BENEFIT ILLUSTRATION

[Date and Time of Illustration – 20 August 2025, 03:25 PM]

Name of the Prospect/Policyholder: Mr. Proposal No:

Age & Gender: 37 Years, Male Name of the Product: Axis Max Life Smart Wealth Income Plan
Name of the Life Assured: Mr. Tag Line: A Non-Linked Participating Individual Life Insurance Savings Plan
Age & Gender: 37 Years, Male Unique Identification No: 104N120V03
Policy Term: 48 Years GST Rate (Base Policy, First 4.50%
Premium Payment Term: 12 Years GST Rate (Rider, First Year): 18.00%
Amount of Installment Premium: `2,10,635 Axis Max Life State: Bihar
Mode of payment of premium: Annual Policyholder Residential State: Bihar

How to read and understand this benefit illustration?

This benefit illustration is intended to show year-wise premiums payable and benefits under the policy, at two assumed rates of interest i.e., 8% p.a. and 4% p.a.
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 returns benefits then
these will be clearly marked “guaranteed” in the illustration table on the next this page. If your policy offers variable returns benefits then the illustration on the next 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 illustrative, 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.

Policy Details
Policy Option Early Income Sum Assured (in Rs.) 32,08,213
Policy Continuance Benefit Option Yes Sum Assured on Death (at inception of the policy) (in Rs.) 22,00,000
Payment Frequency for Guaranteed Income/Cash Bonus Annual in Advance

Rider Details
Accidental Death & Dismemberment (ADD) Rider Premium
12 Pay 38 Accidental Death & Dismemberment (ADD) Rider Sum Assured (in Rs.) 7,00,000
Payment Term and Rider Term
Term Plus Rider Term NA Term Plus Rider Sum Assured (in Rs.) NA
Waiver of Premium (WOP) Plus Rider Term NA
Critical Illness and Disability Rider - Rider Premium Payment Term
NA Critical Illness and Disability Rider - Coverage Variant NA
and Rider Term
Critical Illness and Disability Rider - Rider Sum Assured NA

Premium Summary

Accidental Death & Waiver of Premium Critical Illness and Total Installment
Base Plan Term Plus Rider
Dismemberment Rider Plus Rider Disability Rider Premium

Installment Premium without GST (in Rs.) 2,00,000 1,386 0 0 0 2,01,386

Installment Premium with first year GST (in Rs.) 2,09,000 1,635 0 0 0 2,10,635
Installment Premium with GST 2nd year onwards (in Rs.) 2,04,500 1,635 0 0 0 2,06,135

UIN: 104N120V03 Axis Max Life Insurance Limited, Corporate Office – 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram – 122002 Page 1 of 5
 (Amount in Rupees)

Non-Guaranteed Benefits Non-Guaranteed Benefits Total Benefits including Guaranteed and Non- Guaranteed Benefits
Guaranteed Benefits
@ 4% p.a. @ 8% p.a.
Survival Benefit Surrender Value Death Benefit Maturity Benefit

