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

Dear MR. Shailesh Patel,

Congratulations on becoming your family's Param Rakshakarta !!
Today, protection is the need of the hour and we are privileged that you have chosen us as your Rakshakaran partner. We are delighted that you have opted for
one of our comprehensive solutions that will provide Life Cover as well as market-linked returns and protection for your health - helping you secure your loved
ones' financial future. Param Rakshakaran also offers a holistic wellness program- Tata AIA Vitality - which partners with you to help you focus on your physical
and mental wellbeing while keeping you motivated with various discounts and benefits.
The comprehensive solutions will provide following benefits:

Comprises of Tata AIA Life Insurance Smart Sampoorna Raksha, Tata Comprises of Tata AIA Life Insurance Smart Sampoorna Raksha, Tata AIA
AIA Vitality Protect Plus and Tata AIA Vitality Health Plus Vitality Protect Plus

Life Insurance Cover Life Insurance Cover

Accidental Death Accidental Death

Accidental Total & Permanent Disability Accidental Total & Permanent Disability

Tata AIA Vitality*

CritiCare Plus

HospiCare

Tata AIA Vitality*

All in all, these solutions will cater to your protection, wealth and health protection needs. At Tata AIA Life Insurance, we are committed to help you with solutions
that will provide Param Rakshakaran to your family so that you can enjoy life without any worries.

Best Wishes
Tata AIA Life Insurance Company Limited
Param Rakshak solution comprises of Tata AIA Life Insurance Smart Sampoorna Raksha and Tata AIA Vitality Protect Plus

Param Rakshak Plus solution comprises of Tata AIA Life Insurance Smart Sampoorna Raksha, Tata AIA Vitality Protect Plus and Tata AIA Vitality Health Plus

Tata AIA Life Insurance Smart Sampoorna Raksha, A Unit-linked, Non-participating, Individual Life Insurance Plan for Savings and Protection
(UIN:110L156V02); Tata AIA Vitality Protect Plus, A Non-linked, Non-participating, Individual Health Rider (UIN: 110A048V02) and Tata AIA Vitality Health Plus,
A Non-linked, Non-participating, Individual Health Rider (UIN: 110A047V02).

*Tata AIA Vitality: A Wellness Program that offers you an upfront discount at policy inception. You can also earn premium discount / cover booster (as
applicable) for subsequent years on policy anniversary basis your Vitality Status (tracked on Vitality app)

Disclaimers: THE LINKED INSURANCE PRODUCT DO NOT OFFER ANY LIQUIDITY DURING THE FIRST FIVE YEARS OF THE CONTRACT. THE POLICY
HOLDER WILL NOT BE ABLE TO SURRENDER/WITHDRAW THE MONIES INVESTED IN LINKED INSURANCE PRODUCTS COMPLETELY OR
PARTIALLY TILL THE END OF THE FIFTH YEAR. For more details please refer to the customized benefit illustration and terms & conditions of the product. In
case of any inconsistency between this letter and policy document, the policy document shall always prevail. Vitality is a trademark licensed to Tata AIA Life by
Amplify Health Assets PTE. Limited, a joint venture between Vitality Group International, INC. and AIA Company Limited. The assessment under the wellness
program shall not be considered as a medical advice or a substitute to a consultation/treatment by a professional medical practitioner. All investments made by
the Company are subject to market risks. The Company does not guarantee any assured returns. The Investment income and price may go down as well as up
depending on several factors influencing the market. Please know the associated risks and the applicable charges, from your Insurance Agent or the
Intermediary or Policy Document issued by the Insurance Company. Please make your own independent decision after consulting your financial or other
professional advisor. The performance of the managed portfolios and funds is not guaranteed and the value may increase or decrease in accordance with the
future experience of the managed portfolios and funds. The solutions are underwritten by Tata AIA Life Insurance Company Limited.

