IN THIS POLICY, THE INVESTMENT RISK IN INVESTMENT PORTFOLIO IS BORNE BY THE POLICYHOLDER

Product Proposal for achieving your Life Goals

Bajaj Allianz Life
Invest Protect Goal
A Unit-linked Non-Participating Individual Life Savings Insurance Plan
UIN: 116L177V02

Hi Mr. M M M,

Congratulations on taking the first step towards fulfilling your Life Goals with Bajaj Allianz Life Insurance.

You have opted for Bajaj Allianz Life Invest Protect Goal , a high insurance cover savings plan, which provides:

Key Features

High life insurance Growth of your savings Wide range of funds Fund Maintenance Return of charges and Tax Benefits
cover throughout through market linked available to plan your Booster to ensure life Loyalty Additions to
policy term returns investments cover continuity enhance your corpus
 Here's your illustration of Bajaj Allianz Life Invest Protect Goal

(12 years)

Age 36 47 75

Policy Term
(40 years)

You Pay You Get

Premium Lumpsum Maturity Benefit

Excluding GST At Age 75

First year ₹ 1,00,000 Yearly Assumed rate of return

Second year onwards ₹ 1,00,000 Yearly @8% ₹ 81,46,820
@4% ₹ 15,40,868

Total Premium Total Benefits

₹ 12,00,000 @8% ₹ 81,46,820 @4% ₹ 15,40,868

Give-Get Life Insurance Cover(At Inception)

@8% 6.79 x @4% 1.28 x ₹ 1,00,00,000

Additional Coverages ( signifies Opted | signifies Not-opted )

Accidental Death Benefit Accidental Total Permanent Disability

From age 36 to 74 Benefit
From age 36 to 74

^P remiums are payable at the beginning of year; ^^Benefits to be received at the end of year
T he assumed rate of returns indicated at 4% and 8% are illustrative and not guaranteed and do not indicate the upper or lower limits of returns
under the policy.
T he above benefits/returns shown in the document are for illustrative purpose only & must be read in conjunction with the Benefit Illustration. For
2
more details
on risk factors, terms and conditions please read sales brochure & policy document (available on www.bajajallianzlife.com ) carefully before
concluding a sale.
 Why Bajaj Allianz Life

Total Asset Under Net Worth Number of Lives

Managment (AUM) Covered

Individual Claim Get 1 day claim As against IRDAI

settlement Ratio Approval mandated 150%

* All figures as on 31 March 2023

or more details please refer to Company Factsheet
https://www.bajajallianzlife.com/content/dam/balic/pdf/financialinformation/Factsheet/none/Q1/Factsheet-FY-2022-2023.pdf

3
Bajaj A llianz L ife Insurance Co.L td., CIN : U66010P N 2001P L C015959 | IRDA I Reg.N o. 116 BEW ARE OF SPURIOUS PHONE CALLS AND FICTITIOUS /
Mail us: [email protected] | Call on: T oll free no. 1800 209 7272 FRADULENT OFFERS -
Registered O ffice A ddress: Bajaj A llianz House, A irport Road, Yerawada, P une - 411006, IRDAI is not involved in activities like selling insurance policies,
Maharashtra announcing bonus or investment of premiums. Public
T he L ogo of Bajaj A llianz L ife Insurance Co. L td. is provided on the basis of license given receiving such phone calls are requested to lodge a police
by Bajaj Finserv L td.to use its "Bajaj" L ogo and A llianz SE to use its "A llianz" logo. complaint.
Quotation No : 60048245473

Bajaj Allianz Life Invest Protect Goal

A Unit-linked Non-Participating Individual Life Savings Insurance Plan

Customer Details
Name of the Prospect / Policyholder MMM
Age (in years) 36
Gender of the Prospect / Policyholder M
Name of the Life Assured MMM
Age (in years) 36
Gender of the Life Assured M

Product / RIders Details

Base Plan / Sum Policy Premium Payment Premium Payment Instalment Premium Instalment Premium
Rider Name of Product / Rider Option Chosen UIN Assured Term Term (Years) Mode Without GST GST Rate with GST
(Years)
Base Plan Bajaj Allianz Life Invest Protect Not Applicable 116L177V02 1,00,00,000 40 12 Annual 1,00,000 18% on 1,00,000
Goal Charges
Rider Bajaj Allianz Life Linked Accident Accidental Death Benefit 116A055V01 1,00,00,000 39 12 Annual 8,794 18% on 10,377
Protection Rider Premium
Rider Bajaj Allianz Life Linked Accident Accidental Total Permanent 116A055V01 1,00,00,000 39 12 Annual 4,488 18% on 5,296
Protection Rider Disability Benefit Premium
Total 1,13,282 1,15,673