Single/ Total Total

Policy Annualiz Survival Survival Survival Total
Total Total Total
Surrender Surrender Surrender Total Total
Year ed Benefit Survival Maturity Survival Maturity Benefit, Benefit, Surrender Maturity Maturity
Surrender Benefit (SSV Death Surrender Benefit (SSV Death Benefit, Death Death
Premium (Guaranteed Maturity Benefit Benefit Benefit Benefit incl. of incl. of Benefit, Benefit, Benefit,
Death Benefit Including TB Benefit Benefit Including TB Benefit [Link] TB, if Benefit, Benefit,
Income- Benefit (Cash (TB at (Cash (TB at Cash Cash incl. of TB, if
any @ 8% incl. of TB, incl. of TB,
incl. TB, if incl. TB, if
Benefit (GSV) on (TB on (GSV) on (TB on any @ 4%
BOY/Guaran (EOY) Bonus) Maturity) Bonus) Maturity) Bonus, if Bonus, if (Higher of if any @ if any @ any @ 4% any @ 8%
(EOY) Surrender) Death) (EOY) Surrender) Death) any @ 8% (Higher of 7
teed Money (BOY) (EOY) (BOY) (EOY) any @ 4% 12 or 13) 4% (4+9) 8% (4+14) (5+10) (5+15)
(EOY) (EOY) (3+11) or 8) (EOY)
Back-EOY) (3+6) (EOY) (EOY) (EOY)
(BOY) (BOY)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
2,00,0 22,00, 22,00,00 22,00,00
1 - - - - 16,914 - - - - 16,914 - - - - 16,914 16,914 - -
00 000 0 0
2,00,0 22,00, 1,16,16 67,00 22,00,00 22,00,00
2 2,066 - 1,771 1,36,163 - - 50,934 70,934 - - 3,837 69,066 1,36,163 70,934 - -
00 000 3 0 0 0
2,00,0 22,00, 2,02,32 67,00 22,00,00 22,00,00
3 2,066 - 1,771 2,62,326 - - 71,867 1,47,919 - - 3,837 69,066 2,62,326 1,47,919 - -
00 000 6 0 0 0
2,00,0 22,00, 3,88,48 67,00 1,92,80 22,00,00 22,00,00
4 2,066 - 1,771 4,28,489 - - 2,32,801 - - 3,837 69,066 4,28,489 2,32,801 - -
00 000 9 0 1 0 0
2,00,0 22,00, 4,84,65 67,00 2,23,73 22,00,00 22,00,00
5 2,066 - 1,771 5,69,652 - - 3,12,905 - - 3,837 69,066 5,69,652 3,12,905 - -
00 000 2 0 4 0 0
2,00,0 22,00, 5,80,81 67,00 2,54,66 22,00,00 22,00,00
6 2,066 - 1,771 7,24,815 - - 4,44,187 - - 3,837 69,066 7,24,815 4,44,187 - -
00 000 5 0 8 0 0
2,00,0 22,00, 6,76,97 67,00 2,85,60 22,00,00 22,00,00
7 2,066 - 1,771 8,93,978 - - 6,01,297 - - 3,837 69,066 8,93,978 6,01,297 - -
00 000 8 0 2 0 0
2,00,0 22,00, 8,64,50 67,00 4,07,89 10,77,14 22,00,00 22,00,00
8 2,066 - 1,771 10,77,141 - - 7,86,924 - - 3,837 69,066 7,86,924 - -
00 000 1 0 5 1 0 0
2,00,0 22,00, 10,75,0 67,00 5,53,20 12,95,66 10,00,58 22,00,00 22,00,00
9 2,066 - 1,771 12,95,660 - - 10,00,588 - - 3,837 69,066 - -
00 000 44 0 9 0 8 0 0
2,00,0 22,00, 13,08,2 67,00 7,21,20 15,84,71 12,44,80 22,00,00 22,00,00
10 2,066 - 1,771 15,84,713 - - 12,44,809 - - 3,837 69,066 - -
00 000 67 0 2 3 9 0 0
2,00,0 23,10, 15,64,5 67,00 9,12,25 19,05,82 15,24,49 23,10,00 23,10,00
11 2,066 - 1,771 19,05,822 - - 15,24,494 - - 3,837 69,066 - -
00 000 50 0 6 2 4 0 0
2,00,0 25,20, 18,43,4 67,00 11,25,9 22,59,53 18,41,95 25,20,00 25,20,00
12 2,066 - 1,771 22,59,532 - - 18,41,959 - - 3,837 69,066 - -
00 000 73 0 49 2 9 0 0
25,20, 19,76,9 67,00 11,94,1 24,71,08 20,18,31 25,20,00 25,20,00
13 - 2,066 - 1,771 24,71,087 - - 20,18,312 - - 3,837 69,066 - -
000 16 0 63 7 2 0 0
25,20, 21,10,1 67,00 12,62,1 25,51,44 20,90,74 25,20,00 25,20,00
14 - 2,066 - 1,771 25,51,447 - - 20,90,744 - - 3,837 69,066 - -
000 19 0 37 7 4 0 0
25,20, 21,06,2 67,00 11,93,0 26,27,90 21,61,48 25,20,00 25,20,00
15 - 2,066 - 1,771 26,27,905 - - 21,61,482 - - 3,837 69,066 - -
000 82 0 70 5 2 0 0
25,20, 21,02,4 67,00 11,24,0 27,06,27 22,36,69 25,20,00 25,20,00
16 - 2,066 - 1,771 27,06,271 - - 22,36,692 - - 3,837 69,066 - -
000 45 0 04 1 2 0 0

