. Profit (loss) before taxation – is the total of line 56. Operating profit from ordinary activities, line 59. Intangibles ((impairment)/realisation), line 60. (Impairment) of investments, line 61. Impairment of other capital items and line 62. Share of profit / (loss) of associates and joint ventures. Line 56. Operating profit from ordinary activities – is the total of line 37. Underwriting profit/(loss) and line 51. Net Investment Income. Line 37. Underwriting profit/(loss) – is the line 36. Total Insurance Expenses subtracted from line 10. Total Insurance Income. Line 10. Total Insurance Income – is the total of line 5. Net premiums earned, line 6. Fee income, line 7. Commission income and line 9. Other operating income. Name/ Position Signature Date Name/ Position Signature Date

Line 5. Net premiums earned – is the line 4. Change in unearned premiums subtracted from line 3. Net premium written. Line 4. Change in Net unearned premiums – Net unearned premiums on the beginning of reporting period subtracted from Net unearned premiums for the end of reporting period Line 3. Net premiums written – is the line 1. Gross premiums written with subtracted line 2. Less:
Reinsurance premiums ceded.
Line 36. Total Insurance Expenses – is the total of line 14. Loss and loss adjustment expenses, line 19. Policyholder benefits and claims (long-term insurance), line 20. Commission, brokerage expenses, and acquisition costs, line 22. Staff costs, line 23. Computer processing, line 24. Communication and travel, line 25. Occupation and accommodation, line 26. Marketing, line 27. Professional fees, line 28. Office equipment and consumables, line 29. Auditors' remuneration and line 31. Other operating expenses. Line 51. Net Investment Income – is the total of line 38. Interest income, line 40. Dividend income - from subsidiary and associate companies, line
41. Dividend income – other, line 42. Fair value gains and losses through
profit and loss, line 43. Profit / (loss) on sale of available-for-sale assets, line 44. Other realized gain/(loss) on sale of investments, line 46. Rental Income, line 47. Other investment income with subtracted line 48. Less:
investment expenses.

Annex. 1.4. Income Statement of Branch of
Insurer incorporated outside of AIFC
INCOME STATEMENT OF BRANCH OF INSURER INCORPORATED OUTSIED OF AIFC INS200 Name:
Period Ending:
(All amounts rounded to nearest [USD]’000)
DESCRIPTION Line no.
INSURANCE-Branch
(Company level)
INSURANCE-Branch level
Reporting period since the beginning of the year Reporting period -1 since the beginning of the year Reporting period since the beginning of the year Reporting period -1 since the beginning of the year C D E F Gross premiums written 1 Less: Reinsurance premiums ceded 2 Net premiums written 3 Change in unearned premiums 4 Net premiums earned 5 Fee income 6 Commission income 7 Other operating income 9 Total Insurance Income 10 Loss and loss adjustment expenses 14 Gross claims paid 15 Less: reinsurance share of gross claims paid 16 Outstanding claims adjustment - gross 17 Less: Outstanding claims adjustment – reinsurance share 18 Policyholder benefits and claims (long-term insurance) 19 Commission, brokerage expenses, and acquisition costs 20 General and administration expenses 21 Staff costs 22 Computer processing 23 Communication and travel 24 Occupation and accommodation 25 Marketing 26 Professional fees 27 Office equipment and consumables 28 Auditors' remuneration 29 Allocation of expenses from head office 30 Other operating expenses 31 Total Insurance Expenses 36 Underwriting profit/(loss) 37 Investment income Interest income 38 Other investment income 47

Less: investment expenses 48
Net Investment Income 51
Operating profit from ordinary activities 56
Other income / (expenses) 57
Reimbursement of expenses from head office 58
Profit (loss) before taxation 64
Tax on profit / (recoverable) 65
Profit / (loss) for the period 66
Instructions on Annex 1.4. template on Income Statement of Branch of Insurers incorporated outside of AIFC to the Manual is aimed at reporting on profits and losses. The Income Statement of Branch of Insurers incorporated outside of AIFC must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC for reporting quarter since the beginning of the year and quarter prior to reporting quarter since the beginning of the year for the branch level and company level. Line 66. Profit / (loss) for the period – is line 65. Tax on profit / (recoverable) subtracted of line
64. Profit (loss) before taxation
Line 65. Tax on profit / (recoverable) - is the taxes on profits recorded in compliance with the International Financial Reporting standards and requirements of the AIFC on taxation. The line 64. Profit (loss) before taxation – is the total of line 56. Operating profit from ordinary activities and 57. Other income / (expenses). Line 56. Operating profit from ordinary activities – is the total of line 37. Underwriting profit/(loss) and line 51. Net Investment Income. Line 37. Underwriting profit/(loss) – is line 36. Total Insurance Expenses subtracted of line 10. Total Insurance Income Line 10. Total Insurance Income – is the total of line 5. Net premiums earned, line 6. Fee income, line 7. Commission income and line 9. Other operating income. Line 5. Net premiums earned – is the total of line 3. Net premiums written and line 4. Change in unearned premiums Line 3. Net premiums written – is line 2. Less:
Reinsurance premiums ceded subtracted of line 1.
Gross premiums written
Line 51. Net Investment Income – is line 48. Less: investment expenses subtracted of the total of line 38. Investment Interest income and line 47. Other investment income. Line 57. Other income / (expenses) – is the total of incomes / (expenses) other than mentioned in lines 1 – 56 of a Template. Name/ Position Signature Date Name/ Position Signature Date

Annex. 1.5. Analysis of Derivative Activities
ANALYSIS OF DERIVATIVE ACTIVITIES INS111
Name:
Period Ending:
(All amounts rounded to nearest [USD]’000)
DERIVATIVES Line no.
Interest Rate Contracts Equity Contracts Other Derivative Contracts Foreign Exchange Contracts (incl. Gold) Commodity Contracts (excl. Gold) Turn-over Notional Principal Amount Fair Value (Asset) Fair Value (Liab.) Turn-over Notional Principal Amount Fair Value (Asset) Fair Value (Liab.) Turn-over Notional Principal Amount Fair Value (Asset) Fair Value (Liab.) Turn-over Notional Principal Amount Fair Value (Asset) Fair Value (Liab.) Turn-over Notional Principal Amount Fair Value (Asset) Fair Value (Liab.) A B C D E F G H I J K L M N O P Q R S T Totals 1 Exchange-traded derivatives 2 Over-The-Counter Derivatives 3 Forwards 4 Swaps 5 Bought options 6

• Puts 7
• Calls 8
  Written options 9
• Puts 10
• Calls 11
  Credit derivatives - bought protection 12
  Credit derivatives - sold protection 13
  Other 14 of which: OTC derivatives with 15
• Parent entity 16
• Controlled entities 17
• Associates / joint arrangements 18
• Other related parties 19
  Name/ Position Signature Date
  Name/ Position Signature Date

Instructions on Annex 1.5. template on Analysis of Derivative Activities of Insurers to the Manual is aimed at reporting on derivative activities. The Analysis of Derivative Activities of Insurers must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC for the Actual balances at period-end. The Analysis of Derivative Activities must be reported on contracts on Interest Rate, Equity, Other Derivative not mentioned in a line, Foreign Exchange (including Gold) and Commodity (excluding Gold) with an information on Turnover, Notional Principal Amount, Fair Value (Assets) and Fair Value (Liabilities). Line 1. Totals – is the total of line 2. Exchange-traded derivatives and line 3. Over-The-Counter Derivatives. Line 3. Over-The-Counter Derivatives – is the total of line 4. Forwards, line 5. Swaps, line 6. Bought options, line 9. Written options, line 12. Credit derivatives- bought protection, line 13. Credit derivatives - sold protection and line 14. Other Over-the-counter derivatives. Line 6. Bought options – is the total of line 7. Bought Put Options and line 8. Bought Call Options Line 9. Written options – is the total of line 10. Written Put Options and line 11. Bought Call Options. Line 14. Other Over-The-Counter Derivatives – is Over-The-Counter Derivatives other than derivatives mentioned in the line 1-13 of the template on Analysis of Derivative Activities with clarification in line 15. Line 15. of which: OTC derivatives with – other over-the-counter derivatives with line 16. Parent line, line 17. Controlled entities, line 18. Associates / joint arrangements and line 19. Other related parties