Investment Strategy Opted for Investor Selectable Portfolio Strategy

Fund opted for along with risk levels
Sr.No Fund Name SFIN Risk Level Fund Management Charge Investment%
1 Liquid Fund ULIF02510/07/06LIQUIDFUND116 Low 0.95% 0%
2 Bond Fund ULIF02610/07/06BONDFUNDLI116 Moderate 0.95% 0%
3 Individual Short Term Debt Fund ULIF08817/01/23INDSTRMDBT116 Moderate 0.95% 0%
4 Asset Allocation Fund II ULIF07205/12/13ASSETALL02116 High 1.25% 0%
5 Bluechip Equity Fund ULIF06026/10/10BLUECHIPEQ116 High 1.25% 0%
6 Dynamic Asset Allocation Fund ULIF08617/01/23DYNASALLOC116 High 1.35% 0%
7 Equity Growth Fund II ULIF05106/01/10EQTYGROW02116 Very High 1.35% 100%
8 Accelerator Mid-Cap Fund II ULIF05206/01/10ACCMIDCA02116 Very High 1.35% 0%
9 Pure Stock Fund II ULIF07709/01/17PURSTKFUN2116 Very High 1.30% 0%
10 Pure Stock Fund ULIF02721/07/06PURESTKFUN116 Very High 1.35% 0%
11 Flexi Cap Fund ULIF07917/11/21FLXCAPFUND116 Very High 1.35% 0%
12 Sustainable Equity Fund ULIF08017/11/21SUSEQUFUND116 Very High 1.35% 0%
13 Small Cap Fund ULIF08717/01/23SMALLCAPFU116 Very High 1.35% 0%
14 Midcap Index Fund ULIF08919/10/23MIDCPINDFD116 Very High 1.35% 0%
15 Smallcap Quality Index Fund ULIF09103/01/24SMCPQYINDF116 Very High 1.35% 0%

Some benefits are guaranteed and some benefits are variable with returns based on the future performance of your insurer carrying on life insurance business. If your policy offers guaranteed benefits then
these will be clearly marked 'guaranteed' in the illustration table on this page.If your policy offers variable benefits then the illustrations on this page will show two different rates of assumed future
investment returns, of 8 % p.a.and 4 % p.a.These assumed rates of return are not guaranteed and they are not the upper or lower limits of what you might get back, as the value of your policy is dependent on a
number of factors including future investment performance.
How to read and understand this benefit illustration?
This benefit illustration is intended to show what charges are deducted from your premiums and how the unit fund, net of charges and taxes, may grow over the years of the policy term if the fund earns a
gross returns of 8% p.a. and 4% p.a. These rates, i.e. 8% p.a. and 4% p.a. are assumed only for the purpose of illustrating the flow of benefits if the returns are at this level. It should not be interpreted that the
returns under the plan are going to be either 8%p.a. or 4% p.a.
Net Yield mentioned corresponds to the gross investment return of 8% p.a., net of all charges but does not consider mortality, morbidity charges, underwriting extra, if any, guarantee charges and cost of riders,
if deducted by cancellation of units. It demonstrates the impact of charges exclusive of taxes on the net yield. Please note that the mortality charges per thousand sum assured in general, increases with age.
The actual returns can vary depending on the performance of the chosen fund, charges towards mortality, morbidity, underwriting extra, cost of riders, etc. The investment risk in this policy is borne by the
policyholder, hence, for more details on terms and conditions please read sales literature carefully.
Part A of this statement presents a summary view of year-by-year charges deducted under the policy, fund value, surrender value and the death benefit, at two assumed rates of return. Part B of this statement
presents a detailed breakup of the charges, and other values.