UIN: 104N120V03 Axis Max Life Insurance Limited, Corporate Office – 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram – 122002 Page 2 of 5
 Non-Guaranteed Benefits Non-Guaranteed Benefits Total Benefits including Guaranteed and Non- Guaranteed Benefits
Guaranteed Benefits
@ 4% p.a. @ 8% p.a.
Survival Benefit Surrender Value Death Benefit Maturity Benefit

Single/ Total Total

Policy Annualiz Survival Survival Survival Total
Total Total Total
Surrender Surrender Surrender Total Total
Year ed Benefit Survival Maturity Survival Maturity Benefit, Benefit, Surrender Maturity Maturity
Surrender Benefit (SSV Death Surrender Benefit (SSV Death Benefit, Death Death
Premium (Guaranteed Maturity Benefit Benefit Benefit Benefit incl. of incl. of Benefit, Benefit, Benefit,
Death Benefit Including TB Benefit Benefit Including TB Benefit [Link] TB, if Benefit, Benefit,
Income- Benefit (Cash (TB at (Cash (TB at Cash Cash incl. of TB, if
any @ 8% incl. of TB, incl. of TB,
incl. TB, if incl. TB, if
Benefit (GSV) on (TB on (GSV) on (TB on any @ 4%
BOY/Guaran (EOY) Bonus) Maturity) Bonus) Maturity) Bonus, if Bonus, if (Higher of if any @ if any @ any @ 4% any @ 8%
(EOY) Surrender) Death) (EOY) Surrender) Death) any @ 8% (Higher of 7
teed Money (BOY) (EOY) (BOY) (EOY) any @ 4% 12 or 13) 4% (4+9) 8% (4+14) (5+10) (5+15)
(EOY) (EOY) (3+11) or 8) (EOY)
Back-EOY) (3+6) (EOY) (EOY) (EOY)
(BOY) (BOY)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
25,20, 20,98,6 67,00 10,54,9 27,86,47 23,16,48 25,20,00 25,20,00
17 - 2,066 - 1,771 27,86,478 - - 23,16,481 - - 3,837 69,066 - -
000 08 0 37 8 1 0 0
25,20, 20,94,7 67,00 9,85,87 28,68,59 24,01,38 25,20,00 25,20,00
18 - 2,066 - 1,771 28,68,591 - - 24,01,381 - - 3,837 69,066 - -
000 71 0 1 1 1 0 0
25,20, 20,90,9 67,00 9,16,80 29,52,61 24,91,49 25,20,00 25,20,00
19 - 2,066 - 1,771 29,52,612 - - 24,91,499 - - 3,837 69,066 - -
000 34 0 5 2 9 0 0
25,20, 20,87,0 67,00 8,47,73 30,38,67 25,87,25 25,20,00 25,20,00
20 - 2,066 - 1,771 30,38,672 - - 25,87,259 - - 3,837 69,066 - -
000 97 0 8 2 9 0 0
25,20, 20,83,2 67,00 7,78,67 31,26,70 26,89,08 25,20,00 25,20,00
21 - 2,066 - 1,771 31,26,704 - - 26,89,089 - - 3,837 69,066 - -
000 60 0 2 4 9 0 0
25,20, 20,79,4 67,00 7,09,60 32,16,84 27,97,30 25,20,00 25,20,00
22 - 2,066 - 1,771 32,16,841 - - 27,97,307 - - 3,837 69,066 - -
000 23 0 5 1 7 0 0
25,20, 20,75,5 67,00 6,40,53 33,09,01 29,12,55 25,20,00 25,20,00
23 - 2,066 - 1,771 33,09,017 - - 29,12,553 - - 3,837 69,066 - -
000 85 0 9 7 3 0 0
25,20, 20,71,7 67,00 5,71,47 34,03,42 30,35,04 25,20,00 25,20,00
24 - 2,066 - 1,771 34,03,428 - - 30,35,040 - - 3,837 69,066 - -
000 48 0 3 8 0 0 0
25,20, 20,67,9 67,00 5,02,40 34,99,87 31,65,51 25,20,00 25,20,00
25 - 2,066 - 1,771 34,99,878 - - 31,65,512 - - 3,837 69,066 - -
000 11 0 6 8 2 0 0
25,20, 20,64,0 67,00 4,33,34 35,98,56 33,04,28 25,20,00 25,20,00
26 - 2,066 - 1,771 35,98,564 - - 33,04,289 - - 3,837 69,066 - -
000 74 0 0 4 9 0 0
25,20, 20,62,3 69,06 3,64,27 37,01,15 34,51,79 25,20,00 25,20,00
27 - - - 1,771 37,01,157 - - 34,51,798 - - 1,771 69,066 - -
000 03 6 3 7 8 0 0
25,20, 20,60,5 69,06 2,95,20 38,05,92 36,08,57 25,20,00 25,20,00
28 - - - 1,771 38,05,920 - - 36,08,570 - - 1,771 69,066 - -
000 33 6 7 0 0 0 0
25,20, 20,58,7 69,06 2,26,14 39,12,59 37,75,24 25,20,00 25,20,00
29 - - - 1,771 39,12,591 - - 37,75,245 - - 1,771 69,066 - -
000 62 6 1 1 5 0 0
25,20, 20,56,9 69,06 1,57,07 40,21,16 39,52,24 25,20,00 25,20,00
30 - - - 1,771 40,21,169 - - 39,52,247 - - 1,771 69,066 - -
000 91 6 4 9 7 0 0
25,20, 20,55,2 69,06 41,31,39 41,25,09 25,20,00 25,20,00
31 - - - 1,771 41,31,390 - - 88,008 41,25,098 - - 1,771 69,066 - -
000 20 6 0 8 0 0
25,20, 20,53,4 69,06 42,43,05 42,56,95 25,20,00 25,20,00
32 - - - 1,771 42,43,059 - - 18,941 42,56,954 - - 1,771 69,066 - -
000 49 6 9 4 0 0
25,20, 20,51,6 69,06 43,55,91 44,50,86 25,20,00 25,20,00
33 - - - 1,771 43,55,911 - - - 44,50,861 - - 1,771 69,066 - -
000 78 6 1 1 0 0