Annex. 1.6. Analysis of Investment Concentrations in Foreign Currency
ANALYSIS OF INVESTMENT CONCENTRATIONS IN FOREIGN CURRENCY INS113 Name:
Period Ending:
(All amounts rounded to nearest [USD]’000)
NET OPEN POSITION IN FOREIGN CURRENCY
Items denominated in foreign currencies Line no.
USD KZT USD￾pegged EUR GBP CHF JPY INR RUB RMB Add Currency Total Foreign Currency Assets1 1 Cash and balances 2 Short term negotiable securities 3 Premiums receivable 4 Reinsurance receivable 5 Debt securities 6 Commodities 7 Equity investments 8 Other assets 9 Foreign Currency Liabilities 10 Technical provisions / Policyholder liabilities 11 Reinsurance payable 12 Bank loans and mortgages 13 Term debt instruments 14 Other liabilities 15 Total equity attributable to equity holders 16 Preference shareholders 17 Total Equity and Liabilities 18 Net position on foreign currency instruments 19 Principal of financial derivative contracts in a bought position 20 Of which: options in a bought position 21 Principal of financial derivative contracts in a sold position 22 Of which: options in a sold position 23 Net open position on foreign exchange for on-balance sheet items (excluding own equity) 24 Net receipts not yet accrued but fully hedged 25 Net payments not yet accrued but fully hedged 26 Guarantees (and similar instruments) that are certain to be called and likely to irrevocable 27

Other exposures 28
Total net open position in foreign exchange (excluding own equity) 29 Total net open position in foreign exchange 30 Include pledged assets in applicable categories Instructions on Annex 1.6. template on Analysis of Investment Concentrations in Foreign Currency to the Manual is aimed at reporting on investment net open position. The Analysis of Investment Concentration in Foreign Currency must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC for the Actual balances at period-end segregated in different types of foreign currencies. Line 30. Total net open position in foreign exchange – is line 16. Total equity attributable to equity holders and line 17. Preference shareholders subtracted of line 29. Total net open position in foreign exchange (excluding own equity) Line 29. Total net open position in foreign exchange (excluding own equity) – is the total of line 24. Net open position on foreign exchange for on-balance sheet items (excluding own equity), line 25. Net receipts not yet accrued but fully hedged, line 26. Net payments not yet accrued but fully hedged, line 27. Guarantees (and similar instruments) that are certain to be called and likely to irrevocable and line 28. Other exposures. Name/ Position Signature Date Name/ Position Signature Date

Annex. 1.7. Analysis of Investment Concentrations Risk
ANALYSIS OF INVESTMENT CONCENTRATIONS RISK INS114 Name:
Period Ending:
(All amounts rounded to nearest [USD]’000)
Investment Concentration Risk - 5 largest exposures to unrelated parties Line no. On-balance sheet exposure Off-balance sheet exposure Total (Col A + B) Counterparty A B C 1 1 2 2 3 3 4 4 5 5 Total 6 Add Country Investment concentration risk - Geographical distribution Line no. On-balance sheet exposure Off-balance sheet exposure Total (Col A + B) Total impairment A B C D Total 7 Country 1 8 Country N … Instructions on Annex 1.7. template on Analysis of Investment Concentrations Risk to the Manual is aimed at reporting on investments concentrations risk. The Analysis of Investment Concentrations Risk must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC. Line 6. Total Investment Concentration Risk - 5 largest exposures to unrelated parties – is total of Investment Concentration Risk – 5 largest exposures to unrelated parties recorded in On-Balance (column A) in line 1-5 and Off-Balance (column B) Sheet Exposures in lines 1-5. resulted in column C Total. Line 1 – 5. – counterparties with the top 5 largest exposures to unrelated parties On-Balance (column A) and Off-Balance (Column B) Sheet Exposures and resulted column A and column B in total in column C Total. Line 7. Total of Investment concentration risk - Geographical distribution – is the total of On￾Balance and Off-Balance Sheet Exposures by countries specified in lines below. The total of a country is in column C. and column D shows the total impairment of the exposure country by country. Name/ Position Signature Date Name/ Position Signature Date

Annex. 1.8. Supplementary Information
SUPPLEMENTARY INFORMATION INS210
Name:
Period Ending:
(All amounts rounded to nearest [USD]’000)
Line no.
Current quarter
A
The current cash balance held in Kazakhstan bank accounts for use by the branch 1 Value of any other liquid assets held and for use by the branch 2 The company's current capital requirement in their home jurisdiction (if more than one test is used to determine the minimum capital requirement list the highest amount) The amount by which the company exceeds the home jurisdiction's capital requirement, net of any deductions required by the home jurisdiction 4 Amount of any Dividends, and other distributions, declared or paid during the period 5 Staffing Number of staff resident in Kazakhstan 6 Number of agents in Kazakhstan 7 Number of staff that do significant work for AIFC entity that are not resident in Kazakhstan 8 Complaints - to be completed if the firm does business with commercial or retail customers Current quarter Current year to date A B Number of complaints from commercial or retail customers received over the reporting period 9 Number of complaints from retail customers referred to the [XXX] 9A Number of complaints by category: A B Advising, selling and arranging 10 General admin or customer service, including delays 11 Price, terms, coverage or disputed sums or charges 12 Arrears-related 13 Denial of claim 14 Complaints about third-party providers (for example, third party administrators) 15 Unauthorised transaction 16 Other 17 Number of complaints by line of business: A B Accident 18 Sickness 19 Land vehicles 20 Railway rolling stock 21 Aircraft 22

Ships 23
Goods in transit 24
Fire and natural forces 25
Damage to property 26
Motor vehicle liability 27
Aircraft liability 28
Liability of ships 29
General liability 30
Credit 31
Suretyship 32
Miscellaneous financial loss 33
Legal expenses 34
Assistance 35
Space 36
Space liabilities 37
Life and annuity 35
Marriage and birth 36
Linked long-term 37
Permanent health 38
Instructions on Annex 1.8. template on Supplementary Information to the Manual is aimed at reporting on Insurers’ business. Supplementary Information Report contains short overview on Capital Requirements and Liquid Assets, Staffing and Analysis of Complaints received. Short overview of Analysis of Complaints received includes analysis by related categories of complaints and line of business of Insurers. Name/ Position Signature Date Name/ Position Signature Date

Annex. 1.9. Calculation of Eligible Capital
CALCULATION OF ELIGIBLE CAPITAL INS300
Name:
Period Ending:
(All amounts rounded to nearest [USD]’000)
DESCRIPTION Line no. A B C D
Tier One Capital
Permanent Share Capital 1
Share Premium Account 2
Capital redemption reserves 3
Accumulated unrealised profits net of accumulated unrealised losses 4 Any other item(s) or reserve(s) approved by the AFSA 5 Total Tier One Capital 6 Tier Two Capital Item(s) or reserve(s) approved by the AFSA 7 Total Tier Two Capital 8 Total Tier One Capital plus Tier Two Capital 9 Deductions from Tier One and Tier Two Capital:
Investments in own shares 10
Investments in subsidiaries and associates 11
Connected lending of a capital nature 12
Any interim losses incurred in the financial year 13 Intangible assets 14 Tangible fixed assets 15 Deferred acquisition costs 16 Deferred tax assets that rely on future profitability 17 Deficiencies of net assets in subsidiaries 18 Any investment by a subsidiary in the firm's own shares 19 Investments in other insurers or financial institutions 20 Any other deductible amount(s) as directed by the AFSA 21 Total deductions from Tier One and Tier Two Capital 22 Total Eligible Capital 23 Instructions on Annex 1.9. template on Calculation of Eligible Capital to the Manual is aimed at reporting on calculation of capital requirements and eligible capital. The Analysis of Investment Concentrations Risk must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC. Line 23. Total Eligible Capital – is line 9. Total Tier One Capital plus Tier Two Capital subtracted of line 22. Total deductions from Tier One and Tier Two Capital and resulted in column D. Line 9. Total Tier One Capital plus Tier Two Capital – is the total of line 6. Total Tier One Capital resulted in column B. and line 8. Total Tier Two Capital resulted in column C. Name/ Position Signature Date Name/ Position Signature Date

Line 6. Total Tier One Capital – is the total of line 1. Permanent Share Capital, line 2. Share Premium Account, line 3. Capital redemption reserves, line 4. Accumulated unrealised profits net of accumulated unrealised losses. Line 22. Total deductions from Tier One and Tier Two Capital – is the total of line 10. Investments in own shares, line 11. Investments in subsidiaries and associates, line 12. Connected lending of a capital nature, line 13. Any interim losses incurred in the financial year, line 14. Intangible assets, line 15. Tangible fixed assets, line 16. Deferred acquisition costs, line 17. Deferred tax assets that rely on future profitability, line 18. Deficiencies of net assets in subsidiaries, line 19. Any investment by a subsidiary in the firm's own shares, line 20. Investments in other insurers or financial institutions.