The solutions are not guaranteed issuance solutions and it will be subject to Company's underwriting and acceptance. Buying a Life Insurance Policy is a
long-term commitment. An early termination of the policy usually involves high costs and the surrender value payable may be less than all the premium paid.
Unit Linked Life Insurance products are different from traditional insurance products and are subject to risk factors. The fund is managed by Tata AIA Life
Insurance Company Ltd. (hereinafter the "Company"). Tata AIA Life Insurance Company Limited is only the name of the Insurance Company & Tata AIA Life
Insurance Smart Sampoorna Raksha is only the name of the Unit Linked Life Insurance contract and does not in any way indicate the quality of the contract, its
future prospects or returns. Various funds offered under this contract are the names of the funds and do not in any way indicate the quality of these plans, their
future prospects and returns. Premium paid in Unit Linked Life Insurance policies are subject to investment risks associated with capital markets and the NAVs
of the units may go up or down based on the performance of fund and factors influencing the capital market and the insured is responsible for his/her decisions.
Past performance is not indicative of future performance. Returns are calculated on an absolute basis for a period of less than (or equal to) a year, with
reinvestment of dividends (if any). Life insurance cover is available under the solution. For details on products, associated risk factors, terms and conditions
please read Sales Brochure carefully before concluding a sale. The precise terms and condition of this plan are specified in the Policy Contract. L&
C/Advt/2023/Oct/0509.

#TataAIAKaBharosa

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 & AIA Group Ltd. & is
used by Tata AIA Life Insurance Company Ltd under a license. For any information including cancellation, claims & 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.

BEWARE OF SPURIOUS PHONE CALLS IRDAI is not involved in activities like selling insurance policies, announcing bonus or investment of premiums.
AND FICTITIOUS / FRAUDULENT OFFERS Public receiving such phone calls are requested to lodge a police complaint
 IN THIS POLICY, THE INVESTMENT RISK IN INVESTMENT PORTFOLIO IS BORNE BY THE POLICYHOLDER.

Dear MR. Shailesh Patel,

Thank you for choosing us to protect your loved ones.
Your decision to select Param Rakshak - II with a Life Cover of INR 5000000 will help secure the financial future of your loved ones as it comprises Tata AIA
Life Insurance's Smart Sampoorna Raksha, Accidental Death, Accidental Total & Permanent Disability, and Term Booster under Tata AIA Vitality Protect Plus.

In case of any eventuality during the Policy Term, you are entitled to a life cover of INR 5000000 which is inclusive of sum assured of INR 4500000 under the
base plan (Tata AIA Life Insurance Smart Sampoorna Raksha) and INR 500000 under Term Booster (Tata AIA Vitality Protect Plus). Kindly refer to our benefit
illustration here for all requisite details.

At Tata AIA Life Insurance, we are committed to help you live happier, healthier lives through solutions that provide Sampoorna Rakshakaran to your family so
that you can be happy, with no worries.

Best Wishes
Tata AIA Life Insurance Company Limited

Disclaimer: Param Rakshak II solution comprises of Tata AIA Life Insurance Smart Sampoorna Raksha, A Unit-linked, Non-participating, Individual Life
Insurance Plan for Savings and Protection (UIN: 110L156V02) and Tata AIA Vitality Protect Plus, A Non-linked, Non-participating, Individual Health Rider (UIN:
110A048V02). Insurance cover is available under the solution. | The solution is underwritten by Tata AIA Life Insurance Company Ltd. This is not a guaranteed
issuance solution and it will be subject to Company's underwriting and acceptance. | For more details on risk factors, terms and conditions please read sales
brochure carefully before concluding a sale.

#TataAIAKaBharosa
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 & AIA Group Ltd. & is
used by Tata AIA Life Insurance Company Ltd under a license. For any information including cancellation, claims & 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.

