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

THE LINKED INSURANCE PRODUCT DO NOT OFFER ANY. LIQUIDITY

DURING THE FIRST FIVE YEARS OF THE [Link] 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.

Premier SIP Package Benefit Summary

Policyholder Details

Name of the Prospect/ Policyholder: Ramsy Abdul karim Nusaifa Karim Age (yrs) : 40
Name of the Life Assured: Ramsy Abdul karim Nusaifa Karim Age (yrs) : 40
Smoking Habits: No Gender: Male

Plan Details

Solution Name Premier SIP

Product Name Under Solution Product Type UIN
Tata AIA Smart SIP Linked 110L174V01
Tata AIA Vitality Protect Advance Non-Linked 110N178V01
Tata AIA Premier SIP is a combination of Tata AIA Smart SIP and Tata AIA Vitality Protect Advance

Details of Premier SIP

Premium
Premium Payment Return of Balance Investible
Product Name Policy Term Payment Mode Sum Assured(Rs.) without GST
Term Premium option Premium
(Rs.)
Tata AIA Smart SIP 5 10 NA Annual 481850 48185 48185
Vitality Protect Advance Term Booster 5 10 No Annual 481850 1754 NA
Total Death Benefit & Premium 963700 49939 48185
Vitality Protect Advance Accidental Death 5 10 No Annual 481850 395 NA
Vitality Protect Advance Accidental Total &
5 10 No Annual 481850 236 NA
Permanent Disability
Total Premium 50570 48185
Premium Summary - Premier SIP

Particulars Smart SIP (Investible Premium) Vitality Protect Advance Total Installment Premium
Instalment Premium without GST (Rs.) 48185 2385 50570
Instalment Premium with First year GST (Rs.) 48185 2814 50999
Total Discount on First Year Instalment Premium 0 207 207
Instalment Premium post applicable discount with First year GST (Rs.) 48185 2570 50755
Instalment Premium with GST and without discount 2nd year onwards (Rs.) 48185 2814 50999

Discount applicable and Installment Premium payable 2nd year onwards will depend on the Wellness status of the Insured
Total Discount on First Year Premium includes- Tata AIA Vitality Discount (5%/10%)

Fund details under Tata AIA Smart SIP (Linked Product)

Fund Name Allocation Percentage

Top 200 Alpha 30 Index Fund (ULIF 090 30/06/25 TAF 110) 100%

Summary of Premier SIP

At 4.00% p.a. Gross Investment Return At 8.00% p.a. Gross Investment Return Sum Assured

Accidental
Vitality Mortality Fund Mortality Fund Accidental Total and
Other Other
Total Protect Plus Premium Charge, at End Death Charge, at End Death Death Permanent
Policy Additions Surrender Additions Surrender
Investible Annualised - Premier Morbidity of Benefit~ Morbidity of Benefit~ Benefit if Disability
Year to the to the
Premium Premium SIP charges(if Year^ Value* (₹) (₹) charges(if Year^ Value* (₹) (₹) applicable Benefit if
any) Fund# (₹) any) Fund# (₹) applicable
(₹) (₹) (₹) (₹)
(₹)
1 48185 2385 50570 1221 0 46134 42594 963700 1221 0 47964 44424 963700 481850 481850
2 48185 2385 50570 1236 0 93335 91691 963700 1236 0 98928 97284 963700 481850 481850
3 48185 2385 50570 1246 0 141637 141119 963700 1246 0 153086 152568 963700 481850 481850
4 48185 2385 50570 1249 0 191073 191503 963700 1249 0 210648 211078 963700 481850 481850
5 48185 2385 50570 1243 0 241681 243470 963700 1243 0 271840 273629 963700 481850 481850
6 0 0 0 1367 0 244012 245443 963700 1367 0 285513 286944 963700 481850 481850
7 0 0 0 1511 0 246226 247299 963700 1511 0 299871 300944 963700 481850 481850
8 0 0 0 1679 0 248292 249008 963700 1679 0 314927 315643 963700 481850 481850
9 0 0 0 1874 0 250173 250531 963700 1874 0 330693 331051 963700 481850 481850
10 0 0 0 2098 0 251831 251831 963700 2098 0 347178 347178 963700 481850 481850