UIN: 104N120V03 Axis Max Life Insurance Limited, Corporate Office – 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram – 122002 Page 3 of 5
 Non-Guaranteed Benefits Non-Guaranteed Benefits Total Benefits including Guaranteed and Non- Guaranteed Benefits
Guaranteed Benefits
@ 4% p.a. @ 8% p.a.
Survival Benefit Surrender Value Death Benefit Maturity Benefit

Single/ Total Total

Policy Annualiz Survival Survival Survival Total
Total Total Total
Surrender Surrender Surrender Total Total
Year ed Benefit Survival Maturity Survival Maturity Benefit, Benefit, Surrender Maturity Maturity
Surrender Benefit (SSV Death Surrender Benefit (SSV Death Benefit, Death Death
Premium (Guaranteed Maturity Benefit Benefit Benefit Benefit incl. of incl. of Benefit, Benefit, Benefit,
Death Benefit Including TB Benefit Benefit Including TB Benefit [Link] TB, if Benefit, Benefit,
Income- Benefit (Cash (TB at (Cash (TB at Cash Cash incl. of TB, if
any @ 8% incl. of TB, incl. of TB,
incl. TB, if incl. TB, if
Benefit (GSV) on (TB on (GSV) on (TB on any @ 4%
BOY/Guaran (EOY) Bonus) Maturity) Bonus) Maturity) Bonus, if Bonus, if (Higher of if any @ if any @ any @ 4% any @ 8%
(EOY) Surrender) Death) (EOY) Surrender) Death) any @ 8% (Higher of 7
teed Money (BOY) (EOY) (BOY) (EOY) any @ 4% 12 or 13) 4% (4+9) 8% (4+14) (5+10) (5+15)
(EOY) (EOY) (3+11) or 8) (EOY)
Back-EOY) (3+6) (EOY) (EOY) (EOY)
(BOY) (BOY)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
25,20, 20,49,9 69,06 44,69,61 46,76,16 25,20,00 25,20,00
34 - - - 1,771 44,69,618 - - - 46,76,167 - - 1,771 69,066 - -
000 07 6 8 7 0 0
25,20, 20,48,1 69,06 45,83,91 49,14,46 25,20,00 25,20,00
35 - - - 1,771 45,83,917 - - - 49,14,464 - - 1,771 69,066 - -
000 36 6 7 4 0 0
25,20, 20,46,3 69,06 46,98,28 51,66,17 25,20,00 25,20,00
36 - - - 1,771 46,98,282 - - - 51,66,176 - - 1,771 69,066 - -
000 65 6 2 6 0 0
25,20, 20,44,5 69,06 48,12,25 54,31,94 25,20,00 25,20,00
37 - - - 1,771 48,12,252 - - - 54,31,944 - - 1,771 69,066 - -
000 94 6 2 4 0 0
25,20, 20,42,8 69,06 49,25,36 57,12,29 25,20,00 25,20,00
38 - - - 1,771 49,25,367 - - - 57,12,299 - - 1,771 69,066 - -
000 23 6 7 9 0 0
25,20, 20,41,0 69,06 50,37,03 60,07,66 25,20,00 25,20,00
39 - - - 1,771 50,37,035 - - - 60,07,667 - - 1,771 69,066 - -
000 52 6 5 7 0 0
25,20, 20,39,2 69,06 51,46,46 63,18,47 25,20,00 25,20,00
40 - - - 1,771 51,46,468 - - - 63,18,474 - - 1,771 69,066 - -
000 81 6 8 4 0 0
25,20, 20,37,5 69,06 52,53,00 66,45,14 25,20,00 25,20,00