BEWARE OF SPURIOUS PHONE CALLS IRDAI is not involved in activities like selling insurance policies, announcing bonus or investment of premiums.
AND FICTITIOUS / FRAUDULENT OFFERS Public receiving such phone calls are requested to lodge a police complaint.
 Proposal No: 12592034

Name of the Prospect / Shailesh Name of the Product: Tata AIA Life Insurance Smart Sampoorna Raksha
Policyholder: Patel
Tag Line : Unit-linked, Non-Participating, Individual Life Insurance Plan for Savings
Age (yrs) : 29 and Protection

Name of the Life Assured : Shailesh Unique Identification No.: 110L156V03

Patel
GST Rate: 18.0%
Age (yrs) : 29
Investment Strategy NIL
Sum Assured (Rs.): 4500000 Opted for:

Policy Term (yrs): 40 Funds opted for along with their risk level

Premium Payment Term (yrs): 12

Amount of Instalment Premium 32713

(Rs.):

Mode of Payment of Premium : Annual

Fund Name Allocation Percentage Risk Profile

Large Cap Equity Fund (ULIF 017 07/01/08 TLC 110) 0%
Whole Life Mid-cap Equity Fund (ULIF 009 04/01/07 WLE 110) 0%
Whole Life Aggressive Growth Fund (ULIF 010 04/01/07 WLA 110) 0%
Whole Life Stable Growth Fund (ULIF 011 04/01/07 WLS 110) 0%
Whole Life Income Fund (ULIF 012 04/01/07 WLI 110) 0%
Whole Life Short Term Fixed Income Fund (ULIF 013 04/01/07 WLF 110) 0%
Multi Cap Fund (ULIF 060 15/07/14 MCF 110) 0%
India Consumption Fund (ULIF 061 15/07/14 ICF 110) 0%
Super Select Equity Fund (ULIF 035 16/10/09 TSS 110) 0%
Top 50 Fund (ULIF 026 12/01/09 ITF 110) 0%
Top 200 fund (ULIF 027 12/01/09 ITT 110) 0%
Emerging Opportunities Fund (ULIF 064 12/09/22 EOF 110) 0%
Sustainable Equity Fund (ULIF 065 12/09/22 ESG 110) 0%
Dynamic Advantage Fund (ULIF 066 12/09/22 DAF 110) 0%
Flexi Growth Fund (ULIF 068 25/04/23 FGF 110) 100% High
Constant Maturity Fund (ULIF 069 17/05/23 CMF 110) 0%
Target Maturity Fund (ULIF 070 17/05/23 TMF 110) 0%
Small Cap Discovery Fund (ULIF 071 22/05/23 SCF 110) 0%

Rider Details
Tata AIA Vitality Utilization of rewards (if Wellness program
Yes Premium Discount
(Wellness Program) opted)
Details of Life
Insured/Partner under the Benefit Payout Return Premium
Rider Name/UIN^ Benefit Option Benefit Premium Sum Year 1
of p.a.
(Benefit Option/Benefit Option Payment Assured Discount
Income premium without
Payout Option) Lumpsum Income Term Term (Rs.) (Rs.)
Name Age(yrs) Gender Duration option GST (Rs.)
(Rs.) p.a.(Rs.)
(yrs)
^VPP - Accidental Death Shailesh
29 M 4500000 NA NA No 40 12 4500000 4095 205
(Lumpsum Benefit) Patel
^VPP - Term Booster Shailesh
29 M 500000 NA NA No 40 12 500000 1495 149
(Lumpsum Benefit)# Patel
^VPP - Accidental Total
Shailesh
and Permanent Disability 29 M 4500000 NA NA No 40 12 4500000 2475 124
Patel
(Lumpsum Benefit)

^VPP - Tata AIA Vitality Protect Plus,(A Non-Linked, Non-Participating Individual Health Rider UIN:110A048V02)
#Premium calculated for Term Booster on Shailesh Patel is considering underwriting class as super preferred.
#Premium calculated for Term Booster on Shailesh Patel is considering underwriting class as super preferred.