Annex. 1.10. Calculation of Prescribed
Capital Requirements (PCR)
CALCULATION OF PRESCRIBED CAPITAL REQUIREMENT (PCR) INS310 Name:
Period Ending:
(All amounts rounded to nearest [USD]’000)
Type of Insurance Firm 1
Capital Floor
Paid up share capital
Amount Paid up share capital is > Capital Floor Capital Floor x 75% Shareholders’ funds Amount Shareholders’ funds is > Capital Floor x 75% MINIMUM CAPITAL REQUIREMENT 2 Amount Eligible Capital is > Minimum Capital Requirement PRESCRIBED CAPITAL REQUIREMENT A B C D Investment Risk Requirement Asset Risk Component 3 (Form INS 320) Off-balance Sheet Asset Risk Component 4 (Form INS 330) Off-balance Sheet Liability Risk Component 5 (Form INS 340) Total Investment Risk Requirement 6 Insurance Risk Requirement Premium Risk Component 7 (Form INS 350) Technical Provisions Risk Component 8 (Form INS 360) Long-Term Insurance Risk Component 9 (Form INS 370) Insurance Concentration Risk Component 10 (Form INS 380) Total Insurance Risk Requirement 11 Operational Risk Requirement greater of:
GWP in the last 12 months 12 2,00%
Gross technical provisions 13 2,00% but maximum ORR is capped at: 14 Total Operational Risk Requirement 15 TOTAL RISK BASED CAPITAL REQUIREMENT 16 Capital Requirement Using an Approved Internal Model (if applicable) 17 MINIMUM CAPITAL REQUIREMENT x 150% 18

ELIGIBLE CAPITAL (from form INS300) 19
PRESCRIBED CAPITAL REQUIREMENT
Amount Eligible Capital is > Prescribed Capital Requirement 20 Instructions on Annex 1.10. template on Calculation of Prescribed Capital Requirement (PCR) to the Manual is aimed at reporting on capital requirements. The Calculation of Prescribed Capital Requirement must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC. Line 2. Minimum Capital Requirement – depends on the type of insurance or reinsurance firms by the requirements of PINS. Line 3. Asset Risk Component – is linked with the column C. Capital Charge of line 41. Total Asset Risk Component at the template on Calculation of Asset Risk Component (annex 1.11.). Line 4. Off-balance Sheet Asset Risk Component – is linked with the column D. Asset equivalent value multiplied by asset risk component of line 21. Total Off-Balance Sheet Asset Risk Component at the template on Calculation of Off-Balance Sheet Asset Risk Component (Annex 1.12.). Line 5. Off-balance Sheet Liability Risk Component – is linked with the column H. Total Risk of line Total Off-Balance Sheet Liability Risk Component at the template on Calculation of Off-Balance Sheet Liability Risk Component (Annex 1.13.). Line 6. Total Investment Risk Requirement – is the total of line 3. Asset Risk Component, line 4. Off-balance Sheet Asset Risk Component and line 5. Off-balance Sheet Liability Risk Component. Line 7. Premium Risk Component – is linked with the column D. of line 50. Total Premium Risk Component at the template on Calculation of Premium Risk Component (Annex 1.14.) Line 8. Technical Provisions Risk Component – is linked with the column D. of the line 49. Total Technical Provisions Risk Component at the template on Calculation of Technical Provisions Risk Component (Annex 1.15.). Line 9. Long-Term Insurance Risk Component – is linked with the column F. Capital at Risk of the line 7. Total Long Term Insurance Risk Component at the template on Calculation of Long Term Insurance Risk Component (Annex 1.16.). Line 10. Insurance Concentration Risk Component – is linked with the column C. of the line 6. Total Insurance Concentration Risk Component at the template on Calculation of Insurance Concentration Risk Component (Annex 1.17.). Line 11. Total Insurance Risk Requirement – is the total of the line 7. Premium Risk Component, line 8. Technical Provisions Risk Component, line 9. Long-Term Insurance Risk Component and line 10. Insurance Concentration Risk Component. Name/ Position Signature Date Name/ Position Signature Date

Line 12. GWP in the last 12 months – the amount of an AIFC- Incorporated Insurer’s Operational Risk Requirements is 2% of whichever is the higher of the AIFC-Incorporated Insurer’s gross written premiums in the 12 months ending on the Solvency Reference Date. Column B. 2% times column A. resulted in column C. ((a) (1) 2.4. Operational Risk Requirement of the PINS). Line 13. Gross technical provisions - the amount of an AIFC- Incorporated Insurer’s Operational Risk Requirements is 2% of whichever is the higher of its technical provisions (without deduction for reinsurance) as at the Solvency Reference Date. Column B. 2% times column A. and resulted in column C. ((b) (1) 2.4. Operational Risk Requirement of the PINS) Line 14. but maximum ORR is capped at: - if the amount calculated under subrule (1) 2.4. Operational Risk Requirements of the PINS is more than a ceiling, calculated as ((2) 2.4. Operational Risk Requirement of the PINS):
((Line 6. Total Investment Risk Requirement) + (line 11. Total Insurance Risk Requirement)) X (0,15/0,85) Line 15. Total Operational Risk Requirements – is the maximum of line 12. GWP in the last 12 months and line 13. Gross technical provisions and maximum is caped at line 14. but maximum ORR is capped at. Line 16. Total Risk Based Capital Requirement – is total of line 6. Total Investment Risk Requirement, line 11. Total Insurance Risk Requirement and line 15. Total Operational Risk Requirement. Line 18. Minimum Capital Requirement x 150% - is maximum of line 2. Minimum Capital Requirement, line 16. Total Risk Based Capital Requirement and line 17. Capital Requirement Using an Approved Internal Model (if applicable). Line 19. Eligible Capital (from form INS300) – is linked with column D. of line 23. Total Eligible Capital at reporting template on Calculation of Eligible Capital (Annex 1.9.). Line 20. Amount Eligible Capital is > Minimum Capital Requirement – is line 18. Minimum Capital Requirement subtracted of line 19. Eligible Capital (from form INS300) .

Annex. 1.11. Calculation of asset Risk
Component
CALCULATION OF ASSET RISK COMPONENT INS320
Name:
Period Ending:
(All amounts rounded to nearest [USD]’000)
Non-Reinsurance Assets
Asset
Line no.
('000) Risk
Factor
Capital
Charge
A B C
Cash 1 0,50% grade 1 sovereign debt 2 0,50% bonds that mature, or are redeemable, in less than 1 year with a counterparty rating of grade 1 or 2 (excluding subordinated debt and government debt obligations dealt with anywhere else in this table) 1,00% Cash management trusts with a counterparty rating of Grade 1 or 2 4 1,00% Unpaid premiums due 6 months or less previously from a counterparty with a rating of grade 1, 2 or 3. Bonds that mature, or are redeemable, in 1 year or more with a counterparty rating of grade 1 or 2 (excluding subordinated debt and government debt obligations dealt with anywhere else in this table) 2,00% Unpaid premiums due 6 months or less previously from an unrated counterparty or a counterparty with a rating of grade 4 or 5 6 4,00% bonds with a counterparty rating of grade 3 (excluding subordinated debt) 7 4,00% Cash management trusts with a counterparty rating of Grade 3 8 4,00% secured loans 9 4,00% bonds with a counterparty rating of grade 4 (excluding subordinated debt) 10 6,00% Unpaid premiums due more than 6 months previously from a counterparty with a rating of grade 1, 2 or 3 Cash management trusts with a counterparty rating of Grade 4 6,00% bonds with a counterparty rating of grade 5 (excluding subordinated debt) 12 8,00% Unpaid premiums due more than 6 months previously from an unrated counterparty or a counterparty with a rating of grade 4 or 5 13 8,00% Cash management trusts with a counterparty rating of Grade 5 14 8,00% Listed subordinated debt 15 8,00% Unlisted subordinated debt 16 10,00% preference shares 17 10,00% Listed equity instruments 18 16,00% Listed trusts 19 16,00% Direct holdings of real estate 20 20,00% Unlisted equity instruments 21 20,00% Unlisted trusts 22 20,00% other non-reinsurance assets not mentioned in this table 23 20,00% Loans to directors of the insurer or directors of related corporate bodies or dependent relatives of such directors 24 100,00% unsecured loans to employees (except loans of less than 3600) 25 100,00% assets subject to a fixed or floating charge 26 100,00% Asset Risk Component of Non-reinsurance Assets 27

