Abstract  op  the  Valuation.
To  be  made  by  the  Vainer  appointed  by  the  Society.

Summary  of  Results  of  Valuation  as  at  18  .

Nature  of  Benefits  Assured.

Number
of
Benefits.

Total  Amount
Assured.

Total  Yearly
Contributions
applicable
to  Benefits.

Present  Yalue  of

Benefits.

Contributions
applicable
to  Benefits.

Sickness  Allowance  ceasing  at  Age
»  >J  if
if  if  a
„  „  throughout  Life
Annuities  (Deferred  and  Immediate)  commencing ­
  at  Age  -
if  if
a  a
Sums  payable  at  Death  of  (a)  Members  -
•i  »  »  (/')  »  Wives
Endowments;  with  Return  of  Contributions  -
Endowments;  without  Return  of  Contributions ­
  -
Other  Benefits  (to  be  specified)
Total  ....

£.  s,  d,
*
t
+
T

£.  s.  a.

£.

£.

*  The  total  full  sick  pay  assured  per  week  is  to  be  stated.  +  The  total  sum  payable  per  annum  is  to  be  stated.
J  If  any  portion  of  this  liability  is  met  by  special  levies  the  same  should  be  stated.

294  valuation.