Premium Summary
Base Plan Riders Total Instalment Premium
Instalment Premium without GST (Rs.) 23196 8065 31261
Instalment Premium with First year GST (Rs.) 23196 9517 32713
Instalment Premium post applicable discount with First year GST (Rs.) 23196 8952 32148
Instalment Premium with GST 2nd year onwards (Rs.) 23196 9517 32713

Discount applicable and Installment Premium payable 2nd year onwards will depend on the Wellness status of the Insured
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 return of 8% p.a. or 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 and 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.
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 illustration 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 dependant on a number of factors including
future investment performance.
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 break-up of the charges, and other values.
Part A
(Amount in Rupees)
At 4% p.a. Gross Investment Return At 8% p.a. Gross Investment Return Commission
Annualized Mortality, Mortality, payable to
Policy Year Other Fund at End Surrender Other Fund at End Surrender
Premium Morbidity GST Death Benefit Morbidity GST Death Benefit intermediary
Charges* of Year Value Charges* of Year Value (Rs.)
Charges Charges
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

1 23,196 3,620 2,998 1,191 16,086 12,546 4,500,000 3,620 3,003 1,192 16,782 13,242 4,500,000 8,119
2 23,196 3,685 1,822 991 34,186 31,826 4,500,000 3,684 1,840 994 36,321 33,961 4,500,000 232
3 23,196 3,775 1,813 1,006 52,919 51,149 4,500,000 3,772 1,853 1,013 57,311 55,541 4,500,000 232
4 23,196 3,897 1,583 986 72,543 71,363 4,500,000 3,892 1,656 999 80,098 78,918 4,500,000 232
5 23,196 4,043 2,267 1,136 91,966 91,966 4,500,000 4,035 2,384 1,155 103,668 103,668 4,500,000 232
6 23,196 4,225 2,558 1,221 111,596 111,596 4,500,000 4,212 2,733 1,250 128,479 128,479 4,500,000 232
7 23,196 4,435 2,855 1,312 131,401 131,401 4,500,000 4,415 3,099 1,353 154,577 154,577 4,500,000 232
8 23,196 4,683 3,157 1,411 151,337 151,337 4,500,000 4,655 3,484 1,465 181,997 181,997 4,500,000 232
9 23,196 4,965 3,463 1,517 171,362 171,362 4,500,000 4,925 3,888 1,586 210,783 210,783 4,500,000 232
10 23,196 5,288 3,774 1,631 196,993 196,993 4,500,000 5,234 4,313 1,718 246,540 246,540 4,500,000 232
11 23,196 5,639 4,195 1,770 227,309 227,309 4,500,000 5,567 4,867 1,878 288,789 288,789 4,500,000 232
12 23,196 6,030 4,639 1,920 257,502 257,502 4,500,000 5,933 5,467 2,052 332,902 332,902 4,500,000 232
13 0 6,504 4,800 2,035 263,268 263,268 4,500,000 6,378 5,804 2,193 353,788 353,788 4,500,000 0