*Total surrender value of Tata AIA Smart SIP and Tata AIA Vitality Protect Advance, for more details please refer to individual product benefit illustration
 ~Total death benefit of Tata AIA Smart SIP and Tata AIA Vitality Protect Advance - Term Booster (If applicable), for more details please refer to individual product benefit illustration
^Value mentioned above includes Fund value of Tata AIA Smart SIP and Tata AIA Vitality Protect Advance Maturity Benefit (if any)
GST rates are applicable as per prevailing rule 32 (4) of GST law as prescribed by the government.
The Death Benefit shown above is at the end of the policy year.
The surrender values mentioned above are illustrated at the end of the policy year.
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.
#Other Additions to the Fund refers to the Maturity Booster, Loyalty additions, Return of mortality charges and return of waiver of premiums whichever is applicable under the plan.

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

Place:
Date: 24-Jul-2025 Date: 24-Jul-2025
Signature of Agent/ Intermediary/ Official Signature of Prospect / Policyholder

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 and AIA Group Ltd. and is used by Tata AIA Life Insurance Company Ltd under a [Link] any information
including cancellation, claims and 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 [Link]. Visit us at: [Link] L&C/Misc/2024/Sep/0701

BEWARE OF SPURIOUS PHONE CALLS IRDAI is not involved in activities like selling insurance policies, announcing bonus or investment of premiums. Public receiving such phone
AND FICTITIOUS/FRAUDULENT OFFERS calls are requested to lodge a police complaint
BENEFIT ILLUSTRATION

Name of the Prospect/ Policyholder: Ramsy Abdul karim Nusaifa Karim Name of the Product : Tata AIA Vitality Protect Advance
Age (yrs) : 40 Plan Option ABC
Name of the Life Assured: Ramsy Abdul karim Nusaifa Karim Individual, Non-Linked Non-Participating Health Insurance
Tag Line:
Age (yrs) : 40 Plan

Smoking Habits: No Unique Identification No.: 110N178V01

Amount of Instalment Premium (Rs.): 2814 GST Rate Refer to Premium summary table

Mode of payment of premium: Annual

Policy Details
Return of Balance Payment Sum
Product Name Premium Payment Term Policy Term
Premium option Mode Assured(Rs.)
VPA Term Booster 5 10 No Annual 481850
VPA Accidental Death 5 10 No Annual 481850
VPA Accidental Total & Permanent Disability 5 10 No Annual 481850

Premium Summary
Terminal Illness with Term Accidental Total and Permanent Accidental Death Total Installment
Particulars
Booster Benefit Disability Benefit Premium
Instalment Premium without GST (Rs.) 1754 236 395 2385
GST Rate(First Year) 18.00% 18.00% 18.00%
GST Rate(2nd Year onwards) 18.00% 18.00% 18.00%
Instalment Premium with First year GST (Rs.) 2070 278 466 2814
Total Discount on First Year Instalment Premium 207 14 23 244
Instalment Premium post applicable discount with First year GST (Rs.) 1863 264 443 2570
Instalment Premium with GST and without discount 2nd year onwards (Rs.) 2070 278 466 2814

Discount applicable and Installment Premium payable 2nd year onwards will depend on the Wellness status of the Insured
Total Discount on First Year Premium includes- Tata AIA Vitality Discount (5%/10%)
 Non -
Guaranteed
Single/ Guaranteed
Policy
Annualized
Year Accidental Death Accidental Total and Termial Illness with Term Special
Premium Maturity Min Guaranteed Surrender
Benefit (if Permanent Disability Benefit Booster Benefit (if Surrender
Benefit Surrender Value Value Payable
applicable) (if applicable) applicable) Value
1 2385 0 481850 481850 481850 0 0 0
2 2385 0 481850 481850 481850 0 716 716
3 2385 0 481850 481850 481850 0 1252 1252
4 2385 0 481850 481850 481850 0 1610 1610
5 2385 0 481850 481850 481850 0 1789 1789
6 0 0 481850 481850 481850 0 1431 1431
7 0 0 481850 481850 481850 0 1073 1073
8 0 0 481850 481850 481850 0 716 716
9 0 0 481850 481850 481850 0 358 358
10 0 0 481850 481850 481850 0 0 0
Above mentioned Single/Annualized Premium, Maturity Benefit & Surrender Value demonstrated are for all plan options chosen under the product
The Death Benefit shown above is at the end of the policy year.
The surrender values mentioned above are illustrated at the end of the policy year. Special Surrender value may be revised depending on the prevailing market conditions.
I, ___________________________ (name), have explained the premiums and benefits under the I, , having received the information with respect to the above, have understood the above
policy fully to the prospect / policyholder. statement before entering into the contract.

