Name of the Prospect / Policyholder: Sir Proposal No: 7543666

Age (years) : 23 Gender: Male Name of the Product: Tata AIA Life Insurance iRaksha TROP

Name of the Life Assured : Sir Tag Line : Non-Linked, Non-Participating, Individual
Life Insurance Savings Product
Age (years) : 23 Gender: Male Smoker: No
i Unique Identification No.: 110N106V02
Policy Term (years) : 40 am
red GST Rate: 4.5%
Premium Payment Term (years) : 5

Amount of Instalment Premium (Rs.): 36418

Mode of Payment of Premium : Annual i am red

This benefit illustration is intended to show year-wise premiums payable and benefits under the policy.

Policy Details
Policy Option NA Sum Assured (Rs.) 5000000

Sum Assured on Death (at inception of the policy) Rs. 5000000

Rider Details
Rider Name (Benefit Option) UIN Sum Assured (Rs.) Term (years) Premium Payment Term (years) Premium without GST (Rs.)

Premium Summary
Base Plan Riders Total Instalment Premium

Instalment Premium without GST (Rs.) 34850 0 34850

Instalment Premium with First year GST (Rs.) 36418 0 36418

Instalment Premium with GST 2nd year onwards (Rs.) 35634 0 35634
 (Amount in Rupees)
Guaranteed Non - Guaranteed

Policy Single/ Annualised Survival

Year Premium Benefit / Other Benefits, if Maturity Death Bene Min Guaranteed Surrender Special Surrender
Loyalty any Benefit fit Value Value
Additions
1 34850 NA NA 0 5000000 0 0

2 34850 NA NA 0 5000000 20910 22304

3 34850 NA NA 0 5000000 36593 37638

4 34850 NA NA 0 5000000 69700 71094

5 34850 NA NA 0 5000000 87125 88868

6 0 NA NA 0 5000000 87125 88868

7 0 NA NA 0 5000000 87125 88868

8 0 NA NA 0 5000000 88868 90610

9 0 NA NA 0 5000000 92353 94095

10 0 NA NA 0 5000000 94095 95838

11 0 NA NA 0 5000000 97580 99322

12 0 NA NA 0 5000000 99323 101065

13 0 NA NA 0 5000000 101065 102808

14 0 NA NA 0 5000000 104550 106293

15 0 NA NA 0 5000000 106293 108035

16 0 NA NA 0 5000000 109778 111520

17 0 NA NA 0 5000000 111520 113263

18 0 NA NA 0 5000000 113263 115005

19 0 NA NA 0 5000000 116748 118490

20 0 NA NA 0 5000000 118490 120232

21 0 NA NA 0 5000000 121975 123718

22 0 NA NA 0 5000000 123718 125460

23 0 NA NA 0 5000000 127203 128945

24 0 NA NA 0 5000000 128945 130688

25 0 NA NA 0 5000000 130688 132430

26 0 NA NA 0 5000000 134173 135915

27 0 NA NA 0 5000000 135915 137658

28 0 NA NA 0 5000000 139400 141143

29 0 NA NA 0 5000000 141143 142885

30 0 NA NA 0 5000000 142885 144628

31 0 NA NA 0 5000000 146370 148113

32 0 NA NA 0 5000000 148113 149855

33 0 NA NA 0 5000000 151598 153340

34 0 NA NA 0 5000000 153340 153340

35 0 NA NA 0 5000000 155083 156825

36 0 NA NA 0 5000000 158568 160310

37 0 NA NA 0 5000000 160310 163795

38 0 NA NA 0 5000000 163795 167280

39 0 NA NA 0 5000000 165538 170765

40 0 NA NA 174250 5000000 0 0

Note: Annualised premium excludes underwriting extra premium, frequency loadings on premiums, the premium paid towards the riders, if any, and Goods and
Services Tax.
 I _______________________________ (name), have explained the I _______________________________ (name), having received the
premiums and benefits under the product fully to the prospect / information with respect to the above, have understood the above
policyholder. statement before entering into the contract.

Place: i am red
Date: Signature of Agent/ Intermediary/ Official Date: Signature of Prospect/ Policyholder

Unique Reference Number - L&C/Advt/2020/Feb/332

Tata AIA Life Insurance Company Ltd. (IRDA of India Regn No. 110) (CIN: U66010MH2000PLC128403)
Registered and Corporate Office: 14th Floor, Tower A, Peninsula Business Park, Senapati Bapat Marg, Lower Parel, Mumbai- 400013
Trade logo displayed above belongs to Tata Sons Ltd and AIA Group Ltd. and is used by Tata AIA Life Insurance Company Ltd under a license.
For more information, Call the Tata AIA Life Insurance Company Ltd Helpline number1860-266-9966 (local charges apply) or Visit us at: www.tataaia.com or
SMS 'LIFE' to 58888

03-07-2020,08:00
(I)V.81.00/FY2020-2021_Q2/RELEASE 01-07-20/EXPIRY 30-09-2020 000318446BJIRTRL51N2
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