O.X.X
Quotation No : 60048245473

Part A (Amount in Rupees)

At 4% p.a. Gross Investment Return At 8 % p.a. Gross Investment Return

Policy Annualised
Year Premium Commission payable to intermediary (in Rs).
Mortality Other Charges# GST FV at end of year Surrender Value Death Benefit Mortality Charge Other Charges# GST FV at end of year Surrender Value Death Benefit
Charge
1 1,00,000 10,370 13,085 4,222 75,469 70,941 1,00,00,000 10,369 13,108 4,226 78,593 73,877 1,00,00,000 25,000
2 1,00,000 10,955 10,177 3,804 1,56,848 1,52,848 1,00,00,000 10,949 10,267 3,819 1,66,441 1,62,441 1,00,00,000 1,000
3 1,00,000 11,619 7,350 3,414 2,44,183 2,41,183 1,00,00,000 11,602 7,555 3,448 2,64,036 2,61,036 1,00,00,000 1,000
4 1,00,000 12,362 8,539 3,762 3,32,686 3,30,686 1,00,00,000 12,328 8,912 3,823 3,66,886 3,64,886 1,00,00,000 1,000
5 1,00,000 13,190 9,744 4,128 4,22,284 4,22,284 1,00,00,000 13,131 10,342 4,225 4,75,228 4,75,228 1,00,00,000 1,000
6 1,00,000 14,112 11,488 4,608 5,12,343 5,12,343 1,00,00,000 14,018 12,375 4,751 5,88,833 5,88,833 1,00,00,000 0
7 1,00,000 15,164 12,711 5,018 6,25,211 6,25,211 1,00,00,000 15,019 13,953 5,215 7,30,218 7,30,218 1,00,00,000 0
8 1,00,000 16,312 14,247 5,501 7,17,421 7,17,421 1,00,00,000 16,100 15,919 5,763 8,57,327 8,57,327 1,00,00,000 0
9 1,00,000 17,664 15,497 5,969 8,10,189 8,10,189 1,00,00,000 17,359 17,685 6,308 9,90,898 9,90,898 1,00,00,000 0
10 1,00,000 19,230 16,753 6,477 9,35,270 9,35,270 1,00,00,000 18,802 19,538 6,901 11,63,113 11,63,113 1,00,00,000 0
11 1,00,000 20,964 18,451 7,095 10,29,224 10,29,224 1,00,00,000 20,373 21,931 7,615 13,12,246 13,12,246 1,00,00,000 0
12 1,00,000 23,052 19,719 7,699 11,22,897 11,22,897 1,00,00,000 22,243 23,998 8,323 14,68,483 14,68,483 1,00,00,000 0
13 0 25,752 19,608 8,165 11,13,193 11,13,193 1,00,00,000 24,663 24,763 8,897 15,25,306 15,25,306 1,00,00,000 0
14 0 28,863 19,449 8,696 10,99,544 10,99,544 1,00,00,000 27,421 25,532 9,532 15,82,339 15,82,339 1,00,00,000 0
15 0 32,406 19,231 9,295 12,06,448 12,06,448 1,00,00,000 30,526 26,302 10,229 17,65,330 17,65,330 1,00,00,000 0
16 0 35,867 20,664 10,176 11,86,625 11,86,625 1,00,00,000 33,433 28,833 11,208 18,30,131 18,30,131 1,00,00,000 0
17 0 40,162 20,355 10,893 11,61,203 11,61,203 1,00,00,000 37,048 29,707 12,016 18,94,600 18,94,600 1,00,00,000 0
18 0 44,821 19,967 11,662 11,29,614 11,29,614 1,00,00,000 40,889 30,574 12,863 19,58,441 19,58,441 1,00,00,000 0
