Benefit Illustration for SHRIRAM LIFE GOLDEN PREMIER SAVER PLAN

128N088V02

IRDAI Reg No:128

Name: XYZ Sum Assured : 1000000.00
Date Of Birth: 05/03/1992 Policy Term : 16
Age (in yrs): 30 PPT : 11
Gender: Male Mode: YEARLY

Total Benefits
Guaranteed Benefit   Non Guaranteed Benefit @ 4% p.a Non Guaranteed Benefit @ 8% p.a
Including Guaranteed and Non-Guaranteed Benefits
Maturity Benefit Death Benefit
Total Total Maturity Total Death Total Death
Policy Total Annualised Guaranteed Survival Surrender Death Maturity Reversionary Cash Surrender Reversionary Cash Surrender
Maturity Benefit 8% Benefit 4% Benefit 8%
Year Premiums  Additions Benifits Benefits Benefits Benefits. Bonus Bonus Benefits Bonus Bonus Benefits
Benefit 4%
1 96816.00 40000.00 0.00 0.00 1040000.00 0.00 0.00 0.00 3000 0.00 0.00 0.00 1040000.00 1058050.00

2 193632.00 80000.00 0.00 58090.00 1080000.00 0.00 0.00 63690.00 6000 64110.00 0.00 0.00 1080000.00 1116100.00

3 290448.00 120000.00 0.00 101657.00 1120000.00 0.00 0.00 112857.00 9000 113697.00 0.00 0.00 1120000.00 1174150.00

4 387264.00 160000.00 0.00 193632.00 1160000.00 0.00 0.00 211632.00 12000 212982.00 0.00 0.00 1160000.00 1232200.00

5 484080.00 200000.00 0.00 256562.00 1200000.00 0.00 0.00 282162.00 15000 284082.00 0.00 0.00 1200000.00 1290250.00

6 580896.00 200000.00 0.00 325302.00 1200000.00 0.00 15000.00 359302.00 58000 361852.00 0.00 0.00 1215000.00 1348300.00

7 677712.00 200000.00 0.00 406627.00 1200000.00 0.00 30000.00 445327.00 101000 453067.00 0.00 0.00 1230000.00 1406350.00

8 774528.00 200000.00 0.00 495698.00 1200000.00 0.00 45000.00 539398.00 144000 552888.00 0.00 0.00 1245000.00 1464400.00

9 871344.00 200000.00 0.00 592514.00 1200000.00 0.00 60000.00 641514.00 187000 661314.00 0.00 0.00 1260000.00 1522450.00

10 968160.00 200000.00 0.00 697075.00 1216568.00 0.00 75000.00 751675.00 230000 784135.00 0.00 0.00 1291568.00 1597068.00

11 1064976.00 200000.00 0.00 809382.00 1318225.00 0.00 90000.00 898875.00 273000 1008150.00 0.00 0.00 1408225.00 1756775.00

12 1064976.00 200000.00 0.00 851981.00 1318225.00 0.00 105000.00 1092630.00 316000 1247631.00 0.00 0.00 1423225.00 1814825.00

13 1064976.00 200000.00 0.00 894580.00 1318225.00 0.00 120000.00 1135350.00 359000 1318920.00 0.00 0.00 1438225.00 1872875.00

14 1064976.00 200000.00 0.00 937179.00 1318225.00 0.00 135000.00 1178760.00 402000 1392187.00 0.00 0.00 1453225.00 1930925.00

15 1064976.00 200000.00 0.00 979778.00 1318225.00 0.00 150000.00 1222860.00 445000 1467432.00 0.00 0.00 1468225.00 1988975.00

16 1064976.00 200000.00 0.00 1022377.00 1318225.00 1200000.00 165000.00 1269000.00 488000 1546300.00 1365000.00 1928800.00 1483225.00 2047025.00

Disclosures:
(1)This is only an illustration and does not in any way create any rights and/or obligations.
(2) This Illustration is applicable to a healthy individual and acceptance of the proposal is subjected to underwriting.Premiums relating to riders and non-standard risks are excluded from the above.
(3) The above amounts that all premiums have been paid on due date.
(4) The surrender value payable will be the maximum of GSV and SSV.
(5) Please contact nearest branch office for latest surrender values payable on your policy.
Policy Details
Policy Option Lump Sum Option Sum Assured Rs. 1000000.00
Extended cover Option NO 1000000.00
Bonus Type Simple Reversionary Sum Assured on Death (at inception of the policy) Rs.

Premium Summary
Base Plan Riders Total Instalment Premium
Instalment Premium without GST 96816 0.00 96816.00
Instalment Premium with First Year GST 101173 101173
Instalment Premium with GST 2nd Year Onwards 98994.00 98994.00
I, ..............................................  having received the information with respect to the above, have understood the terms & conditions of this product before entering into the contract.

Name of the intermediary/sales officer/ Specified 
Person :

Signature of Agent/ Company seal (Name) :
Specified Person :

Code No/Employee code :  Policy holder's signature Date : Place :