Dear AKHIL E G,

Congratulations! Now you are one step closer to achieving your financial goals by choosing Tata AIA Fortune Guarantee Supreme.
Guaranteed Income:
You have the option to receive your guaranteed income in one of the following ways:
Annually on every policy anniversary
Monthly, quarterly or half-yearly
Annually on a "special date" such as your birthdate, anniversary, etc.
 Your plan details are as follows:
Policy term (years) 15
Premium payment term (years) 10
Mode of premium payment Yearly
Premium installment as per chosen mode incl. GST ₹3,76,200
Income Paid In Cash 100%

You have chosen to receive guaranteed income every year on policy anniversary
Your income details are as follows:
Income Starts from year 1
No. of years for which you will receive income (Income period) 15
Guaranteed income installment as per chosen frequency ₹98,062
Guaranteed maturity benefit ₹36,00,000

The date of first Income payout will be mentioned in your policy schedule.
Best Wishes,
Tata AIA Life Insurance Company Ltd.
Please read complete Sales brochure before concluding sales.

Tata AIA Life Insurance Company Limited (IRDAI Regn. No.110) CIN: U66010MH2000PLC128403. Registered & 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 any information including cancellation, claims and complaints, please contact
our Insurance Advisor / Intermediary or visit Tata AIA Life's nearest branch office or call 1–860–266–9966 (local charges apply) or write to us at [email protected]. Visit us at: www.tataaia.com. UIN: 110N163V04

BEWARE OF SPURIOUS PHONE CALLS AND FICTITIOUS / FRAUDULENT OFFERS IRDAI is not involved in activities like selling insurance policies, announcing bonus or investment of premiums. Public receiving such
phone calls are requested to lodge a police complaint
 Tata AIA Fortune Guarantee Supreme
Dear AKHIL E G
Tata AIA Fortune Guarantee Supreme is a Individual, non-linked, non-participating, life insurance savings plan. This financial solution provides guaranteed benefits throughout policy term as chosen.

Key Benefits
Guaranteed benefits payable on survival/maturity as chosen.
Flexibility to receive benefits into wallet & withdraw as necessary.
Offset your premium against benefit payouts during premium payment term (if any)
Get Life cover during entire policy term, including benefit payout years.
'Section 41 of the Insurance Act, 1938, prohibits the intermediary from sharing his commission with the customer. It also prohibits the customer from accepting a share of the commission. Any person making default in compliance
with this Section is liable to payment of fine.'All payouts to the intermediaries are within the limits prescribed under the Insurance Act, 1938, and IRDAI Rules & Regulations as amended from time to time
Please read the product brochure/ policy document for more details
BENEFIT ILLUSTRATION
Tata AIA Fortune Guarantee Supreme
Name of the Prospect / Policyholder: AKHIL E G Proposal No: 473179648601
Age (years) : 33 Name of the Product: Tata AIA Fortune Guarantee Supreme
Gender: Male Tag Line: Individual, Non-Linked, Non-Participating Life Insurance Saving Plan
Name of the Life Assured 1 : AKHIL E G Unique Identification Number: 110N163V04
Age (years) : 33 GST Rate : 4.50% for first year
Gender: Male 2.25% second year onwards
Name of the Life Assured 2 : NA
Age (years) : NA
Gender: NA
Policy Term (years) : 15
Premium Payment Term (years) : 10
Amount of Instalment Premium (Rs.) : 3,76,200
Mode of Payment of Premium : Annual
Death Benefit Multiple Option: NA (applicable for Single Pay)

This benefit illustration is intended to show year-wise premiums payable and benefits under the policy.
Policy Details
Plan Option My Income Basic Sum Assured (first Death) Rs. 36,00,000
Benefit Income throughout policy term & lumpsum at maturity Basic Sum Assured (Second Death, if any) Rs. NA
Income/Survival Benefit Frequency Annual Sum Assured on First Death (at inception of the policy) Rs. 36,00,000
Return of Premium Benefit Not Applicable Sum Assured on Second Death, if any (at inception of the NA
policy) Rs.
Income/Survival Benefit starts from year 1 Special Date2 NA
Income/Survival Benefit period (years) 15 Settlement Option5 NA

Total Annualized Premiums payable (A) Rs. 36,00,000 Total benefits during policy term (B) Rs. 50,70,930
Rider Details
Tata AIA Vitality (Wellness Program): No
Details of Life Insured/Partner under the Benefit Option Benefit Payout Return Premium
of Benefit Premium Sum p.a. Year 1
Rider Name / UIN^(Benefit Option / Benefit Payout Option) Income Income Option Payment Assured without Discount
Name Age(yrs) Gender Lumpsum p.a. Duration premium
(Rs.) (Rs.) (yrs) option Term Term (Rs.) GST (Rs.) (Rs.)