19 0 49,784 19,491 12,470 10,91,351 10,91,351 1,00,00,000 44,884 31,431 13,737 20,21,424 20,21,424 1,00,00,000 0
20 0 55,011 18,922 13,308 14,24,194 14,24,194 1,00,00,000 48,981 32,274 14,626 24,50,937 24,50,937 1,00,00,000 0
21 0 57,874 23,453 14,639 13,83,202 13,83,202 1,00,00,000 50,569 38,262 15,990 25,37,973 25,37,973 1,00,00,000 0
22 0 63,223 22,846 15,492 13,34,852 13,34,852 1,00,00,000 54,320 39,445 16,878 26,25,909 26,25,909 1,00,00,000 0
23 0 68,777 22,136 16,364 12,78,727 12,78,727 1,00,00,000 58,039 40,641 17,762 27,14,842 27,14,842 1,00,00,000 0
24 0 74,575 21,317 17,261 12,14,352 12,14,352 1,00,00,000 61,739 41,851 18,646 28,04,855 28,04,855 1,00,00,000 0
25 0 80,719 20,382 18,198 15,17,316 15,17,316 1,00,00,000 65,479 43,076 19,540 32,55,201 32,55,201 1,00,00,000 0
26 0 83,565 24,505 19,453 14,47,818 14,47,818 1,00,00,000 65,668 49,367 20,706 33,74,420 33,74,420 1,00,00,000 0
27 0 90,361 23,494 20,494 13,68,562 13,68,562 1,00,00,000 69,128 51,002 21,623 34,96,918 34,96,918 1,00,00,000 0
28 0 97,889 22,344 21,642 12,78,444 12,78,444 1,00,00,000 72,760 52,682 22,580 36,22,693 36,22,693 1,00,00,000 0
29 0 1,06,353 21,037 22,930 11,76,089 11,76,089 1,00,00,000 76,646 54,405 23,589 37,51,640 37,51,640 1,00,00,000 0
30 0 1,15,969 19,552 24,394 15,90,537 15,90,537 1,00,00,000 80,851 56,169 24,664 43,59,406 43,59,406 1,00,00,000 0
31 0 1,19,358 25,196 26,020 14,79,992 14,79,992 1,00,00,000 78,479 64,682 25,769 45,32,466 45,32,466 1,00,00,000 0
32 0 1,31,076 23,581 27,838 13,52,842 13,52,842 1,00,00,000 82,310 67,066 26,888 47,11,741 47,11,741 1,00,00,000 0
33 0 1,44,620 21,723 29,942 12,06,514 12,06,514 1,00,00,000 86,377 69,535 28,064 48,97,332 48,97,332 1,00,00,000 0
34 0 1,60,308 19,584 32,380 10,37,993 10,37,993 1,00,00,000 90,652 72,090 29,294 50,89,384 50,89,384 1,00,00,000 0
35 0 1,78,540 17,119 35,219 16,21,930 16,21,930 1,00,00,000 95,105 74,734 30,571 59,21,098 59,21,098 1,00,00,000 0
36 0 1,82,595 25,078 37,381 14,36,563 14,36,563 1,00,00,000 85,454 86,440 30,941 61,83,892 61,83,892 1,00,00,000 0
37 0 2,04,780 22,348 40,883 12,20,320 12,20,320 1,00,00,000 87,267 90,095 31,925 64,61,006 64,61,006 1,00,00,000 0
38 0 2,30,744 19,164 44,983 9,67,960 9,67,960 1,00,00,000 88,384 93,956 32,821 67,54,186 67,54,186 1,00,00,000 0
39 0 2,61,230 15,446 49,802 6,73,230 6,73,230 1,00,00,000 88,509 98,050 33,581 70,65,653 70,65,653 1,00,00,000 0
40 0 2,97,209 11,100 55,496 15,40,868 15,40,868 1,00,00,000 87,273 1,02,412 34,143 81,46,820 81,46,820 1,00,00,000 0

