For Office Use Only (w.e.f. June 24/ Ver 1.

0)

Illustration No: KG2G-3030M-3718-Y12

Quotation Number: BB310824122235711

Proposal No:

Policy No.:

Name of the Prospect/Policyholder Name of the Product Kotak Gen2Gen Protect

DOB of the Prospect/Policyholder 10 July 2000 Tag Line A Non-Linked Non-Participating

Individual Savings Life Insurance
Age of the Prospect/Policyholder 24
Plan
(in yrs)
Unique Identification No UIN: 107N132V01
Name of Life Insured
Goods and Services Tax and Cess 4.50%
DOB of Life insured 10 July 2000
Rate (GST) - (Year 1)
Age of the Life Insured (in yrs) 24
Goods and Services Tax and Cess 2.25%
Gender of Life Insured Male Rate (GST) - (Year 2)

Tobacco User (Life Insured) No Rider Goods and Services Tax and 18.00%
Cess Rate (GST)
Name of Secondary Life Insured Not Applicable
Salaried Customer Yes
DOB of Secondary Life Insured Not Applicable
Existing Customer No
Age of the Secondary Life Insured Not Applicable
(in yrs) Existing Policy Number Not Applicable

Gender of Secondary Life Insured Not Applicable Kotak Group Employee No

Policy Term (in yrs) 51 Backdation Date Chosen Not Applicable

Extended Policy Term (in yrs) (for Not Applicable Channel Name Corporate Agents
Secondary Life Insured)
Agent's Branch Location Kerala
Premium Payment Term (in yrs) 36
Prospect/Policyholder's Current Kerala
Amount of Installment Premium (in 16,000 Location
Rs.)

Mode of Payment of Premium Yearly

POLICY DETAILS

Plan Option : Life ROP Base Sum Assured (Rs.) : 50,00,000

Sum Assured on Death (at inception of the policy) Rs. : 50,00,000

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 Quotation Number:BB310824122235711

Rider Sum Rider Premium

Rider Name Option Availed Rider Term Rider Premium
Assured Payment Term

Kotak Accidental Death Benefit Rider

No
(UIN:107B001V03)

Kotak Critical Illness Plus Benefit Rider

No
(UIN: 107B020V01)

Kotak Permanent Disability Benefit Rider

No
(UIN: 107B002V03)

PREMIUM SUMMARY

Base Plan Riders Total Installment Premium

Installment First Year Premium without GST (Rs.) : 15,200 0 15,200

Installment First Year Premium with GST (Rs.) : 15,884 0 15,884

Installment Second Year Premium with GST (Rs.) : 16,360 0 16,360

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New Page1

Quotation Number:BB310824122235711

BENEFIT ILLUSTRATION TABLE

Non Guaranteed
Guaranteed Benefits
Benefits
Age of Secondary
End of Policy Year Age of Life Assured Annualized Premium Death Benefit (Rs.)
Life Assured Death Benefit (Rs.) Guaranteed Special Surrender
Maturity Benefit (Rs.) For Secondary Life
For Life Assured Surrender Value (Rs.) Value (Rs.)
Assured

1 25 0 15,200 50,00,000 0 0 0 0

2 26 0 16,000 50,00,000 0 0 9,360 9,360

3 27 0 16,000 50,00,000 0 0 16,520 16,520

4 28 0 16,000 50,00,000 0 0 31,600 31,600

5 29 0 16,000 50,00,000 0 0 39,600 39,600

6 30 0 16,000 50,00,000 0 0 47,600 47,600

7 31 0 16,000 50,00,000 0 0 55,600 55,600

8 32 0 16,000 50,00,000 0 0 64,783 64,813

9 33 0 16,000 50,00,000 0 0 74,264 74,331

10 34 0 16,000 50,00,000 0 0 84,043 84,154

11 35 0 16,000 50,00,000 0 0 94,119 94,282

12 36 0 16,000 50,00,000 0 0 1,04,493 1,04,715

13 37 0 16,000 50,00,000 0 0 1,15,165 1,15,454

14 38 0 16,000 50,00,000 0 0 1,26,134 1,26,497

15 39 0 16,000 50,00,000 0 0 1,37,401 1,37,846

16 40 0 16,000 50,00,000 0 0 1,48,966 1,49,500

17 41 0 16,000 50,00,000 0 0 1,60,828 1,61,459

18 42 0 16,000 50,00,000 0 0 1,72,988 1,73,723

19 43 0 16,000 50,00,000 0 0 1,85,446 1,86,292

20 44 0 16,000 50,00,000 0 0 1,98,201 1,99,166

21 45 0 16,000 50,00,000 0 0 2,11,254 2,12,345

22 46 0 16,000 50,00,000 0 0 2,24,605 2,25,830

23 47 0 16,000 50,00,000 0 0 2,38,253 2,39,619

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 24 48 0 16,000 50,00,000 0 0 2,52,199 2,53,714