Premium Summary
Base Plan Riders Total Instalment Premium
Instalment Premium without GST (Rs.) 3,60,000 0 3,60,000
Instalment Premium with First year GST (Rs.) 3,76,200 0 3,76,200
Instalment Premium post applicable discount with First year GST (Rs.) 3,68,676 0 3,68,676
Instalment Premium with GST 2nd year onwards (Rs.) 3,60,738 0 3,60,738

Instalment Premium post applicable discount for Base Plan includes discount for Online/Digital Sales
 Guaranteed Non - Guaranteed
Policy Year Single/ Annualized Premium Death Benefit 4
Survival Benefits1 Maturity Benefit (First Death) Death Benefit 4 (Second death, if any) Min. Guaranteed Surrender Value3 Special Surrender Value3
1 3,60,000 98,062 0 36,00,000 NA 0 0
2 3,60,000 98,062 0 36,00,000 NA 1,17,938 4,53,847
3 3,60,000 98,062 0 36,00,000 NA 1,81,876 7,01,130
4 3,60,000 98,062 0 36,00,000 NA 4,25,814 9,64,147
5 3,60,000 98,062 0 36,00,000 NA 5,07,752 12,44,595
6 3,60,000 98,062 0 36,00,000 NA 5,89,690 15,44,416
7 3,60,000 98,062 0 36,00,000 NA 6,71,628 18,65,749
8 3,60,000 98,062 0 36,00,000 NA 9,26,366 22,11,184
9 3,60,000 98,062 0 36,00,000 NA 11,91,904 25,82,646
10 3,60,000 98,062 0 37,80,000 NA 15,29,442 29,83,722
11 0 98,062 0 37,80,000 NA 16,47,380 31,06,323
12 0 98,062 0 37,80,000 NA 17,65,318 32,38,506
13 0 98,062 0 37,80,000 NA 18,47,256 33,80,579
14 0 98,062 0 37,80,000 NA 19,65,194 35,33,562
15 0 98,062 36,00,000 37,80,000 NA 18,67,132 36,98,062
Benefits during Settlement Period 5 (applicable when Settlement option is opted 'Yes')
Proportion of Maturity Benefit opted to be taken as equal installments during settlement period (%) NA
Settlement period (years) NA
Frequency of payouts during Settlement period NA
Amount of each installment as per frequency chosen above (Rs.) NA
For the purpose of this illustration, the discounting rate used NA

Note: Single/Annualised premium excludes underwriting extra premium, loading for modal premiums, the premium paid towards the riders, if any, and Goods and Services Tax.

1. Survival Benefit will be payable at the end of Survival Benefit frequency as chosen or on Special date. Please refer complete Terms and Conditions for more details on Survival Benefits.
2. If you have selected Special Date-
a. The Survival Benefits will be paid out on the chosen special date.
b. The last instalment of Survival Benefit will be paid on the date of maturity and not on the special date and hence, the last instalment will be lower than the earlier Survival Benefits
c. Income payable includes interest for the period between policy anniversary and special date chosen. This illustration assumes the date mentioned in the box below as the policy commencement date for the purpose of
calculation of policy anniversary. However, the actual interest calculation will be based on the policy commencement date mentioned in your policy schedule.
3. The surrender values mentioned above are illustrated at the end of the policy year. Special Surrender value may be revised depending on the prevailing market conditions.
4. The Death Benefit shown above is at the end of the policy year. For single life policies and in case of Second Death for joint life policies, the death benefit illustrated above has been floored to Surrender value (which is
inclusive of Non-Guaranteed Special Surrender Value) payable at that point of time. Upon payment of Death benefit the policy terminates and no further benefits are payable
5. The instalments are derived using the rate equal to '5-year Gsec rate minus 50 bps' as on the end of financial year preceding maturity. The first instalment shall be paid on Maturity & the next as per chosen frequency, in
advance. The 5 year G-sec rate will be reviewed every year.
6. Income Tax benefits would be available as per the prevailing income tax laws, subject to fulfillment of conditions stipulated therein. Tata AIA Life Insurance Company Ltd. does not assume responsibility on tax implication
 mentioned anywhere in this document. Please consult your own tax consultant to know the tax benefits available to you.
7. Please read Sales Brochure carefully before concluding a sale.

I, …...................... (name), have explained the premiums and benefits under the product fully to the prospect / I, AKHIL E G , having received the information with respect to the above, have understood the above statement
policyholder. before entering into the contract.

Place:
Date: 09 Jul 2023 Date: 09 Jul 2023
Signature of Agent / Intermediary / Official Signature of Prospect / Policyholder
Unique Reference Number - L&C/Advt/2023/May/1632 (Rider -L&C/Advt/2020/Dec/1539 )
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