# includes all charges other than mortality charge, See Part B for details
The Benefits shown above (Death Benefit, Surrender Value) are payable assuming Death / Surrender occur at the end of the year.

IN THIS POLICY, THE INVESTMENT RISK IS BORNE BY THE POLICYHOLDER AND THE ABOVE INTEREST RATES ARE ONLY FOR ILLUSTRATIVE PURPOSE.

I, ____ _____, have explained the premiums, charges and benefits under the policy fully to the I, ____M M M _____, having received the information with respect to the above, have understood
prospect / policyholder. the above statement before entering into the contract.

Place:
Date: Signature of Agent/ Intermediary / Official Date: Signature of Prospect / Policyholder

Part B

(Amount in Rupees)

Net Death
Gross Yield 8% 6.79 %
Yield Benefit

Premium Policy Fund FMC

Policy Annualised Annualised Premium - Mortality GST (Excl Guaranteee Other Return of Mortality Charge(incl ROIBC, Loyalty Addition + FMB + Partial Fund at Surrender
Allocation Admin. Before Incl. Lumpsum
Year Premium Charge Allocation Charge Charge On FMC) Charge Charge Charges* ROMBC,ROWC, If any) ROAC+ Family Benefit Withdrawal FMC GST End Value

1 1,00,000 12,000 88,000 10,369 4,026 0 0 0 0 0 0 79,900 1,307 78,593 73,877 1,00,00,000
2 1,00,000 8,000 92,000 10,949 3,411 0 0 0 0 0 0 1,69,116 2,675 1,66,441 1,62,441 1,00,00,000
3 1,00,000 4,000 96,000 11,602 2,808 0 0 0 0 0 0 2,68,231 4,195 2,64,036 2,61,036 1,00,00,000
4 1,00,000 4,000 96,000 12,328 2,939 0 0 0 0 0 0 3,72,683 5,796 3,66,886 3,64,886 1,00,00,000
5 1,00,000 4,000 96,000 13,131 3,084 0 0 0 0 0 0 4,82,712 7,484 4,75,228 4,75,228 1,00,00,000
6 1,00,000 0 1,00,000 14,018 3,333 4,500 0 0 0 0 0 5,98,125 9,292 5,88,833 5,88,833 1,00,00,000
7 1,00,000 0 1,00,000 15,019 3,513 4,500 0 0 21,854 0 0 7,19,519 11,155 7,30,218 7,30,218 1,00,00,000
8 1,00,000 0 1,00,000 16,100 3,708 4,500 0 0 0 0 0 8,70,802 13,475 8,57,327 8,57,327 1,00,00,000
9 1,00,000 0 1,00,000 17,359 3,935 4,500 0 0 0 0 0 10,06,456 15,558 9,90,898 9,90,898 1,00,00,000
10 1,00,000 0 1,00,000 18,802 4,194 4,500 0 0 0 32,000 0 11,48,858 17,745 11,63,113 11,63,113 1,00,00,000
11 1,00,000 0 1,00,000 20,373 4,477 4,500 0 0 0 0 0 13,32,815 20,569 13,12,246 13,12,246 1,00,00,000
12 1,00,000 0 1,00,000 22,243 4,814 4,500 0 0 0 0 0 14,91,491 23,008 14,68,483 14,68,483 1,00,00,000
13 0 0 0 24,663 5,249 4,500 0 0 0 0 0 15,49,216 23,910 15,25,306 15,25,306 1,00,00,000