14 0 7,046 4,951 2,160 267,285 267,285 4,500,000 6,883 6,144 2,345 374,161 374,161 4,500,000 0
15 0 7,665 5,085 2,295 270,854 270,854 4,500,000 7,457 6,483 2,509 395,340 395,340 4,500,000 0
16 0 8,377 5,217 2,447 273,918 273,918 4,500,000 8,114 6,835 2,691 417,341 417,341 4,500,000 0
17 0 9,207 5,348 2,620 276,375 276,375 4,500,000 8,875 7,202 2,894 440,138 440,138 4,500,000 0
18 0 10,173 5,474 2,817 278,119 278,119 4,500,000 9,755 7,582 3,121 463,706 463,706 4,500,000 0
19 0 11,301 5,597 3,042 278,999 278,999 4,500,000 10,776 7,978 3,376 487,980 487,980 4,500,000 0
20 0 12,612 5,713 3,299 278,851 278,851 4,500,000 11,954 8,386 3,661 512,886 512,886 4,500,000 0
21 0 14,120 5,821 3,589 277,465 277,465 4,500,000 13,296 8,806 3,978 538,307 538,307 4,500,000 0
22 0 15,833 5,919 3,915 274,636 274,636 4,500,000 14,806 9,238 4,328 564,135 564,135 4,500,000 0
23 0 17,750 6,005 4,276 270,244 270,244 4,500,000 16,476 9,681 4,708 590,352 590,352 4,500,000 0
24 0 19,850 6,077 4,667 264,162 264,162 4,500,000 18,279 10,134 5,114 616,940 616,940 4,500,000 0
25 0 22,117 6,135 5,085 256,295 256,295 4,500,000 20,194 10,599 5,543 643,919 643,919 4,500,000 0
26 0 24,521 6,179 5,526 246,611 246,611 4,500,000 22,186 11,076 5,987 671,380 671,380 4,500,000 0
27 0 27,036 6,208 5,984 235,164 235,164 4,500,000 24,225 11,567 6,443 699,504 699,504 4,500,000 0
28 0 29,636 6,225 6,455 222,070 222,070 4,500,000 26,281 12,077 6,904 728,548 728,548 4,500,000 0
29 0 32,312 6,232 6,938 207,514 207,514 4,500,000 28,339 12,607 7,370 758,849 758,849 4,500,000 0
30 0 35,064 6,231 7,433 191,730 191,730 4,500,000 30,391 13,164 7,840 790,808 790,808 4,500,000 0
31 0 37,875 6,262 7,945 184,894 184,894 4,500,000 32,439 13,752 8,314 824,867 824,867 4,500,000 0
32 0 40,605 6,555 8,489 194,507 194,507 4,500,000 34,507 14,377 8,799 861,467 861,467 4,500,000 0
33 0 43,431 6,894 9,059 205,641 205,641 4,500,000 36,618 15,046 9,299 901,039 901,039 4,500,000 0
34 0 46,423 7,265 9,664 218,493 218,493 4,500,000 38,810 15,763 9,823 943,938 943,938 4,500,000 0
35 0 49,635 7,669 10,315 233,297 233,297 4,500,000 41,117 16,532 10,377 990,456 990,456 4,500,000 0
36 0 53,130 8,112 11,024 250,332 250,332 4,500,000 43,582 17,358 10,969 1,040,778 1,040,778 4,500,000 0
37 0 56,968 8,596 11,801 269,931 269,931 4,500,000 46,240 18,243 11,607 1,094,998 1,094,998 4,500,000 0
38 0 61,204 9,127 12,660 292,489 292,489 4,500,000 49,124 19,187 12,296 1,153,109 1,153,109 4,500,000 0
39 0 65,888 9,711 13,608 318,477 318,477 4,500,000 52,261 20,190 13,041 1,215,045 1,215,045 4,500,000 0
40 0 71,063 10,061 14,602 348,459 348,459 4,500,000 54,415 21,850 13,728 1,364,555 1,364,555 4,500,000 0

