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Bajaj Allianz Life Insurance Company Ltd.

Registration No:

116

Statement Date:

Policy No.

0111652123

Name of Policyholder

GURPREET SINGH

Address

R/O PLOT NO 10
SHORI NAGAR~CHHEHARTA
POST R S MILLS

Premium Frequency

14/11/2014

Annexure III

Annual

PART - A
Product

UIN

Transaction Type

Premium Amount

Premium Allocation Funds Allocated (Rs) Units as per Policy Admin Product Value (Rs)
Charge(Rs)
System (PAS)

Century Plus

93

1st Year Premium

50000

1000

49000

4964.2536

2nd Year Premium

25000

500

24500

1483.9314

3rd Year Premium

25000

25000

1570.4

4th Year Premium

25000

25000

1620.3846

5th Year Premium

25000

25000

1445.2371

6th Year Premium

25000

25000

1359.7968

7th Year Premium

25000

25000

1211.2638

Total

200000

1500

198500

13655.2673

256431.67

PART - B

Particulars

ULIF03124/07/06AC ULIF02924/07/06EQ ULIF03024/07/06EQ ULIF02610/07/06BO


CEMIDCAP116
GROWFUND116
TYINDX02116
NDFUNDLI116

Name of the Fund


Total Amount collected
Percentage of Allocation (as on Statement Date
Funds Allocated ( in Rs )
Funds Allocated ( in Units )
Withdrawals- Charges
Switch charge
Policy Administration charge
Mortality charges

ACCELERATOR M EQUITY GROWTH EQUITY INDEX FU

Other charges (specify)


Service Tax
Available units in Segregated funds
Current NAV
Fund value as on Statement Date

Total

BOND FUND

37500
98 %
36750
3354.3132

25000
100 %
25000
1535.6847

37500
98 %
36750
3093.8718

100000
100 %
100000
5671.3976

200000
99.3 %
198500
13655.2673

0
2432.4
267.44

0
2906.35
167.45

0
2307.56
254.81

0
18968.45
1125.13

0
26614.76
1814.83

0
304.07
0
34.8904
0

0
190.17
0
29.0428
0

0
286.13
0
26.7762
0

0
2067.38
12427.0252
20.635
256431.67

0
2847.75
12427.0252
256431.67

PART - C (Product Statistics)


Insurance Cover or Sum Assured

125000

Total Premium Paid from inception(D)

200000

Total Risk premium from inception, for insurance cover(E)

1814.83

Total Charges and deductions other than Mortality including Allocation charges till Login Dt. (including Service Charges)(F)

30962.51

Net invested amount =D-E-F

167222.66
53%

Difference between (B) (B(1)) (unrealised Gain / Loss)

Fund Name
BOND FUND
EQUITY GROWTH FUND

SFIN

Fund Performance
NAV as on Login Date

NAV as on Statement Date

ULIF02610/07/06BONDFUNDLI116

20.635

ULIF02924/07/06EQGROWFUND116

29.0428

Percentage (%)

ACCELERATOR MID-CAP FUND

ULIF03124/07/06ACCEMIDCAP116

9.321

34.8904

274.32

EQUITY INDEX FUND II

ULIF03024/07/06EQTYINDX02116

10.489

26.7762

155.28

NOTE:
1. Product Porfolio value would be aggregate of all fund values in a product.
2. Product value per unit would be arrived at post dividing aggregate fund value by initial units
3. Consolidated Product Value would be a derived by aggregating the product values and divding the same by consolidated initial units
4. Product Value would be in addition to all the existing disclosures and calculations
5. Current prescribed practices shall continue

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