14 0 0 0 27,421 5,746 4,500 0 0 0 0 0 16,07,158 24,818 15,82,339 15,82,339 1,00,00,000
15 0 0 0 30,526 6,305 4,500 0 0 1,10,597 15,559 0 16,64,900 25,726 17,65,330 17,65,330 1,00,00,000
16 0 0 0 33,433 6,828 4,500 0 0 0 0 0 18,58,845 28,713 18,30,131 18,30,131 1,00,00,000
17 0 0 0 37,048 7,479 4,500 0 0 0 0 0 19,24,345 29,744 18,94,600 18,94,600 1,00,00,000
18 0 0 0 40,889 8,170 4,500 0 0 0 0 0 19,89,208 30,767 19,58,441 19,58,441 1,00,00,000
19 0 0 0 44,884 8,889 4,500 0 0 0 0 0 20,53,202 31,778 20,21,424 20,21,424 1,00,00,000
20 0 0 0 48,981 9,626 4,500 0 0 3,37,686 29,878 0 21,16,147 32,774 24,50,937 24,50,937 1,00,00,000
21 0 0 0 50,569 9,912 4,500 0 0 0 0 0 25,77,812 39,839 25,37,973 25,37,973 1,00,00,000
22 0 0 0 54,320 10,588 4,500 0 0 0 0 0 26,67,145 41,235 26,25,909 26,25,909 1,00,00,000
23 0 0 0 58,039 11,257 4,500 0 0 0 0 0 27,57,488 42,646 27,14,842 27,14,842 1,00,00,000
24 0 0 0 61,739 11,923 4,500 0 0 0 0 0 28,48,930 44,074 28,04,855 28,04,855 1,00,00,000
25 0 0 0 65,479 12,596 4,500 0 0 2,90,145 69,086 0 29,41,490 45,519 32,55,201 32,55,201 1,00,00,000
26 0 0 0 65,668 12,630 4,500 0 0 0 0 0 34,27,363 52,943 33,74,420 33,74,420 1,00,00,000
27 0 0 0 69,128 13,253 4,500 0 0 0 0 0 35,51,791 54,873 34,96,918 34,96,918 1,00,00,000
28 0 0 0 72,760 13,907 4,500 0 0 0 0 0 36,79,547 56,854 36,22,693 36,22,693 1,00,00,000
29 0 0 0 76,646 14,606 4,500 0 0 0 0 0 38,10,528 58,888 37,51,640 37,51,640 1,00,00,000
30 0 0 0 80,851 15,363 4,500 0 0 3,65,053 1,10,783 0 39,44,540 60,970 43,59,406 43,59,406 1,00,00,000
31 0 0 0 78,479 14,936 4,500 0 0 0 0 0 46,03,482 71,015 45,32,466 45,32,466 1,00,00,000
32 0 0 0 82,310 15,626 4,500 0 0 0 0 0 47,85,569 73,828 47,11,741 47,11,741 1,00,00,000
33 0 0 0 86,377 16,358 4,500 0 0 0 0 0 49,74,074 76,742 48,97,332 48,97,332 1,00,00,000
34 0 0 0 90,652 17,127 4,500 0 0 0 0 0 51,69,140 79,757 50,89,384 50,89,384 1,00,00,000
35 0 0 0 95,105 17,929 4,500 0 0 4,32,924 2,00,089 0 53,70,961 82,876 59,21,098 59,21,098 1,00,00,000
36 0 0 0 85,454 16,192 4,500 0 0 0 0 0 62,80,581 96,689 61,83,892 61,83,892 1,00,00,000
37 0 0 0 87,267 16,518 4,500 0 0 0 0 0 65,62,008 1,01,002 64,61,006 64,61,006 1,00,00,000
38 0 0 0 88,384 16,719 4,500 0 0 0 0 0 68,59,744 1,05,558 67,54,186 67,54,186 1,00,00,000
39 0 0 0 88,509 16,742 4,500 0 0 0 0 0 71,76,042 1,10,389 70,65,653 70,65,653 1,00,00,000
40 0 0 0 87,273 16,519 4,500 0 0 4,36,887 3,11,717 0 75,13,752 1,15,536 81,46,820 81,46,820 1,00,00,000