Reinsurance assets—reinsurer supervised by subrule (2) regulator Asset Line no. ('000) Risk Factor Capital Charge A B C reinsurance assets due from reinsurers with a counterparty rating of grade 1 28 1,00% reinsurance assets due from reinsurers with a counterparty rating of grade 2 29 2,00% reinsurance assets due from reinsurers with a counterparty rating of grade 3 30 4,00% reinsurance assets due from reinsurers with a counterparty rating of grade 4 31 6,00% reinsurance assets due from reinsurers with a counterparty rating of grade 5 32 8,00% Asset Risk Component of Reinsurance Assets - reinsurers supervised by subrule (2) regulator 33 Reinsurance assets—reinsurer not supervised by subrule (2) regulator Asset Line no. ('000) Risk Factor Capital Charge A B C reinsurance assets due from reinsurers with a counterparty rating of grade 1 34 1,20% reinsurance assets due from reinsurers with a counterparty rating of grade 2 35 2,40% reinsurance assets due from reinsurers with a counterparty rating of grade 3 36 4,80% reinsurance assets due from reinsurers with a counterparty rating of grade 4 37 7,20% reinsurance assets due from reinsurers with a counterparty rating of grade 5 38 9,60% Asset Risk Component of Reinsurance Asssets - reinsurers not supervised by subrule (2) regulator 39 Total Asset Risk Component of Reinsurance Assets 40 TOTAL ASSET RISK COMPONENT 41 Instructions on Annex 1.11. template on Calculation of Asset Risk Component to the Manual is aimed at reporting on calculation of asset risk component of Investment Risk Requirement. The Calculation of Asset Risk Component of Investment Risk Requirement must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC. Lines 1 – 27. are related with Non-Reinsurance Assets. Line 1 – 26. Capital Charge of risk weighted assets. Capital Charge (column C.) is calculated by assets exposure types (Column A.) multiplied by it risk factor (Column B.) given in the template. Line 27. Total Capital Charge – is the total of column D. Assets Capital Charge of lines 1 – 26. Lines 28 – 33. Are related with Reinsurance assets—reinsurer supervised by subrule (2) PINS regulator. Line 28 – 32. Capital Charge or risk weighted assets. Capital Charge (Column C.) is calculated by assets exposure types (Column A.) multiplied by it risk factors (Column B.) given in the template. Name/ Position Signature Date Name/ Position Signature Date

Line 33. Total Capital Charge – is the total of column D. Assets Capital Charge of lines 28 – 32. Lines 34 - 39. are related with Asset Risk Component of Reinsurance Assets - reinsurers not supervised by subrule (2) PINS regulator. Lines 34-38. Capital Charge or risk weighted assets. Capital Charge (Column C.) is calculated by assets exposure types (Column A.) multiplied by it risk factors (Column B.) given in the template. Line 39. Total Capital Charge – is the total of column D. Assets Capital Charge of lines 34 - 38. Line 40. Total Asset Risk Component of Reinsurance Assets – is total of capital charges at line 33. Asset Risk Component of Reinsurance Assets - reinsurers supervised by subrule (2) regulator and line 39. Asset Risk Component of Reinsurance Assets - reinsurers not supervised by subrule (2) regulator. Line 41. Total Asset Risk Component – is the total of capital charges at line Asset Risk Component of Non-reinsurance Assets and line 40. Total Asset Risk Component of Reinsurance Assets.

Annex. 1.12. Calculation of Off Balance Sheet
Asset Risk Component
CALCULATION OF OFF BALANCE SHEET ASSET RISK COMPONENT INS330 Name:
Period Ending:
(All amounts rounded to nearest [USD]’000)
Line no.
Risk
Weight
%
Asset equivalent value multiplied by asset risk component A B C D Interest Rate Contracts Residual maturity < 1 year 1 0,00% Residual maturity 1-5 years 2 0,50% Residual maturity > 5 years 3 1,50% Risk Component for Interest Rate Contracts 4 Foreign Exchange & Gold Contracts Residual maturity < 1 year 5 1,00% Residual maturity 1-5 years 6 5,00% Residual maturity > 5 years 7 7,50% Risk Component for Foreign Exchange & Gold Contracts 8 Equity Contracts Residual maturity < 1 year 9 6,00% Residual maturity 1-5 years 10 8,00% Residual maturity > 5 years 11 10,00% Risk Component for Equity Contracts 12 Precious Metal Contracts (except gold) Residual maturity < 1 year 13 7,00% Residual maturity 1-5 years 14 7,00% Residual maturity > 5 years 15 8,00% Risk Component for Precious Metal Contracts 16 Other Contracts Residual maturity < 1 year 17 10,00% Residual maturity 1-5 years 18 12,00% Residual maturity > 5 years 19 15,00% Risk Component for Other Contracts 20 TOTAL OFF BALANCE SHEET ASSET RISK COMPONENT 21 Name/ Position Signature Date Name/ Position Signature Date

Instructions on Annex 1.12. template on Calculation of Off-Balance Sheet Asset Risk Component to the Manual is aimed at reporting on calculation of off-balance sheet asset risk component of Investment Risk Requirement. The Calculation of Off-Balance Sheet Asset Risk Component of Investment Risk Requirement must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC. Line 21. Total Off-Balance Sheet Asset Risk Component – is the total Asset equivalent values multiplied by asset risk components of line 4. Risk Component for Interest Rate Contracts, line 8. Risk Component for Foreign Exchange & Gold Contracts, line 12. Risk Component for Equity Contracts, line 16. Risk Component for Precious Metal Contracts and line 20. Risk Component for Other Contracts. Asset equivalent values multiplied by asset risk components of:
Line 4. Risk Component for Interest Rate Contracts – is the total of multiplication results of column A. Assets equivalent values of Interest rate contracts and multiplicators given at column B. Risk weights of Interest Rate Contracts divided by residual maturities in line

1. Residual maturity < 1 year, line 2. Residual maturity 1-5 years, line 3. Residual maturity

5 years.
Line 8. Risk Component for Foreign Exchange & Gold Contracts – is the total of multiplication results of column A. Assets equivalent values of Foreign Exchange & Gold Contracts and multiplicators given at column B. Risk weights of Foreign Exchange & Gold Contracts divided by residual maturities in line 5. Residual maturity < 1 year, line 6. Residual maturity 1-5 years, line 7. Residual maturity > 5 years. Line 12. Risk Component for Equity Contracts – is the total of multiplications results of column A. Assets equivalent values of Equity contracts and multiplicators given at column B. Risk Weights of Equity Contracts divided by residual maturities in line 9. Residual maturity < 1 year, line 10. Residual maturity 1-5 years and line 11. Residual maturity > 5 years. Line 16. Risk Component for Precious Metal Contracts – is the total of multiplications results of column A. Assets equivalent values of Precious Metal contracts and multiplicators given at column B. Risk Weights of Precious Metal Contracts divided by residual maturities in line 13. Residual maturity < 1 year, line 14. Residual maturity 1-5 years and line 15. Residual maturity > 5 years. Line 20. Risk Component for Other Contracts – is the total of multiplications results of column A. Assets equivalent values of Other contracts (other than contracts mentioned in lines 4., 8., 12., 16.) and multiplicators given at column B. Risk Weights of Other Contracts divided by residual maturities in line 17. Residual maturity < 1 year, line 18. Residual maturity 1-5 years and line 19. Residual maturity > 5 years.

Annex. 1.13. Calculation of Off Balance
Sheet Liability Risk Component
CALCULATION OF OFF BALANCE SHEET LIABILITY RISK COMPONENT INS340 Name:
Period Ending:
(All amounts rounded to nearest [USD]’000)
List all credit substitutes issued by the firm Asset Risk Total Name of liability Value ('000) Component Risk A B C TOTAL OFF BALANCE SHEET LIABILITY RISK COMPONENT Instructions on Annex 1.12. template on Calculation of Off-Balance Sheet Liability Risk Component to the Manual is aimed at reporting on calculation of off-balance sheet liabilities risk component of Investment Risk Requirement. The Calculation of Off-Balance Liability Risk Component of Investment Risk Requirement must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC. Total Off Balance Sheet Liability Risk Component – is the total of column C. Total Risks of each credit substitutes issued by the firm. Total Risk – is calculates as the value of credit substitutes issued by the firms multiplied by Asset Risk component. Name/ Position Signature Date Name/ Position Signature Date

Annex. 1.14. Calculation of Premium Risk
Component
CALCULATION OF PREMIUM RISK COMPONENT INS350
Name:
Period Ending:
(All amounts rounded to nearest [USD]’000)
Category Line
No
Net Premium Liability ('000)
Direct Reinsurance: Reinsurance:
insurance proportional non-proportional
A B C D
Accident 1
Sickness 2
Land vehicles 3
Railway rolling stock 4
Aircraft 5
Ships 6
Goods in transit 7
Fire and natural forces 8
Damage to property 9
Motor vehicle liability 10
Aircraft liability 11
Liability of ships 12
General liability 13
Credit 14
Suretyship 15
Miscellaneous financial loss 16
Legal expenses 17
Assistance 18
Space 19
Space liabilities 20
Life and annuity 21
Marriage and birth 22
Linked long-term 23
Permanent health 24
Category Line
No
Amount of Premium Risk Components
Direct Reinsurance: Reinsurance:
insurance proportional non-proportional
A B C D
Accident 25
Sickness 26
Land vehicles 27
Railway rolling stock 28
Aircraft 29
Ships 30
Goods in transit 31
Fire and natural forces 32