*Other charges includes Premium Allocation Charge, Policy Admin Charge, Fund Management Charge and Rider Charges, if any. See Part B for details.

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

I ___________________________ (name), have explained the

premiums, charges and benefits under the policy fully to the I ___________________________ (name), having received the information with
prospect / policyholder. respect to the above, have understood the above statement before entering into
the contract.
Place:
Date: Signature of Prospect/ Policyholder
Date: Signature of Agent/ Intermediary/ Official
Part B
Gross Yield 8% p.a Net Yield 7.83% Amount in Rupees

Annualized
Premium
Annualized Premium
Allocation Mortality Policy Admin Guarantee Rider Additions to Fund before Fund at End Surrender Death
Policy Year Premium - Premium GST FMC
Charge charge Charge Charge Charges the Fund* FMC of Year Value Benefit
(AP) Allocation
(PAC)
Charges

1 23,196 2,784 20,412 3,620 1,192 0 NA 0 0 16,801 219 16,782 13,242 4,500,000
2 23,196 1,392 21,804 3,684 994 0 NA 0 0 36,364 448 36,321 33,961 4,500,000
3 23,196 1,160 22,036 3,772 1,013 0 NA 0 0 57,378 693 57,311 55,541 4,500,000
4 23,196 696 22,500 3,892 999 0 NA 0 0 80,192 960 80,098 78,918 4,500,000
5 23,196 0 23,196 4,035 1,155 1,141 NA 0 0 103,790 1,243 103,668 103,668 4,500,000
6 23,196 0 23,196 4,212 1,250 1,198 NA 0 0 128,631 1,535 128,479 128,479 4,500,000
7 23,196 0 23,196 4,415 1,353 1,258 NA 0 0 154,760 1,841 154,577 154,577 4,500,000
8 23,196 0 23,196 4,655 1,465 1,321 NA 0 0 182,212 2,163 181,997 181,997 4,500,000
9 23,196 0 23,196 4,925 1,586 1,387 NA 0 0 211,032 2,501 210,783 210,783 4,500,000
10 23,196 0 23,196 5,234 1,718 1,457 NA 0 5,567 241,258 2,856 246,540 246,540 4,500,000
11 23,196 0 23,196 5,567 1,878 1,529 NA 0 10,024 285,739 3,338 288,789 288,789 4,500,000
12 23,196 0 23,196 5,933 2,052 1,606 NA 0 9,688 330,358 3,861 332,902 332,902 4,500,000
13 0 0 0 6,378 2,193 1,686 NA 0 8,936 352,183 4,118 353,788 353,788 4,500,000
14 0 0 0 6,883 2,345 1,770 NA 0 7,784 373,954 4,374 374,161 374,161 4,500,000
15 0 0 0 7,457 2,509 1,859 NA 0 8,069 395,134 4,624 395,340 395,340 4,500,000
16 0 0 0 8,114 2,691 1,952 NA 0 8,424 417,132 4,883 417,341 417,341 4,500,000
17 0 0 0 8,875 2,894 2,050 NA 0 8,831 439,922 5,152 440,138 440,138 4,500,000
18 0 0 0 9,755 3,121 2,152 NA 0 9,309 463,477 5,430 463,706 463,706 4,500,000
19 0 0 0 10,776 3,376 2,260 NA 0 9,851 487,735 5,718 487,980 487,980 4,500,000
20 0 0 0 11,954 3,661 2,373 NA 0 10,468 512,619 6,013 512,886 512,886 4,500,000
21 0 0 0 13,296 3,978 2,491 NA 0 11,133 538,016 6,315 538,307 538,307 4,500,000
22 0 0 0 14,806 4,328 2,616 NA 0 11,867 563,813 6,622 564,135 564,135 4,500,000
23 0 0 0 16,476 4,708 2,747 NA 0 12,755 589,987 6,934 590,352 590,352 4,500,000
24 0 0 0 18,279 5,114 2,884 NA 0 13,766 616,523 7,250 616,940 616,940 4,500,000
25 0 0 0 20,194 5,543 3,028 NA 0 14,915 643,438 7,571 643,919 643,919 4,500,000
26 0 0 0 22,186 5,987 3,179 NA 0 16,227 670,822 7,897 671,380 671,380 4,500,000
27 0 0 0 24,225 6,443 3,338 NA 0 17,750 698,853 8,229 699,504 699,504 4,500,000
28 0 0 0 26,281 6,904 3,505 NA 0 19,510 727,786 8,572 728,548 728,548 4,500,000
29 0 0 0 28,339 7,370 3,681 NA 0 21,551 757,952 8,926 758,849 758,849 4,500,000
30 0 0 0 30,391 7,840 3,865 NA 0 23,908 789,754 9,299 790,808 790,808 4,500,000
31 0 0 0 32,439 8,314 4,058 NA 0 26,593 823,629 9,694 824,867 824,867 4,500,000
32 0 0 0 34,507 8,799 4,261 NA 0 29,612 860,022 10,116 861,467 861,467 4,500,000
33 0 0 0 36,618 9,299 4,474 NA 0 32,952 899,363 10,572 901,039 901,039 4,500,000
34 0 0 0 38,810 9,823 4,698 NA 0 36,558 942,013 11,065 943,938 943,938 4,500,000
35 0 0 0 41,117 10,377 4,932 NA 0 40,388 988,267 11,600 990,456 990,456 4,500,000
36 0 0 0 43,582 10,969 5,179 NA 0 44,373 1,038,318 12,179 1,040,778 1,040,778 4,500,000
37 0 0 0 46,240 11,607 5,438 NA 0 48,450 1,092,263 12,805 1,094,998 1,094,998 4,500,000
38 0 0 0 49,124 12,296 5,710 NA 0 52,562 1,150,102 13,477 1,153,109 1,153,109 4,500,000
39 0 0 0 52,261 13,041 5,995 NA 0 56,679 1,211,769 14,195 1,215,045 1,215,045 4,500,000
40 0 0 0 54,415 13,728 6,000 NA 0 138,175 1,361,115 15,850 1,364,555 1,364,555 4,500,000
 Gross Yield 4% p.a Amount in Rupees