The Benefits s hown a bove (Dea th Benefit, Surrender Va lue) a re pa ya ble a s s uming Dea th / Surrender occur a t the end of the yea r.

O.X.X
Quotation No : 60048245473

(Amount in Rupees)

Death
Gross Yield 4%
Benefit

Premium Policy Fund FMC

Policy Annualised Annualised Premium - Mortality GST (Excl Guaranteee Other Return of Mortality Charge(incl ROIBC, Loyalty Addition + FMB + Partial Fund at Surrender
Year Premium Allocation Allocation Charge Charge On FMC) Admin. Charge Charges* ROMBC,ROWC, If any) ROAC+ Family Benefit Withdrawal Before Incl. End Value Lumpsum
Charge Charge FMC GST
1 1,00,000 12,000 88,000 10,370 4,027 0 0 0 0 0 0 76,749 1,280 75,469 70,941 1,00,00,000
2 1,00,000 8,000 92,000 10,955 3,412 0 0 0 0 0 0 1,59,418 2,569 1,56,848 1,52,848 1,00,00,000
3 1,00,000 4,000 96,000 11,619 2,811 0 0 0 0 0 0 2,48,136 3,953 2,44,183 2,41,183 1,00,00,000
4 1,00,000 4,000 96,000 12,362 2,945 0 0 0 0 0 0 3,38,042 5,356 3,32,686 3,30,686 1,00,00,000
5 1,00,000 4,000 96,000 13,190 3,094 0 0 0 0 0 0 4,29,061 6,778 4,22,284 4,22,284 1,00,00,000
6 1,00,000 0 1,00,000 14,112 3,350 4,500 0 0 0 0 0 5,20,589 8,245 5,12,343 5,12,343 1,00,00,000
7 1,00,000 0 1,00,000 15,164 3,539 4,500 0 0 21,943 0 0 6,12,957 9,689 6,25,211 6,25,211 1,00,00,000
8 1,00,000 0 1,00,000 16,312 3,746 4,500 0 0 0 0 0 7,28,922 11,501 7,17,421 7,17,421 1,00,00,000
9 1,00,000 0 1,00,000 17,664 3,989 4,500 0 0 0 0 0 8,23,166 12,977 8,10,189 8,10,189 1,00,00,000
10 1,00,000 0 1,00,000 19,230 4,271 4,500 0 0 0 32,000 0 9,17,729 14,459 9,35,270 9,35,270 1,00,00,000
11 1,00,000 0 1,00,000 20,964 4,584 4,500 0 0 0 0 0 10,45,686 16,462 10,29,224 10,29,224 1,00,00,000
12 1,00,000 0 1,00,000 23,052 4,959 4,500 0 0 0 0 0 11,40,855 17,958 11,22,897 11,22,897 1,00,00,000
13 0 0 0 25,752 5,445 4,500 0 0 0 0 0 11,31,021 17,828 11,13,193 11,13,193 1,00,00,000
14 0 0 0 28,863 6,005 4,500 0 0 0 0 0 11,17,183 17,639 10,99,544 10,99,544 1,00,00,000
15 0 0 0 32,406 6,643 4,500 0 0 1,14,064 11,044 0 10,98,722 17,382 12,06,448 12,06,448 1,00,00,000
16 0 0 0 35,867 7,266 4,500 0 0 0 0 0 12,05,699 19,074 11,86,625 11,86,625 1,00,00,000
17 0 0 0 40,162 8,039 4,500 0 0 0 0 0 11,79,912 18,709 11,61,203 11,61,203 1,00,00,000
18 0 0 0 44,821 8,878 4,500 0 0 0 0 0 11,47,865 18,251 11,29,614 11,29,614 1,00,00,000
19 0 0 0 49,784 9,771 4,500 0 0 0 0 0 11,09,041 17,690 10,91,351 10,91,351 1,00,00,000
20 0 0 0 55,011 10,712 4,500 0 0 3,61,652 16,600 0 10,62,959 17,018 14,24,194 14,24,194 1,00,00,000
21 0 0 0 57,874 11,227 4,500 0 0 0 0 0 14,05,567 22,365 13,83,202 13,83,202 1,00,00,000
22 0 0 0 63,223 12,190 4,500 0 0 0 0 0 13,56,500 21,648 13,34,852 13,34,852 1,00,00,000
23 0 0 0 68,777 13,190 4,500 0 0 0 0 0 12,99,537 20,810 12,78,727 12,78,727 1,00,00,000
24 0 0 0 74,575 14,233 4,500 0 0 0 0 0 12,34,196 19,844 12,14,352 12,14,352 1,00,00,000
25 0 0 0 80,719 15,339 4,500 0 0 3,45,168 31,029 0 11,59,860 18,741 15,17,316 15,17,316 1,00,00,000
26 0 0 0 83,565 15,852 4,500 0 0 0 0 0 14,71,424 23,606 14,47,818 14,47,818 1,00,00,000
27 0 0 0 90,361 17,075 4,500 0 0 0 0 0 13,90,975 22,413 13,68,562 13,68,562 1,00,00,000
28 0 0 0 97,889 18,430 4,500 0 0 0 0 0 12,99,500 21,056 12,78,444 12,78,444 1,00,00,000
29 0 0 0 1,06,353 19,953 4,500 0 0 0 0 0 11,95,602 19,513 11,76,089 11,76,089 1,00,00,000
30 0 0 0 1,15,969 21,684 4,500 0 0 4,94,136 36,568 0 10,77,594 17,761 15,90,537 15,90,537 1,00,00,000
31 0 0 0 1,19,358 22,294 4,500 0 0 0 0 0 15,04,414 24,422 14,79,992 14,79,992 1,00,00,000
32 0 0 0 1,31,076 24,404 4,500 0 0 0 0 0 13,75,358 22,516 13,52,842 13,52,842 1,00,00,000
33 0 0 0 1,44,620 26,842 4,500 0 0 0 0 0 12,26,837 20,323 12,06,514 12,06,514 1,00,00,000
34 0 0 0 1,60,308 29,665 4,500 0 0 0 0 0 10,55,792 17,799 10,37,993 10,37,993 1,00,00,000
35 0 0 0 1,78,540 32,947 4,500 0 0 7,33,901 44,313 0 8,58,607 14,891 16,21,930 16,21,930 1,00,00,000
36 0 0 0 1,82,595 33,677 4,500 0 0 0 0 0 14,60,845 24,282 14,36,563 14,36,563 1,00,00,000
37 0 0 0 2,04,780 37,670 4,500 0 0 0 0 0 12,41,381 21,061 12,20,320 12,20,320 1,00,00,000
38 0 0 0 2,30,744 42,344 4,500 0 0 0 0 0 9,85,263 17,303 9,67,960 9,67,960 1,00,00,000
39 0 0 0 2,61,230 47,831 4,500 0 0 0 0 0 6,86,146 12,916 6,73,230 6,73,230 1,00,00,000
40 0 0 0 2,97,209 54,308 4,500 0 0 11,76,559 35,741 0 3,36,357 7,788 15,40,868 15,40,868 1,00,00,000

O.X.X
Quotation No : 60048245473

Family Benefit
Benefit Benefit
@8% @4%
Fund value at the end of year-with family benefit 82,16,091 15,48,811
Fund value at the end of year-without family benefit 81,46,820 15,40,868

The Benefits shown above (Death Benefit, Surrender Value) are payable assuming Death / Surrender occur at end of the year.

