Professional Documents
Culture Documents
Illustration
Illustration
57
SPL
Your details
Name:
Age last Birthday:
Gender:
kiran mesa
34 Year(s)
Male
Your Policy details
Details
UIN:
101N101V01
101B013V01
Sum Assured:
70,00,000
35,00,000
31 year(s)
31 year(s)
Policy Term:
31 year(s)
31 year(s)
Annual
Premium Frequency:
Not Applicable
Plan Option
14,072
912
Taxes:
2,040
132
16,112
1,044
17,156
08-Mar-2017
Not Applicable
kiran mesa
I_______________________________________________,
(Name) have explained the above illustration and the terms and conditions of this product to the policyholder.
kiran mesa
I_______________________________________________,
(Name) having received the information with respect to the above, have understood the above illustration before entering the
contract.
Intermediary's Signature:
Date :
Place:
08-Mar-16 13.24.57