Damage to property 33
Motor vehicle liability 34
Aircraft liability 35
Liability of ships 36
General liability 37
Credit 38
Suretyship 39
Miscellaneous financial loss 40
Legal expenses 41
Assistance 42
Space 43
Space liabilities 44
Life and annuity 45
Marriage and birth 46
Linked long-term 47
Permanent health 48 premium risk 49
Line no.
A B C D
TOTAL PREMIUM RISK COMPONENT 50
Instructions on Annex 1.14. template on Calculation of Premium Risk Component to the Manual is aimed at reporting on calculation of premium risk component of Insurance Risk Requirement. The Calculation of Premium Risk Component of Insurance Risk Requirement must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC. Line 50. Total Premium Risk Component – is the total of columns A., B., C. at line 49. Premium risk. Line 49. Premium risk – is the total of lines 25 – 48. that are calculated by multiplication of its Net Premium Liabilities and Premium Risk Factors (see para. 7.2 Premium Risk Component of
Schedule 5. Calculation of Prescribed Capital Requirements (PCR) of PINS) by Categories for
column A. Direct Insurance, column B. Re-Insurance Proportional and column C. Re-Insurance Non-Proportional. Name/ Position Signature Date Name/ Position Signature Date

Annex. 1.15. Calculation of Technical
Provisions Risk Component
CALCULATION OF TECHNICAL PROVISIONS RISK COMPONENT INS360 Name:
Period Ending:
(All amounts rounded to nearest [USD]’000)
PINS Category Line
No
Amount of net outstanding claims liability ('000) Direct Reinsurance: Reinsurance:
insurance proportional non￾proportional
A B C D
Accident 1
Sickness 2
Land vehicles 3
Railway rolling stock 4
Aircraft 5
Ships 6
Goods in transit 7
Fire and natural forces 8
Damage to property 9
Motor vehicle liability 10
Aircraft liability 11
Liability of ships 12
General liability 13
Credit 14
Suretyship 15
Miscellaneous financial loss 16
Legal expenses 17
Assistance 18
Space 19
Space liabilities 20
Life and annuity 21
Marriage and birth 22
Linked long-term 23
Permanent health 24
PINS Category Line
No
Amount of Technical Provision Risk
Components
Direct Reinsurance: Reinsurance:
insurance proportional non￾proportional
A B C D
Accident 25 0
Sickness 26
Land vehicles 27
Railway rolling stock 28
Aircraft 29
Ships 30
Goods in transit 31

Fire and natural forces 32
Damage to property 33
Motor vehicle liability 34
Aircraft liability 35
Liability of ships 36
General liability 37
Credit 38
Suretyship 39
Miscellaneous financial loss 40
Legal expenses 41
Assistance 42
Space 43
Space liabilities 44
Life and annuity 45
Marriage and birth 46
Linked long-term 47
Permanent health 48
Line no.
A B C D
TOTAL TECHNICAL PROVISIONS RISK COMPONENT 49
Instructions on Annex 1.15. template on Calculation of Technical Provisions Risk Component to the Manual is aimed at reporting on calculation of technical provisions risk component of Insurance Risk Requirement. The Calculation of Technical Provisions Risk Component of Insurance Risk Requirement must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC. Line 49. Total Technical Provisions Risk Component – is the total of all Amount of Technical Provision Risk Components in columns A, B and C at the lines 25-48. Amount of Technical Provision Risk Component – is the multiplication of Amount of Net Outstanding Claims Liability at lines 1 – 24. by Risk Component of PINS Categories (see para. 8.2. Outstanding Claims Risk Component at Schedule 5. Calculation of Prescribed Capital Requirement of PINS) and resulted in lines 25-48. Name/ Position Signature Date Name/ Position Signature Date

Annex. 1.16. Calculation of Long Term
Insurance Risk Component
CALCULATION OF LONG TERM INSURANCE RISK COMPONENT INS370 Name:
Period Ending:
(All amounts rounded to nearest [USD]’000)
Line
No.
Value
('000)
Risk weight
Risk component
Provisions Capital at risk Provisions Capital at risk Provisions Capital at risk A B C D E F Annuity and pensions 1 3,00% 0,10% Investment-linked business subject to a capital guarantee 1,25% 0,10% Investment-linked business not subject to a capital guarantee 3 0,50% 0,10% Other long-term business 4 3,00% 0,10% Total 5 Method of calculated anticipated claims cost: ('000) risk weight risk component A B C Capital at risk for policies that are contingent on mortality 6 0,05% Line no. A B C D E F TOTAL LONG TERM INSURANCE RISK COMPONENT 7 Instructions on Annex 1.16. template on Calculation of Long Term Insurance Risk Component to the Manual is aimed at reporting on calculation of risks related with long term insurance contracts as a component of Insurance Risk Requirements. The Calculation of Long Term Insurance Risk Requirement must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC. Line 7. Total Long Term Insurance Risk Component – is the total of line 5. Total Risk components Provisions (column E.) and Capital at Risk (column F.) and line 6. Capital at risk for policies that are contingent on mortality risk component (column C.) resulted in column F. Line 5. Total – is the total of line 1. Annuity and pensions, line 2. Investment-linked business subject to a capital guarantee, line 3. Investment-linked business not subject to a capital guarantee and line 4. Other long-term business (other than at lines 1-3.) Name/ Position Signature Date Name/ Position Signature Date

Column E. Risk Component Provisions – is the multiplication of provisions’ value by the long-term business types (column A.) in lines 1-3. and Risk weights of Provisions (column C.) in lines 1-3. given at the template. Column F. Risk Component Capital at Risk – is the multiplication of Capital at Risk value by the long-term business types (column A.) in lines 1-3. and Risk weights of Capita at Risk (column D.) in lines 1-3. given at the template. Method of calculated anticipated claims cost:
Line 6. Capital at risk for policies that are contingent on mortality – is the multiplication of column A. Value of Capital at risk and column B. Risk weight that is resulted in column C. Risk component.

Annex. 1.17. Calculation of Insurance
Concentration Risk Component
CALCULATION OF INSURANCE CONCENTRATION RISK COMPONENT INS380 Name:
Period Ending:
(All amounts rounded to nearest [USD]’000)
Item No. A B C
Is the firm protected by catastrophe risk reinsurance? 1 Firms protected by catastrophe risk reinsurance Value ('000) Maximum event retention (MER) 2 Cost of reinstatement 3 Reinstatement premiums 4 Firms NOT protected by catastrophe risk reinsurance Value ('000) Largest per risk retention 5 TOTAL INSURANCE CONCENTRATION RISK COMPONENT 6 Instructions on Annex 1.17. template on Calculation of Insurance Concentration Risk Component to the Manual is aimed at reporting on calculation of risks related with long term insurance contracts as a component of Insurance Risk Requirements. The Calculation of Insurance Concentration Risk Component must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC. Line 1. Is the firm protected by catastrophe risk reinsurance –is the firm protected by catastrophe risk reinsurance by choosing “Yes” or “No”. “Yes” – the firm is protected by catastrophe risk reinsurance; “No” – the firm is not protected by catastrophe risk reinsurance. Line 6. Total Insurance Concentration Risk Component – if the firm is:
a) protected by catastrophe risk reinsurance – Total Insurance Concentration Risk Component is the total of values (column A.) at line 2. Maximum event retention (MER), line 3. Cost of reinstatement and line 4. Reinstatement premiums; b) not protected by catastrophe risk reinsurance – Total Insurance Concentration Risk Component is twice (X2) value (column A.) of line 5. Largest per risk retention; and resulted in column C. of the line 6. Name/ Position Signature Date Name/ Position Signature Date

Annex. 1.18. Statement of Reinsurance
STATEMENT OF REINSURANCE INS400
Name:
Period Ending:
(All amounts rounded to nearest [USD]’000)
10 largest reinsurers by size of receivable Line no.
Country of
Domicile
Rating
Premium ceded
Value of collateral or security held
Value of collateral or security held
Aged receivable from reinsurer
Amounts doubtful or written off during the year Grades 1-90 days 91-180 days 180+ days A B C D E 1E F G H I all other related or associated reinsurers 11 N/A N/A all other reinsurers 12 N/A N/A TOTAL 13 Provide a breakdown of outward treaty reinsurance by line of business:
Line of business Line no.
Policy Limits
Net Retention
Name of largest reinsurer
Name of 2nd largest reinsurer
A B C D E
Accident 14
Sickness 15
Land vehicles 16
Railway rolling stock 17
Aircraft 18
Ships 19
Goods in transit 20
Fire and natural forces 21
Damage to property 22
Motor vehicle liability 23
Aircraft liability 24
Liability of ships 25
General liability 26