Place:
Date: 24-Jul-2025 Date: 24-Jul-2025
Signature of Agent/ Intermediary/ Official Signature of Prospect / Policyholder

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 number 1860-266-9966 (local charges apply) or Visit us at: [Link]
BENEFIT ILLUSTRATION

TATA AIA Smart SIP

Name of the Prospect/ Policyholder: Ramsy Abdul karim Nusaifa Karim Proposal No: Q17533806975475
Age (yrs) : 40 Name of the Product: TATA AIA Smart SIP
Name of the Life Assured: Ramsy Abdul karim Nusaifa Karim Plan Option: Future Secure
Age (yrs) : 40 Non-Participating, Unit Linked, Individual Life Insurance
Tag Line:
Sum Assured (Rs.): 481850 Savings Plan

Policy Term (yrs): 10 Unique Identification Number: 110L174V01

Premium Payment Term (yrs): 5 GST Rate : 18.00%

Death Benefit multiple: 10 Investment Strategy Opted For NIL

Amount of Instalment Premium (Rs.): 48185 Funds opted for along with their risk level
Mode of payment of premium: Annual
Fund Name Allocation Percentage Risk Profile
Large Cap Equity Fund (ULIF 017
0%
07/01/08 TLC 110)
Whole Life Mid-cap Equity Fund (ULIF
0%
009 04/01/07 WLE 110)
Super Select Equity Fund (ULIF 035
0%
16/10/09 TSS 110)
Multi Cap Fund (ULIF 060 15/07/14
0%
MCF 110)
India Consumption Fund (ULIF 061
0%
15/07/14 ICF 110)
Top 50 Fund (ULIF 026 12/01/09 ITF
0%
110)
Top 200 fund (ULIF 027 12/01/09 ITT
0%
110)
Emerging Opportunities Fund (ULIF 064
0%
XX/YY/ZZ EOF 110)
The Sustainable Equity Fund (ULIF 065
0%
12/09/22 ESG 110)
The Dynamic Advantage Fund ( ULIF
0%
066 12/09/22 DAF 110)
Flexi Growth Fund (ULIF 068 25/04/23
0%
FGF 110)
Small Cap Discovery Fund (ULIF 071
0%
22/05/23 SCF 110)
 Rising India Fund (ULIF 073 17/01/24
0%
RIF 110)
Flexi Growth Fund II (ULIF 074
0%
02/05/24 FG2 110 )
Whole Life Income Fund II (ULIF 076
0%
06/06/24 WI2 110)
Nifty Alpha 50 Index Fund (ULIF 077
0%
30/09/24 NAF 110)
Multicap Momentum Quality Index Fund
0%
(ULIF 078 31/12/24 MQI 110)
Tax Bonanza Consumption Fund (ULIF
0%
088 31/03/25 TBC 110)
Top 200 Alpha 30 Index Fund (ULIF 090
100% High
30/06/25 TAF 110)

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 4.00% p.a. Gross Investment Return At 8.00% p.a. Gross Investment Return
Policy Annualized Mortality, Mortality,
Year Premium Other Fund at Surrender Death Other Fund at Surrender Death
Morbidity GST Morbidity GST
Charges* End of Year Value Benefit Charges* End of Year Value Benefit
Charges Charges
1 2 3 4 5 6 7 8 9 10 11 12 13 14
1 48185 1221 2082 594 46134 42594 481850 1221 2096 597 47964 44424 481850
2 48185 1236 2714 711 93335 90975 481850 1236 2766 720 98928 96568 481850
3 48185 1246 3360 829 141637 139867 481850 1246 3478 850 153086 151316 481850
4 48185 1249 4021 949 191073 189893 481850 1249 4235 987 210648 209468 481850
5 48185 1243 4698 1069 241681 241681 481850 1243 5039 1131 271840 271840 481850
6 0 1367 4730 1097 244012 244012 481850 1367 5220 1186 285513 285513 481850
7 0 1511 4761 1129 246226 246226 481850 1511 5410 1246 299871 299871 481850
8 0 1679 4790 1164 248292 248292 481850 1679 5609 1312 314927 314927 481850
9 0 1874 4816 1204 250173 250173 481850 1874 5818 1384 330693 330693 481850
10 0 2098 4840 1249 251831 251831 481850 2098 6036 1464 347178 347178 481850
*Other charges includes Fund Management Charge, Policy Admin, 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 I, Ramsy Abdul karim Nusaifa Karim (name), having received the information with respect
benefits under the policy fully to the prospect / policyholder. to the above, have understood the above statement before entering into the contract.