Annualized
Premium
Annualized Premium
Allocation Mortality Policy Admin Guarantee Rider Additions to Fund before Fund at End Surrender Death
Policy Year Premium - Premium GST FMC
Charge charge Charge Charge Charges the Fund* FMC of Year Value Benefit
(AP) Allocation
(PAC)
Charges

1 23,196 2,784 20,412 3,620 1,191 0 NA 0 0 16,105 214 16,086 12,546 4,500,000
2 23,196 1,392 21,804 3,685 991 0 NA 0 0 34,227 430 34,186 31,826 4,500,000
3 23,196 1,160 22,036 3,775 1,006 0 NA 0 0 52,982 653 52,919 51,149 4,500,000
4 23,196 696 22,500 3,897 986 0 NA 0 0 72,628 887 72,543 71,363 4,500,000
5 23,196 0 23,196 4,043 1,136 1,141 NA 0 0 92,075 1,126 91,966 91,966 4,500,000
6 23,196 0 23,196 4,225 1,221 1,198 NA 0 0 111,728 1,360 111,596 111,596 4,500,000
7 23,196 0 23,196 4,435 1,312 1,258 NA 0 0 131,556 1,597 131,401 131,401 4,500,000
8 23,196 0 23,196 4,683 1,411 1,321 NA 0 0 151,515 1,836 151,337 151,337 4,500,000
9 23,196 0 23,196 4,965 1,517 1,387 NA 0 0 171,564 2,076 171,362 171,362 4,500,000
10 23,196 0 23,196 5,288 1,631 1,457 NA 0 5,567 191,652 2,317 196,993 196,993 4,500,000
11 23,196 0 23,196 5,639 1,770 1,529 NA 0 10,024 224,186 2,666 227,309 227,309 4,500,000
12 23,196 0 23,196 6,030 1,920 1,606 NA 0 9,690 254,869 3,033 257,502 257,502 4,500,000
13 0 0 0 6,504 2,035 1,686 NA 0 8,942 261,555 3,114 263,268 263,268 4,500,000
14 0 0 0 7,046 2,160 1,770 NA 0 7,794 266,950 3,181 267,285 267,285 4,500,000
15 0 0 0 7,665 2,295 1,859 NA 0 8,087 270,499 3,226 270,854 270,854 4,500,000
16 0 0 0 8,377 2,447 1,952 NA 0 8,451 273,536 3,265 273,918 273,918 4,500,000
17 0 0 0 9,207 2,620 2,050 NA 0 8,871 275,962 3,298 276,375 276,375 4,500,000
18 0 0 0 10,173 2,817 2,152 NA 0 9,367 277,666 3,322 278,119 278,119 4,500,000
19 0 0 0 11,301 3,042 2,260 NA 0 9,930 278,500 3,337 278,999 278,999 4,500,000
20 0 0 0 12,612 3,299 2,373 NA 0 10,576 278,298 3,340 278,851 278,851 4,500,000
21 0 0 0 14,120 3,589 2,491 NA 0 11,278 276,852 3,330 277,465 277,465 4,500,000
22 0 0 0 15,833 3,915 2,616 NA 0 12,059 273,955 3,303 274,636 274,636 4,500,000
23 0 0 0 17,750 4,276 2,747 NA 0 13,007 269,479 3,258 270,244 270,244 4,500,000
24 0 0 0 19,850 4,667 2,884 NA 0 14,092 263,299 3,193 264,162 264,162 4,500,000
25 0 0 0 22,117 5,085 3,028 NA 0 15,331 255,319 3,107 256,295 256,295 4,500,000
26 0 0 0 24,521 5,526 3,179 NA 0 16,755 245,505 3,000 246,611 246,611 4,500,000
27 0 0 0 27,036 5,984 3,338 NA 0 18,415 233,906 2,870 235,164 235,164 4,500,000
28 0 0 0 29,636 6,455 3,505 NA 0 20,346 220,635 2,720 222,070 222,070 4,500,000
29 0 0 0 32,312 6,938 3,681 NA 0 22,602 205,874 2,551 207,514 207,514 4,500,000
30 0 0 0 35,064 7,433 3,865 NA 0 25,224 189,852 2,366 191,730 191,730 4,500,000
31 0 0 0 37,875 7,945 4,058 NA 0 38,052 181,609 2,204 184,894 184,894 4,500,000
32 0 0 0 40,605 8,489 4,261 NA 0 57,777 190,938 2,294 194,507 194,507 4,500,000
33 0 0 0 43,431 9,059 4,474 NA 0 62,620 201,778 2,420 205,641 205,641 4,500,000
34 0 0 0 46,423 9,664 4,698 NA 0 67,826 214,321 2,567 218,493 218,493 4,500,000
35 0 0 0 49,635 10,315 4,932 NA 0 73,492 228,795 2,737 233,297 233,297 4,500,000
36 0 0 0 53,130 11,024 5,179 NA 0 79,732 245,473 2,933 250,332 250,332 4,500,000
37 0 0 0 56,968 11,801 5,438 NA 0 86,660 264,682 3,158 269,931 269,931 4,500,000
38 0 0 0 61,204 12,660 5,710 NA 0 94,398 286,811 3,417 292,489 292,489 4,500,000
39 0 0 0 65,888 13,608 5,995 NA 0 103,070 312,326 3,716 318,477 318,477 4,500,000
40 0 0 0 71,063 14,602 6,000 NA 0 112,457 341,814 4,061 348,459 348,459 4,500,000