Credit 27
Suretyship 28
Miscellaneous financial loss 29
Legal expenses 30
Assistance 31
Space 32
Space liabilities 33
Life and annuity 34
Marriage and birth 35
Linked long-term 36
Permanent health 37
Whole account protections (such as stop loss or XOL) 38 Instructions on Annex 1.18. template on Statement of Reinsurance to the Manual is aimed at reporting on reinsurance contracts. The Statement of Reinsurance must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC. The Statement of Reinsurance is reported on 10 largest reinsurers by size of receivables and a breakdown of outward treaty reinsurance by line of business. 10 largest reinsurers by size of receivables:
Line 13. Total of 10 largest reinsurers by size of receivables – is the total of lines 1-10. 10 largest reinsurers by size of receivables, line 11. All other related or associated reinsurers and line 12. All other reinsurers with specified information on column A. Name of reinsurer, column B. Country of Domicile, column C. Rating Grades, column D. Premium Ceded, column E. Value of collateral or security held, column 1E. Value of collateral or security held, column F. 1-90 days Aged receivable from reinsurer, column G. 91-180 days Aged receivable from reinsurer, column H. 180+ days Aged receivable from reinsurer and column I. Amounts doubtful or written off during the year. Breakdown of outward treaty reinsurance by line of business:
Lines 14 – 38. Lines of business – information must be provided on column B. Policy limits, column C. Net retention, column D. Name of largest reinsurer and column E. Name of 2nd largest reinsurer by lines of business. Name/ Position Signature Date Name/ Position Signature Date

Annex. 1.19. Statement of Premium Information
STATEMENT OF PREMIUM INFORMATION INS500
Name:
Period Ending:
(All amounts rounded to nearest [USD]’000)
Number of policies sold during the period Line no.
Current quarter
Current year to date
A B
Commercial 1 of which:
New policies 2
Renewals 3
Retail 4 of which:
New policies 5
Renewals 6
Number of policies cancelled or not renewed during the period Current quarter Current year to date Commercial 7 Retail 8 Premium value of policies cancelled or not renewed during the period Current quarter Current year to date Commercial 9 Retail 10 Gross Premium receivable Line no. Not yet due to 90 days overdue 91-180 days 180+ days A B C from direct customers 11 from brokers and other intermediaries 12

Premium Breakdown Amount ('000)
Line of business Line no.
Risk located in
Kazakhstan
Risk located in the rest of the
Eurasian
Economic
Union
Risk located in North
America
Risk located in Europe
Risk located in the rest of the world
Retail
Business
Commercial
Business
Renewed policies
New
Business
Unrelated business
Related
Business
Direct writing
Facultative
Reinsurance:
Proportional
Facultative
Reinsurance:
Non- Proportional
Treaty
Reinsurance:
Proportional
Treaty
Reinsurance:
Non- Proportional
Gross Premium Written
Net Premium Written
Gross Premium Written
Net Premium Written
Gross Premium Written
Net Premium Written
Gross Premium Written
Net Premium Written
Gross Premium Written
Net Premium Written
Gross Premium Written
Net Premium Written
Gross Premium Written
Net Premium Written
Gross Premium Written
Net Premium Written
Gross Premium Written
Net Premium Written
Gross Premium Written
Net Premium Written
Gross Premium Written
Net Premium Written
Gross Premium Written
Net Premium Written
Gross Premium Written
Net Premium Written
Gross Premium Written
Net Premium Written
Gross Premium Written
Net Premium Written
Gross Premium Written
Net Premium Written
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
V
W
X
Y
Z AA BB CC DD EE FF
Accident 13
Sickness 14
Land veAccidenthicles 15
Railway rolling stock 16
Aircraft 17
Ships 18
Goods in transit 19
Fire and natural forces 20
Damage to property 21
Motor vehicle liability 22
Aircraft liability 23
Liability of ships 24
General liability 25
Credit 26
Suretyshi p 27
Miscellaneous financial loss 28
Legal expenses 29
Assistance 30
Space 31
Space liabilities 32
Life and annuity 33
Marriage and birth 34
Linked long
-term 35
Permanent health 36
TOTAL: 37
Name/ Position Signature Date
Name/ Position Signature Date

Instructions on Annex 1.19. template on Statement of Premium Information to the Manual is aimed at reporting on premiums. Statement of Premium Information must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC. Number of policies sold during the period:
Line 1. Number of commercial policies sold during the period – is the number of commercial policies sold during current period (column A) and current year to date (column B) with specifications in line 2. New policies and line 3. Renewals. Line 4. Number of retail policies sold during the period – is the number of retail policies sold during current period (column A) and current year to date (column B) with specifications in line 5. New policies and line 6. Renewals. Number of policies cancelled or not renewed during the period must be specified in line 7. Commercial and line 8. Retail for current period (column A) and current year to date (column B). Premium value of policies cancelled or not renewed during the period must be specified in line 9. Commercial and line 10. Retail for current period (column A) and current year to date (column B). Gross Premium receivables specified in line 11. From direct customers and line 12. From broker and other intermediaries for current period (column A) and current year to date (column B). Premium Breakdown – information on Premium must be provided by information on Risk located in Kazakhstan, Risk located in the rest of the Eurasian Economic Union, Risk located in North America, Risk located in Europe, Risk located in the rest of the world, Retail Business, Commercial Business, Renewed policies, New Business, Unrelated business, Related Business, Direct writing, Facultative Reinsurance: Proportional, Facultative Reinsurance: Non￾Proportional, Treaty Reinsurance: Proportional, Treaty Reinsurance: Non-Proportional segregated by Gross and Net Premium written by line of business (categories).

Annex. 1.20. Statement of Technical Provisions and Claims
STATEMENT OF TECHNICAL PROVISIONS AND CLAIMS INS600 Name:
Period Ending:
(All amounts rounded to nearest [USD]’000)
Current period
General insurance business Line no.
Paid claims Outstanding claims
Claim Incurred
But Not
Reported
Unearned premium reserve
Premium
Deficiency
Reserves
Other technical reserves
Loss ratio
Combined
Ratio
(annually only)
Number of reported claims
Gross Net Gross Net Gross Net Gross Net Gross Net Gross Net A B C D E F G H I J K L M N O Accident 1 Sickness 2 Land vehicles 3 Railway rolling stock 4 Aircraft 5 Ships 6 Goods in transit 7 Fire and natural forces 8 Damage to property 9 Motor vehicle liability 10 Aircraft liability 11 Liability of ships 12 General liability 13 Credit 14 Suretyship 15 Miscellaneous financial loss 16 Legal expenses 17 Assistance 18 Space 19 Space liabilities 20

Total 21
Same period of prior year
Line no.
Paid claims Outstanding claims
Claim Incurred
But Not
Reported
Unearned premium reserve
Premium
Deficiency
Reserves
Other reserves
Loss ratio
Combined
Ratio
(annually only)
Number of reported claims
Gross Net Gross Net Gross Net Gross Net Gross Net Gross Net A B C D E F G H I J K L M N O Accident 22 Sickness 23 Land vehicles 24 Railway rolling stock 25 Aircraft 26 Ships 27 Goods in transit 28 Fire and natural forces 29 Damage to property 30 Motor vehicle liability 31 Aircraft liability 32 Liability of ships 33 General liability 34 Credit 35 Suretyship 36 Miscellaneous financial loss 37 Legal expenses 38 Assistance 39 Space 40 Space liabilities 41 Total 42

Long Term insurance business Line no.
Gross liabilities
Net liabilities
Gross payments on life insurance policies by cause of payment Death Disability Surrender Maturity Conversions Other Total Conventional Long Term A B C D E F G H I Life and annuity 43 Marriage and birth 44 Linked long term 45 Permanent health 46 Total 47 For Long Term and General Insurance Business List the details of the five largest claims incurred during the period or claims outstanding at the end of the period (on a gross basis) Details Amount Name/ Position Signature Date Name/ Position Signature Date

Instructions on Annex 1.20. template on Statement of Technical Provisions and Claims to the Manual is aimed at reporting on provisions and claims. The Statement of Technical Provisions and Claims must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC. Information on technical provisions and claims must be specified by Gross and Net Paid claims, Outstanding claims, Claim Incurred But Not Reported, Unearned Premium Reserve, Premium Deficiency Reserves, Other Technical Reserves and Loss Ratio, Combined Ratio (annually only), Number Of Reported Claims for current period and same period of prior year and Long Term insurance business information. The Statement of Technical Provisions and Claims for General Business and Long Term insurance business. The Statement of Technical Provisions and Claims for General Business for current period (lines 1-21) and same period of prior year (line 22-42) by categories provided in PINS and Template. Long Term insurance business information must be specified by Conventional Long-Term insurance business in column A. Gross Liabilities, column B. Net Liabilities and Gross Payments on Life Insurance Policies by Cause of Payments at column I. Total, including: column C. Death, column D. Disability, column E. Surrender, column G. Maturity , column H. Other. Lines 21, 42, and 47 Total – are the totals of the column by categories above. For Long Term and General Insurance Business, list the details of the five largest claims incurred during the period or claims outstanding at the end of the period (on a gross basis) specifying information on Details and Amount.