Notes:
1. Refer the salesliterature for explanation of terms used in this illustration.
2. Fund Management Charge is based on the specific fund option(s) chose
3. In case rider charges are collected explicitly through collec on of rider premium, and not by way of cancella on of units, then such charges are not considered in this illustra on other cases, rider charges are included in
other charges.
4. Other charges include morbidity and rider Charges , if any

I, ________ , have explained the premiums and benefits under the policy fully to the prospect / I, ____________ , having received the informa on with respect to the above, have understood the above
policyholder. statement before entering into the contract.

Place:
Date: Signature of Agent/ Intermediary/ Official Date: Signature of Prospect / Policyholder

Notes: Bajaj Allianz Life Invest Goal

1. Please consult our 'Insurance Consultant' for any clarifications on this illustration.
2. Unit Linked Life Insurance Products are different from the traditional insurance products and are subject to the risk factors.
3. All benefits payable under the Policy are subject to the tax laws and other financial enactments, as they exist from time to time.
4. The Regular Premium and Top Up Premium, if any, paid is subject to investment risks associated with capital markets and Unit Prices may go up and down based on the performance of the underlying assets in the Funds
and the factors influencing the Capital market and the Life Assured/ Policyholder is responsible for his/ her decisions.
5. Bajaj Allianz Life Insurance is the name of the company & Bajaj Allianz Life Invest Protect Goal is only the name of the Insurance Plan and does in no way indicate the quality of the policy, its future prospects or returns.
6. On death of the life assured, Higher of (Prevailing Sum Assured or Regular Premium Fund Value) plus Higher of (Top up Sum Assured or Top up Premium Fund Value) is payable, provided all due premiums are paid up to
date.The total death benefit shall be at least the Guaranteed Benefit of 105% of Total premiums paid
7. The plan provides Loyalty Advantage, as detailed below. These will be added into the fund provided all due premiums under the policy are paid up to the date of each Loyalty Advantage. The Loyalty Advantage
available in the product are:
i) Return Of Premium Allocation Charge (ROAC) :At the end of the 10th policy year, the total of all the premium allocation charges w.r.t. regular/limited premiums deducted under the policy will be added into the fund
ii) Return Of Premium Mortality Charge (ROMC) :The mortality charges deducted will be added to the Fund value including to the Top-up Fund Value (in amount and timing) as per the table given below-

At the end of Policy Year Return of Mortality Charge of

7 25% of Mortality charge deducted till 7th year
15 50% of total Mortality charge deducted till 15th year Less Mortality charge already returned
20 100% of Mortality charge deducted till the end 20th Policy Year Less Mortality charge already returned
25 or at Maturity whichever is earlier 100% of Mortality charges deducted from 21st Policy Year to (end of the 25th Policy Year or at Maturity, whichever is earlier)
30 or at Maturity whichever is earlier 100% of Mortality charges deducted from 26th Policy Year to (end of the 30th Policy Year or at Maturity ,whichever is earlier)
35 or at Maturity whichever is earlier 100% of Mortality charges deducted from 31st Policy Year to ( end of the 35th Policy Year or at Maturity, whichever is earlier)
40 or at Maturity whichever is earlier 100% of Mortality charges deducted from 36th Policy Year to ( end of the 40th Policy Year or at Maturity, whichever is earlier)

iii) Loyalty Addi on (LA): At the end of 15th Policy Year and end of every 5th Policy Year therea er, ll the end of the Policy term (as applicable in the policy), Loyalty Addi ons as a propor on (as given in the table below)
of the average of the daily Regular Premium Fund Values during the previous 3 years (including the current year) will be added into the fund.
End of Policy
Year 15th year 20th year 25th year 30th year 35th year 40th year
1.00% 1.50% 2.50% 3.00% 4.00% 4.50%
LA%

iv) Fund Maintenance Booster (FMB): From the 4th policy year, if the Fund Value is below one (1) Annualized Premium (will be checked at the start of each Policy month), then, Fund Maintenance Booster will be added to
the fund

Bajaj Allianz Life Insurance Co. Ltd.

Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006. Reg No.: 116.
Tel: (020) 66026777.
Email: [email protected]
www.bajajallianzlife.com

O.X.X