Statement of Product Value

FORM-D02

Registration No. 304638046 Login Date 27/12/2021

Policy Holder ID 304638046 Status In Force

Name of Policy Holder VANDITA RANGARAJAN

Address
FLAT NO:406, ARUNODAYA NEST,
KAGGADASAPURA MAIN ROAD,
BANGALORE NORTH, BENGALURU.
560093
PART A
Product Premium Premium Funds Units as per Value Product
Incl. Top-up Allocation Allocated Policy Admin per Unit Value (A)
UIN Charge System(PAS)
` ` ` ` `
NewEndowmentPlus (as on 24/12/2021)
3,20,000.00 21,240.00 2,98,760.00 20,761.678 18.7530 3,89,343.75
512L301V01

PART B

SFIN: ULIF002201114LICNED+SEC512
Particulars

Name of the Fund Secured Total

Units (as per Investment management system) 20,761.678 20,761.678

Percentage of Allocation (as on 24/12/2021) 100.00% 100.00%

Funds Allocated (`) 2,98,760.00 2,98,760.00

Switch In (`) 0.00 0.00

Switch Out (`) 0.00 0.00

Withdrawals (`) 0.00 0.00

Charges
Allocation Charges (`) 21,240.00 21,240.00
Switch Charge (`) 0.00 0.00

Policy Administration Charge (`) 3,872.81 3,872.81

Mortality Charges (`) 1,439.02 1,439.02

Accident Benefit Charges (`) 0.00 0.00

Other Rider Charges (`) 0.00 0.00

Other Charges - Alteration (`) 0.00 0.00

Other Charges - Discontinued (`) 0.00 0.00

Partial Withdrawal Charges (`) 0.00 0.00

 Other Charges - Miscellaneous (`) 0.00 0.00

Service Tax, Cess, GST, etc. (`) 956.21 956.21

Total amount invested in Segregated (`) 2,92,491.96 2,92,491.96

Funds
NAV as on 24/12/2021 (`)
18.7530 18.7530

Fund Value (as on 24/12/2021) (B) (`) 3,89,343.75 3,89,343.75

PART C (Product Statistics)

8,00,000
Insurance Cover as on Login Date (`)

Total Premium Paid from inception (`) 3,20,000.00

Total risk premium from inception, for Insurance Cover (`) 1,698.06
(including AB, Rider & Taxes)

Total Charges and deductions other than Mortality

including Allocation charges till Login date ( including (`) 25,809.98
service charges)

0.00
Difference between (A) (B) (unrealised Gain/Loss) (`)

Portfolio value on Net Investment as per Benefit

Illustration at the lower rate as prescribed in the (`) 4,04,015.00
regulations *
Portfolio value on Net Investment as per Benefit
Illustration at the upper rate as prescribed in the regulations * (`) 4,54,128.00

* The Benefit Illustration gives the Portfolio value at the end of policy month preceding the date of login (i.e. assuming that
all the premiums have been paid and charges have been deducted upto the end of said policy month). This illustration is
prepared for a standard life (from medical, lifestyle and occupation point of view) and assuming no Rider option has been
taken. Currently IRDAI has prescribed lower rate of 4% and higher rate of 8%.

# In case any clarification is required or in case of any discrepancy in the statement, please contact your
Servicing Branch or the nearest Customer Zone.

Disclaimer :
Applications for “premium payment”

1. For applications received, with local cheques, cash or demand draft payable at par at the place where the premium is
received, before cut-off time (3.00 pm) on a business day, the applicable NAV would be the closing NAV of the same day.

2. For applications received, along with local cheques, cash or demand draft payable at par at the place where the
premium is received, after cut-off time (3.00 pm) on a business day, the applicable NAV would be the closing NAV of the
next business day.

Applications for “other than” premium payment

1.For applications received before the cut-off time (3.00 pm) on a business day, the applicable NAV would be the
closing NAV of the same day.

2. For application received after the cut-off time (3:00 pm) on a business day, the applicable NAV would be the closing
NAV of the next business day.