Annex. 1.21. Statement of Changes in Long-Term Business
STATEMENT OF CHANGES IN LONG-TERM BUSINESS (complete annually only) INS610 Name:
Period Ending:
(All amounts rounded to nearest [USD]’000)
Line no.
Term
Insurance Endowment Whole Life Investment
Linked Annuity Other Long -
Term Business
No of contracts
No of lives
Annual premiums
No of contracts
No of lives
Annual premiums
No of contracts
No of lives
Annual premiums
No of contracts
No of lives
Annual premiums
No of contracts
No of lives
Annual premiums
No of contracts
No of lives
Annual premiums
A B C D E F G H I J K L M N O P Q R
In force at beginning of year 1
New business and increases 2
Net additions through transfers and other alterations 3 Total 4 Deaths 5 Other insured events 6 Maturities 7 Surrenders 8 Forfeitures 9 Conversions to paid-up policies for reduced benefits 10 Net reductions through transfers, expiries and other alterations 11 Total reductions 12 In force at end of year 13 Name/ Position Signature Date Name/ Position Signature Date

Instructions on Annex 1.21. template on Statement of Changes in Long-Term Business (complete annually only) to the Manual is aimed at reporting on premiums. The Statement of Changes in Long-Term Business must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC. The reporting on Changes in Long-Term Business must be submitted annually. The Statement of Changes in Long-Term business includes information on business lines in Term Insurance, Endowment, Whole Life, Investment Linked, Annuity and Other Long-Term Business with specification in Number of Contracts, Number of Lives and Annual Premiums. Line 13. In force at end of year – is the total of line 1. In force at beginning of year and line 4. Total and subtracted line 12. Total reductions. Line 4. Total – is the total of line 2. New business and increases and line 3. Net additions through transfers and other alterations. Line 12. Total reductions – is the total of line 5. Deaths, line 6. Other insured events, line 7. Maturities, line 8. Surrenders, line 9. Forfeitures, line 10. Conversions to paid-up policies for reduced benefits and line 11. Net reductions through transfers, expiries and other alterations.

Annex. 1.22. Statement of Intra-Group Transactions
STATEMENT OF INTRA-GROUP TRANSACTIONS INS700
Name:
Period Ending:
(All amounts rounded to nearest [USD]’000)
This form is to be completed only by an LTD company or PLC established in the AIFC ASSETS Line no. Actual balances at period-end Same period of prior year LTD or PLC A D Assets held by or invested in associates and related parties Cash and balances 1 Short term negotiable securities 2 Premiums Receivable 3 Reinsurance Receivable - share of paid claims & other receivables, outstanding claims & IBNR and unearned premium reserve Other Receivables 5 Investment and trading securities 6 Investment in subsidiary companies 7 Investment in associate companies 8 Investment in joint arrangements 9 Non-current assets held for sale 10 Other assets 11 TOTAL ASSETS 12 Liabilities connected to associates and related parties Technical reserves - general insurance 13 Gross outstanding claims 14 Claims incurred but not reported 15 Premium deficiency reserve 16 Other technical reserves 17 Technical reserves - long-term insurance 18 Unearned premium reserves 19 Reinsurance balances payable 20 Term debt instruments 21 Other intra-group liabilities 22 TOTAL LIABILITIES 23 Equity connected to associates and related parties Share capital 24 All other equity items 25 Line no. 1-90 days 91-180 days 180+ days Amounts doubtful or written off during the year A B C D Aged receivables from associates and related parties 25A

Revenue and expenses connected to associates and related parties Line no. Current period Same period of prior year LTD or PLC A D Gross premiums written 26 Less: Reinsurance premiums ceded 27 Fee and commission income 28 Other operating income 29 Total Insurance Income 30 Investment income Interest income 31 Dividend income 32 Rental Income 33 Other investment income 34 Total Investment Income 35 TOTAL INCOME 36 Loss and loss adjustment expenses 37 Policyholder benefits and claims (long-term insurance) 38 Commission, brokerage expenses, and acquisition costs 39 Staff costs 40 Occupation and accommodation 41 Other expenses 42 TOTAL OPERATING EXPENSES 43 Impairment of investments and capital items 44 Share of profit / (loss) of associates and joint ventures 45 List all guarantees, agreements, or off-balance sheet items with associated or related parties Instructions on Annex 1.22. template on Statement of Intra-Group Transactions to the Manual is aimed at reporting on transactions made between intra-group stakeholders. The Statement of Intra-Group Transactions must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC. Assets held by or invested in associates and related parties for Actual balances at period-end and Same period of prior year:
Line 12. Total Assets – is the total of line 1. Cash and balances, line 2. Short term negotiable securities, line 3. Premiums Receivable, line 4. Reinsurance Receivable - share Name/ Position Signature Date Name/ Position Signature Date

of paid claims & other receivables, outstanding claims & IBNR and unearned premium reserve, line 5. Other Receivables, line 6. Investment and trading securities, line 7. Investment in subsidiary companies, line 8. Investment in associate companies, line 9. Investment in joint arrangements, line 10. Non-current assets held for sale and line 11. Other assets. Liabilities connected to associates and related parties for Actual balances at period-end and Same period of prior year:
Line 23. Total Liabilities – is the total of line 13. Technical reserves - general insurance, line 18. Technical reserves - long-term insurance, line 19. Unearned premium reserves, line 20. Reinsurance balances payable, line 21. Term debt instruments and line 22. Other intra-group liabilities. Line 13. Technical reserves - general insurance – is the total of line 14. Gross outstanding claims, line 15. Claims incurred but not reported, line 16. Premium deficiency reserve and line 17. Other technical reserves. Equity connected to associates and related parties for Actual balances at period-end and Same period of prior year:
Equity connected to associate and related parties is represented with line 24. Share capital and line 25. All other equity items. Line 25A. Aged receivables from associates and related parties:
Information of Aged receivables from associates and related parties are specified by maturities column A. 1-90 days, column B. 91-180 days, column C. 180+ days and column D. Amounts doubtful or written off during the year. Revenue and expenses connected to associates and related parties for Current period and Same period of prior year:
Line 36. Total Income – is the total of line 30. Total Insurance Income and line 35.Total Investment Income. Line 30. Total Insurance Income – is the total of line 26. Gross premiums written, line 28. Fee and commission income, line 29. Other operating income and subtract line 27. Less: Reinsurance premiums ceded. Line 35. Total Investment Income – is the total of line 31. Interest income, line 32. Dividend income, line 33. Rental Income and line 34. Other investment income. Line 43. Total Operating Expenses – is the total of line 37. Loss and loss adjustment expenses, line 38. Policyholder benefits and claims (long-term insurance), line 39. Commission, brokerage expenses, and acquisition costs, line 40. Staff costs, line 41. Occupation and accommodation and line 42. Other expenses. Please, provide an information in line 44. Impairment of investments and capital items, line 45. Share of profit / (loss) of associates and joint ventures and List all guarantees, agreements, or off￾balance sheet items with associated or related parties.

Annex. 1.23. Statement of Largest Clients
STATEMENT OF LARGEST CLIENTS INS800
Name:
Period Ending:
(All amounts rounded to nearest [USD]’000)
List your seven largest customers by gross premium written Name Line no. Location (city) Line of Business Gross Premium Written Retained Premium Net Sum Insured Premiums Receivable A B C D E F G List your seven largest customers by net premium written Name Line no. Location (city) Line of Business Net Premium Written Net Sum Insured A B C D E 8 8 9 9 10 10 11 11 12 12 13 13 14 14 Name/ Position Signature Date Name/ Position Signature Date

Instructions on Annex 1.23. template on Statement of Largest Clients to the Manual is aimed at reporting on operations with largest clients. The Statement of Largest Clients must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC. The Statement of Largest Clients include two templates on the largest customers by gross and net premium written. The Largest Customers by Gross Premium Written:
List Insurance Firm’s seven largest customers by gross premium written must include following information:
column A. Name of Customer; column B. Location (city); column C. Line of Business; column D. Gross Premium Written; column E. Retained Premium; column F. Net Sum Insured; column G. Premiums Receivable The Largest Customers by Net Premium Written:
List Insurance Firm’s seven largest customers by net premium written must include following information:
column A. Name of Customer; column B. Location (city); column C. Line of Business; column D. Net Premium Written; column E. Net Sum Insured;

Annex. 1.24. Information on Controllers
Information on Controllers INS800
Name:
Period Ending:
(All amounts rounded to nearest [USD]’000)
This form is to be completed only by an LTD company or PLC established in the AIFC Controllers Share, in % Share, in thousands of USD Information on Controllers Individual/ Business Country of residency 1 2 3 4 5 Total 100% Instructions on Annex 1.24. to the Manual are for reporting template for Information on Controllers of an AIFC Incorporated Insurer, requested in consistent with the requirements of 3.4.2. GEN. Template for collecting information on Controllers is not applicable for the AIFC Insurers incorporated outside of the AIFC (Branches). The purpose of this Template is to provide the AFSA with information on Auhtorised Firm’s controllers structure (column 1), share in percentage (column 2) and share in thousands of USD (column 3), type of Controller (column 4) and residency status (column 5).

