Name of the Prospect/Policyholder: kalpesh shaligram more Proposal No: 8135516
Age (years) : 28 Gender: Male Name of the Product: Tata AIA Life Insurance Maha Raksha
Supreme
Name of the Life Assured : Umesh More
Tag Line : Non-Linked, Non-Participating, Individual
Age (years) : 27 Gender: Male Smoker: No Life Insurance Pure Risk Premium Product
i
am
Policy Term (years) : 47 Unique Identification No.: 110N102V03
red
Premium Payment Term (years) : 10 GST Rate: 18.0%
Amount of Instalment Premium(Rs.): 31624
i am red
Mode of Payment of Premium : Annual
This benefit illustration is intended to show year-wise premiums payable and benefits under the policy.
Policy Details
Policy Option Pure Protection Cover Sum Assured (Rs.) 10000000
Sum Assured on Death (at inception of the policy) Rs. 10000000
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.) 26800 0 26800
Instalment Premium with First year GST (Rs.) 31624 0 31624
Instalment Premium with GST 2nd year onwards (Rs.) 31624 0 31624
(Amount in Rupees)
Guaranteed Non - Guaranteed
Policy Single/ Annualised Survival
Year Premium Benefit / Other Benefits, if Maturity Death Min Guaranteed Surrender Special Surrender
Loyalty any Benefit Benefit Value Value
Additions
1 26800 NA NA NA 10000000 0 NA
2 26800 NA NA NA 10000000 0 NA
3 26800 NA NA NA 10000000 0 NA
4 26800 NA NA NA 10000000 4020 NA
5 26800 NA NA NA 10000000 14740 NA
6 26800 NA NA NA 10000000 25460 NA
7 26800 NA NA NA 10000000 34840 NA
8 26800 NA NA NA 10000000 45560 NA
9 26800 NA NA NA 10000000 54940 NA
10 26800 NA NA NA 10000000 65660 NA
11 0 NA NA NA 10000000 65660 NA
12 0 NA NA NA 10000000 65660 NA
13 0 NA NA NA 10000000 64320 NA
14 0 NA NA NA 10000000 64320 NA
15 0 NA NA NA 10000000 64320 NA
16 0 NA NA NA 10000000 64320 NA
17 0 NA NA NA 10000000 62980 NA
18 0 NA NA NA 10000000 62980 NA
19 0 NA NA NA 10000000 62980 NA
20 0 NA NA NA 10000000 61640 NA
21 0 NA NA NA 10000000 61640 NA
22 0 NA NA NA 10000000 61640 NA
23 0 NA NA NA 10000000 60300 NA
24 0 NA NA NA 10000000 60300 NA
25 0 NA NA NA 10000000 58960 NA
26 0 NA NA NA 10000000 57620 NA
27 0 NA NA NA 10000000 57620 NA
28 0 NA NA NA 10000000 56280 NA
29 0 NA NA NA 10000000 54940 NA
30 0 NA NA NA 10000000 53600 NA
31 0 NA NA NA 10000000 53600 NA
32 0 NA NA NA 10000000 52260 NA
33 0 NA NA NA 10000000 50920 NA
34 0 NA NA NA 10000000 49580 NA
35 0 NA NA NA 10000000 46900 NA
36 0 NA NA NA 10000000 45560 NA
37 0 NA NA NA 10000000 44220 NA
38 0 NA NA NA 10000000 41540 NA
39 0 NA NA NA 10000000 40200 NA
40 0 NA NA NA 10000000 37520 NA
41 0 NA NA NA 10000000 34840 NA
42 0 NA NA NA 10000000 32160 NA
43 0 NA NA NA 10000000 29480 NA
44 0 NA NA NA 10000000 26800 NA
45 0 NA NA NA 10000000 22780 NA
46 0 NA NA NA 10000000 20100 NA
47 0 NA NA NA 10000000 0 NA
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 I _____________________________________ (name), having
the premiums and benefits under the product fully to the prospect / received the information with respect to the above, have understood the
policyholder. above 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/331
Tata AIA Life Insurance Company Ltd. (IRDA of India Regn No. 110) (CIN: U66010MH2000PLC009086)
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: [Link] or
SMS 'LIFE' to 58888
02-12-2020,01:20
(I)V.87.00/FY2020-2021_Q3/RELEASE 01-10-20/EXPIRY 31-12-2020 004503123BCMRSL10N2V3
PM