Total Amount Paid on Account of— 
Year Ending 
Sums at Death. 
Annuities Commencing 
Endowments. 
Other Payments 
(to be specified). 
At Age 
At Age 
At Age 
31 December 18 
„ 18 - 
„ 18 - 
„ 18 - 
„ 18 - 
Total - - - 
£. 
£. 
£. 
£. 
£. 
£. 
(3.) State according to the rules of the Society— 
(a.) When full pay ceases and reduced pay begins, 
and what the reduction is; 
(b.) When such reduced pay is still further reduced, 
and by how much; 
292 VALUATION.