Annex. 1.25. Calculation of Minimum Capital Requirements
CALCULATION OF MINIMUM CAPITAL
REQUIREMENT (MCR)
INS301
Name:
Period Ending:
(All amounts rounded to nearest [KZT/USD]'000) Type of Insurance Firm 1 {Please select} Type of business 2 {Please select} Class of Captive Insurer 3 {Please select} {Control line} MINIMUM CAPITAL REQUIREMENT 4 MINIMUM CAPITAL REQUIREMENT A B C D Captive Insurers Base Capital Requirement 5 Premium Risk Component 6 a) Net written premium 7 net written premium up to US$ 5 million 8 18% net written premium in excess of US$ 5 million 9 16% Technical Provision Risk Component 10 For General Insurance Business 11 Net claims reserve under general Contracts of Insurance 12 5% Reinsurance and other recoveries expected to be received in respect of those claims 15% For Long-Term Insurance Business 14 Policyholder liabilities calculated using actuarial methods for long-term insurance 2,5% MINIMUM CAPITAL REQUIREMENT OF CAPTIVE INSURER 16 AIFC-Incorporated Insurer 17 Capital Floor 18 Capital Floor (Section 1.1 (3) of Schedule 4 PINS) 19 An amount specified in writing by the AFSA (if any) 20

For General Insurance Business
Gross written premiums during the previous financial year with reductions 21 12% Gross written premiums during the previous financial year 22 Amount of any premium taxes, rebates, refunds, and commissions accrued by the Insurer Gross amount of any reinsurance premiums (after deduction of any rebates or commissions receivable by the Insurer) ceded by the Insurer in respect of General Insurance Business during that preceding financial year Net claims reserves and premium reserves 12% Claims reserves net of reinsurance and amounts reserved to maximum 26 Premium reserves net of reinsurance and amounts reserved to maximum 27 For Long-Term Insurance Business 28 Total Reserves, Net of Reinsurance 29 2,5% MINIMUM CAPITAL REQUIREMENT OF AIFC - INCORPORATED INSURER 30 Instructions on Annex 1.25. to the Manual are for reporting template for Calculation of Minimum Capital Requirements and applicable for AIFC Incorporated insurers and Captive Insurers. Requirements and instructionsto calculate Minimum Capital Requirements (MCR) are outlined but not limited in sections 5.2.2., 14.4. and Schedule 4 of PINS. To use the template, Insurer should select from drop down menu following options related with the business of Insurer:
Line 1. Type of Insurance Firm – select is the firm Captive Insurer of AIFC-Incorporated Insurer Line 2. Type of Business – select is Insurer conducting General Insurance Business or Long-term Insurance Business Line 3. Class of Captive Insurer – if Insurer selected in line 1. Captive type of Insurance Firm please select the Class of Captive Insurer from Class 1, Class 2, Class 3. Descriptions of Classes are outlined in PINS. Depending on the selected options in lines 1-3 and the nature of Insurer’s business application of lines 5 – 30 will vary for Captive Insurers and AIFC-Incorporated Non-Captive Insurers:
Lines 5-16 – are applicable for calculation of Captive Insurers’ MCR; Lines 17-30 – are applicable for calculation of AIFC – Incorporated Non-Captive Insurers. Line 4. Minimum Capital Requirement – is the resulting parameter of MCR depending on the nature of Insurer’s business and filled lines

Annex 2.1 Staffing and Conduct
Investment firm’s name:
Reporting date:
DD/MM/YYYY
Staffing and Conduct
FORM FC140: Staffing and Conduct

• Insurance - - - - - Total
  Staffing
  FC140_10100 - Senior Management (e.g. CEO / SEO, Directors / Senior Mgmt. etc) FC140_10200 - Advisory (e.g. Client Relationship Manager etc.) FC140_10300 - Discretionary Account Manager (e.g. Front Office Personnel) FC140_10400 - Discretionary Fund Manager (e.g. Front Office Personnel) FC140_10500 - Accountants (Fund / segregated vehicle accountants etc) FC140_10600 - Front Office Trading Desk FC140_10700 - Back Office FC140_10800 - Compliance, AML Risk Management (e.g. CO / MLRO, Risk Managers etc. FC140_10900 - Other(e.g. Finance, HR, IT, Admin/Support) FC140_1000T - Total Relevant Staffing FC140_10000 - AIFC Located Staff Clients FC140_20100 - Assessed Professional FC140_20200 - Deemed Professional FC140_20300 - Market Counterparty FC140_20400 - Retail FC140_2000T - Total Number of Clients Complaints - High Level Stats

FC140_30100 - Status: Upheld
FC140_30200 - Status: Rejected
FC140_30300 - Status: Pending
FC140_3000T - Total Complaints - High Level Stats Complaints - Breakdown of Type FC140_40100 - Suitability FC140_40200 - Service FC140_40300 - Performance FC140_4000T - Total Complaints - Breakdown of Type Regulatory Breaches FC140_50100 - Open FC140_50200 - Closed FC140_5000T - Total Regulatory Breaches Number of Suspicious Activity Reports FC140_60100 - Internal FC140_60200 - External FC140_6000T - Total Number of Suspicious Activity Reports

Instructions on the Annex 2.1 to the Manual for Preparation of Returns for Insurance and Reinsurance Firms to collect on Staffing and Conduct. Purpose Form FC140 is designed to capture high level statistics in relation to the firm’s staff, its clients, as well as the firm’s complaints, regulatory breach and suspicious transaction experience. Applicability The Form applies to all Authorised Firms in the AIFC. Content The information sought is factual numbers and current status (where applicable). Complaints are further broken down into high level types. Structure of the Form The Form is split into 6 sections:

• Staffing (Total of all staff at reporting period end, with breakdown between the
  functions);
• Clients (Total of all the firm’s clients as at reporting date broken down by client type
  Categories);
• Complaints (Outcome of complaints raised during the reporting period. If recorded
  as pending, then the decision of whether it is upheld or rejected is to be reported in the relevant subsequent reporting periods);
• Complaints (Received during the period reported only);
• Breaches (Open and Closed during the reporting period); and
• Suspicious Activities Reports (Recorded during the reporting period only).
  o Internal - SARs submitted to the Firm's CO/MLRO. o External - SARs submitted to the Committee on financial monitoring of the Ministry of finance of the Republic of Kazakhstan It is further split into five business sectors with firms expected to complete the column that best represents their activities. Instructional Guidelines
• Figures are to be entered in actuals and not in thousands
• The Form requests the total of “All Relevant Staff” and the total “AIFC Located Staff.”
  o “All Relevant Staff” – This includes all staff who physically reside within the AIFC entity in addition to staff who reside elsewhere within the group but who provide services to the AIFC entity. Where an individual in another
  part of the group provides ad hoc support to the AIFC entity, the AIFC entity
  must determine the materiality and regularity of the service when determining whether it is necessary to count the individual in the AIFC entity’s “All Relevant Staffing” total.

o “AIFC Located Staff” – This includes only the number of staff physically present in the AIFC. Where a staff person divides his or her physical presence between the AIFC entity and another group entity, the person should be counted one time and included in the “AIFC Located Staff” total. For example:
The AIFC entity employs an SEO, CO/MLRO, FO, 1 front office manager, 3 advisory staff, and utilizes the back-office services of another group entity. The other group entity employs 30 staff in its back office. The AIFC entity determines that the equivalent of 2 of the 30 staff are dedicated to performing services to the AIFC entity. The AIFC entity will report as follows:
“All Relevant Staff” – 9 total staff
“AIFC Located Staff” – 7 total staff

• Staff shared between different businesses lines are to be recorded in the “Other” column.
• Do not count any single individual more than one time.