41 - - - 1,771 52,53,007 - - - 66,45,147 - - 1,771 69,066 - -
000 10 6 7 7 0 0
25,20, 20,35,7 69,06 53,55,73 69,88,00 25,20,00 25,20,00
42 - - - 1,771 53,55,732 - - - 69,88,004 - - 1,771 69,066 - -
000 39 6 2 4 0 0
25,20, 20,33,9 69,06 54,53,65 73,47,57 25,20,00 25,20,00
43 - - - 1,771 54,53,656 - - - 73,47,578 - - 1,771 69,066 - -
000 69 6 6 8 0 0
25,20, 20,32,1 69,06 56,39,56 78,58,24 25,20,00 25,20,00
44 - - - 1,771 56,39,569 - - - 78,58,244 - - 1,771 69,066 - -
000 98 6 9 4 0 0
25,20, 20,30,4 69,06 58,18,84 83,95,74 25,20,00 25,20,00
45 - - - 1,771 58,18,841 - - - 83,95,742 - - 1,771 69,066 - -
000 27 6 1 2 0 0
25,20, 20,28,6 69,06 59,89,23 89,60,17 25,20,00 25,20,00
46 - - - 1,771 59,89,235 - - - 89,60,178 - - 1,771 69,066 - -
000 56 6 5 8 0 0
25,20, 20,26,8 69,06 61,48,31 95,51,44 25,20,00 25,20,00
47 - - - 1,771 61,48,318 - - - 95,51,447 - - 1,771 69,066 - -
000 85 6 8 7 0 0
25,20, 32,08,2 33,67,98 69,06 74,39,5 25,20,00 25,20,00 65,76,19 1,06,47,
48 - - 1,771 - - - - - - 1,771 69,066 - -
000 13 2 6 25 0 0 5 738

UIN: 104N120V03 Axis Max Life Insurance Limited, Corporate Office – 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram – 122002 Page 4 of 5
Notes:
1. Annualized Premium excludes underwriting extra premium, frequency loadings on premiums, the premiums paid towards the riders, if any, and Goods and Service Tax. Refer Sales literature for explanation of terms used in
this illustration.
2. EOY: End of Year, BOY = Beginning of Year, Arrears means Cash Bonus and Guaranteed Income shall be provided at EOY, Advance means Cash Bonus and Guaranteed Income shall be provided at BOY. For more details refer
to Prospectus.
3. The surrender Value, death benefit and maturity benefit shown above are at the end of the Policy Year.
4. The Surrender Value is higher of the Guaranteed Surrender Value (GSV) and the Special Surrender Value (SSV).
5. For details on the Surrender Value refer Sales Literature and Policy Document.
6. TB - Terminal Bonus

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

Place: Signature of Agent / Thumb Impression /

Date:8/20/25 Signature / Thumb Impression / Electronic Signature of
Date: 8/20/25 Electronic Signature of Agent / Intermediary / Prospect / Policyholder
Official of the insurer
This system generated benefit illustration shall be treated as signed by me.

UIN: 104N120V03 Axis Max Life Insurance Limited, Corporate Office – 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram – 122002 Page 5 of 5