Notes:

1. Refer the sales literature for explanation of terms used in this illustration.
2. Fund management charge is based on the specific fund option(s) chosen.
3. *Additions to the Fund refers to the periodic additions through A) Refund of 2X Mortality Charges, B) Refund of 2X Premium Allocation Charges and C) Cover
Continuance Booster.

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.

The rider sum assured shall remain unchanged for a period as specified under ‘Guaranteed Period’ from the Date of Commencement of the benefit option.
Upon the completion of ‘Guaranteed Period’, the sum assured as applicable for the benefit option may be revised or the policyholder may be given an option of
top up premium to restore the benefit to original amount, subject to IRDAI’s approval. The top up premium may be payable as a single premium/ level premium
during the block of next guarantee period. The requirement of paying the Top up premium in order to continue with the current level of benefit may be
applicable even after expiry of limited pay premium term.
 I ___________________________ (name), have explained the
premiums, charges and benefits under the policy fully to the I ___________________________ (name), having received the information with
prospect / policyholder. respect to the above, have understood the above statement before entering into
the contract.

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

Unique Reference Number - L&C/Advt/2023/Sep/2912 (Rider - L&C/Advt/2022/Sep/2271)

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

(I)V.99.00/FY2023-2024_Q4/RELEASE 01-01-24/EXPIRY 31-03-2024 004481623BCSSR12URV2 08-01-2024,11:37 AM