25 49 0 16,000 50,00,000 0 0 2,66,443 2,68,114

26 50 0 16,000 50,00,000 0 0 2,80,984 2,82,819

27 51 0 16,000 50,00,000 0 0 2,95,823 2,97,829

28 52 0 16,000 50,00,000 0 0 3,10,960 3,13,144

29 53 0 16,000 50,00,000 0 0 3,26,394 3,28,764

30 54 0 16,000 50,00,000 0 0 3,42,127 3,44,690

31 55 0 16,000 50,00,000 0 0 3,58,156 3,60,920

32 56 0 16,000 50,00,000 0 0 3,74,484 3,77,456

33 57 0 16,000 50,00,000 0 0 3,91,109 3,94,297

34 58 0 16,000 50,00,000 0 0 4,08,032 4,11,442

35 59 0 16,000 50,00,000 0 0 4,25,252 4,28,893

36 60 0 16,000 50,00,000 0 0 4,42,770 4,46,649

37 61 0 0 50,00,000 0 0 4,48,121 4,52,134

38 62 0 0 50,00,000 0 0 4,53,472 4,57,618

39 63 0 0 50,00,000 0 0 4,58,822 4,63,103

40 64 0 0 50,00,000 0 0 4,64,173 4,68,587

41 65 0 0 50,00,000 0 0 4,69,524 4,74,072

42 66 0 0 50,00,000 0 0 4,74,874 4,79,556

43 67 0 0 50,00,000 0 0 4,80,225 4,85,041

44 68 0 0 50,00,000 0 0 4,85,576 4,90,525

45 69 0 0 50,00,000 0 0 4,90,927 4,96,010

46 70 0 0 50,00,000 0 0 4,96,277 5,01,494

47 71 0 0 50,00,000 0 0 5,01,628 5,06,979

48 72 0 0 50,00,000 0 0 5,06,979 5,12,463

49 73 0 0 50,00,000 0 0 5,12,329 5,17,948

50 74 0 0 50,00,000 0 0 5,17,680 5,23,432

51 75 0 0 50,00,000 5,75,200 0 0 0

Notes: Annualized Premium excludes underwriting extra Premium, frequency loadings on premiums, the premiums paid towards the riders, if any and Goods and Services Tax.

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 Quotation Number:BB310824122235711

Terms & Conditions:

1. Kotak Gen2Gen Protect is a non-linked non-participating individual savings life insurance plan. The illustration stated is for a healthy individual
and would be subject to underwriting.

2. The Premiums are to be paid in the beginning of the chosen mode of payment. For e.g. in case of Annual mode of payment, premiums are
payable at the beginning of the respective policy year and in case of Monthly mode of payment, premiums are payable at the beginning of the
respective policy month. Death Benefit, Maturity Benefit and Surrender Benefit are assumed to be paid at the end of the policy year.

3. Surrender value (if applicable) will be higher of GSV (Guaranteed Surrender value) and SSV (Special Surrender Value).

4. The main objective of the illustration is that the policyholder is able to understand the features of the product and the nature of benefits under
different circumstances. The above illustrated benefits are derived on the basis of details of the life insured provided at the time of filling the
proposal form. If the details are found inaccurate or there are any changes before or at the time of the policy issuance for eg: change in age, the
illustrated benefits will be subject to revision. The values shown herein are for illustrative purposes only. For more details on the risk factors, terms
and conditions, please read sales brochure carefully before concluding a sale.

5. In case of any conflict between this Benefit Illustration and your Policy Document, the latter shall prevail.

6. The Maturity Benefit is calculated as sum of all premiums paid Including Extra Premium and Modal Loading, but Excluding Discount on 1st year
premium any Rider Premium and any applicable taxes.

7. In case of Legacy ROP option, subject to policy being inforce and all due premiums are paid, Maturity Benefit as illustrated in the table above will
be payable to the primary life insured and all benefits on the primary life insured shall cease. Death Benefit on secondary Life Insured will payable
during the Extended Policy Term. No other additional benefits will be payable during the Extended Policy term.

8. Taxes & Cess, as applicable shall be levied at the applicable Tax rates in accordance with the prevailing Tax Laws. Prevailing tax laws are
applicable on this policy which may vary from time to time.

I, ________________________________________________(Name), I, ________________________________________________(Name),
have explained the premiums and benefits under the product fully to having received the information with respect to the above, have
the prospect / policyholder understood the above statement before entering into the contract

Place : _______________ _________________________________ Place : _______________ _________________________________

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

Kotak Mahindra Life Insurance Company Limited.

CIN: U66030MH2000PLC128503
Regd. Office: 8th Floor, Plot# C-12, G-Block, BKC, Bandra (E), Mumbai - 400 051
Regn. No: 107. Toll Free No.: 1800 209 8800. WhatsApp : 9321003007. Website: https://www.kotaklife.com

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