Place:
Date:24-Jul-2025 Signature of Agent/ Intermediary / Official Date:Date:24-Jul-2025 Signature of Prospect / Policyholder
Part B
Gross 8.00%
Net Yield 5.88% (Amount in Rupees)
Yield p.a
Extra Annualized Premium -
Premium
Annualized Allocation Premium Allocation Policy Additions Fund Fund at
Policy Allocation Mortality Other Rider Surrender Death
Premium added along Charges + Extra GST Admin to the before FMC End of
Year Charge Charge Charges^ Charges Value Benefit
(AP) with Premium Allocation added Charge Fund* FMC Year
(PAC)
(EA) along with Premium
1 48185 0 0 48185 1221 597 1446 0 0 0 48028 650 47964 44424 481850
2 48185 0 0 48185 1236 720 1446 0 0 0 99059 1320 98928 96568 481850
3 48185 0 0 48185 1246 850 1446 0 0 0 153289 2032 153086 151316 481850
4 48185 0 0 48185 1249 987 1446 0 0 0 210928 2789 210648 209468 481850
5 48185 0 0 48185 1243 1131 1446 0 0 0 272201 3593 271840 271840 481850
6 0 0 0 0 1367 1186 1446 0 0 0 285893 3774 285513 285513 481850
7 0 0 0 0 1511 1246 1446 0 0 0 300270 3964 299871 299871 481850
8 0 0 0 0 1679 1312 1446 0 0 0 315346 4163 314927 314927 481850
9 0 0 0 0 1874 1384 1446 0 0 0 331133 4372 330693 330693 481850
10 0 0 0 0 2098 1464 1446 0 0 0 347640 4590 347178 347178 481850

Gross 4.00%
(Amount in Rupees)
Yield p.a
Extra Annualized Premium -
Premium
Annualized Allocation Premium Allocation Policy Additions Fund Fund at
Policy Allocation Mortality Other Rider Surrender Death
Premium added along Charges + Extra GST Admin to the before FMC End of
Year Charge Charge Charges^ Charges Value Benefit
(AP) with Premium Allocation added Charge Fund* FMC Year
(PAC)
(EA) along with Premium
1 48185 0 0 48185 1221 594 1446 0 0 0 46195 636 46134 42594 481850
2 48185 0 0 48185 1236 711 1446 0 0 0 93459 1268 93335 90975 481850
3 48185 0 0 48185 1246 829 1446 0 0 0 141825 1914 141637 139867 481850
4 48185 0 0 48185 1249 949 1446 0 0 0 191327 2575 191073 189893 481850
5 48185 0 0 48185 1243 1069 1446 0 0 0 242002 3252 241681 241681 481850
6 0 0 0 0 1367 1097 1446 0 0 0 244337 3284 244012 244012 481850
7 0 0 0 0 1511 1129 1446 0 0 0 246554 3315 246226 246226 481850
8 0 0 0 0 1679 1164 1446 0 0 0 248622 3344 248292 248292 481850
9 0 0 0 0 1874 1204 1446 0 0 0 250505 3370 250173 250173 481850
10 0 0 0 0 2098 1249 1446 0 0 0 252165 3394 251831 251831 481850

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. In case rider charges are collected explicitly through collection of rider premium, and not by way of cancellation of units, then, such charges are not considered in this illustration. In other cases, rider
charges are included in Rider/Other charges

I, ___________________________ (name), have explained the premiums, charges and benefits I, Ramsy Abdul karim Nusaifa Karim, having received the information with respect to the above, have
under the policy fully to the prospect / policyholder. understood the above statement before entering into the contract.

Place:
Date: 24-Jul-2025 Date: 24-Jul-2025
Signature of Agent/ Intermediary/ Official Signature of Prospect / Policyholder
Unique Reference Number - L&C/Advt/2025/Jan/0120

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: [Link] or SMS 'LIFE' to 58888