Dear MR.

Abc
We, at Tata AIA Life, believe in protecting your dreams at various stages of life without compromising on your basic needs through financial resources. You
do not have to think twice to live your dreams as they now come with guaranteed payouts.
We present to you,Tata AIA Life Guaranteed Return Insurance Plan to meets tomorrow's requirements along with protecting your loved ones and dreams
as it ensures you of guaranteed returns.
This plan helps you fulfill your medium to long term goals such as Child's Education/ Marriage or Retirement planning etc.

Key Features

1. Flexibility to choose Plan Option: Endowment, Regular Income or Whole Life Income
2. Receive Guaranteed benefits on Maturity or Death
3. Guaranteed Additions that boost corpus year on year under Endowment Option
4. Flexibility to cover your spouse in same policy under Whole Life Income Option
5. Choice of Policy Term with limited Premium Payment Term
6. Enhance your protection with optional Riders

For Premium Paying Term of 7 Year A Commission Of 21% In The First Year, 3% For Second Policy Year,1% From 3 Years To 5 Years , 1% Thereafter Till
End Of Premium Payment Term Will Be Payable. The Renewal Commission Rates May Be Revised, Without Any Intimation, In Line With Agreement
Between The Corporate Agent And Insurer, From Time To Time Within Approved Regulatory Limits.
(Prohibition of Rebates) Section 41 - of the Insurance Act, 1938 as amended from time to time: 1.No person shall allow or offer to allow, either directly or
indirectly, as an inducement to any person to take out or renew or continue an insurance in respect of any kind of risk relating to lives or property in India,
any rebate of the whole or part of the commission payable or any rebate of the premium shown on the policy, nor shall any person taking out or renewing or
continuing a policy accept any rebate, except such rebate as may be allowed in accordance with the published prospectuses or tables of the insurer. 2. Any
person making default in complying with the provisions of this section shall be liable for a penalty which may extend to ten lakh rupees.
Please read product brochure/ policy document for more details
I am red
Name of the Prospect / Policyholder: Abc Proposal No: 12375584

Age (years) : 63 Gender:Male Name of the Product: Tata AIA Life Guaranteed
Return Insurance Plan
Name of the Life Assured 1 : Abc Tag Line : Individual, Non-Linked Non-Participating
Life Insurance Savings Plan
Age (years) : 63 Gender:Male
Unique Identification No.: 110N152V12
Name of the Life Assured 2 : NA
I GST Rate: 4.5% for first year
Age (years) : am
NA Gender:NA red I am red 2.25% second year onwards

Policy Term (years) : 21 I am red I am red

Premium Payment Term (years) : 7 I am red I am red

Amount of Instalment Premium (Rs.): 104500 I am red I am red

Mode of Payment of Premium : Annual I am red I am red

I am red I am red

This benefit illustration is intended to show year-wise premiums payable and benefits under the policy.

Policy Details
Basic Sum Assured (First Death) Rs. 840000
Policy Option Endowment
Basic Sum Assured (Second Death, if any) Rs. NA

Sum Assured on First Death (at inception of the policy) Rs. 936740
Guaranteed Annual Income (GAI)* NA
Sum Assured on Second Death, if any (at inception of the policy) Rs. NA

Rider Details

Tata AIA Vitality

(Wellness No
Program)

Details of Life
Rider Name/UIN^ Insured/Partner under the Benefit Payout
Benefit Option Return of Benefit Premium Sum Premium p.a. Year 1
(Benefit
premium Option Payment Assured without GST Discount
Option/Benefit Income
Lumpsum Income option Term Term (Rs.) (Rs.) (Rs.)
Payout Option) Name Age(yrs) Gender Duration
(Rs.) p.a.(Rs.)
(yrs)

Premium Summary

I am red Base Plan Riders Total Instalment Premium

Instalment Premium without GST (Rs.) 100000 0 100000

Instalment Premium with First year GST (Rs.) 104500 0 104500

Instalment Premium post applicable discount with First year GST (Rs.) 104500 0 104500

Instalment Premium with GST 2nd year onwards (Rs.) 102250 0 102250
 (Amount in Rupees)
Guaranteed Non - Guaranteed
Other Benefits,
Survival Benefit if any Death
Policy Single/ Annualized Death
/ (Guaranteed Benefit
Year Premium Maturity Benefit Min Guaranteed Special Surrender
Accrued Maturity (Second
Benefit (First Surrender Value Value
Guaranteed Benefit/ Death, if
Death)
Additions Guaranteed any)
Annual Income)
1 100000 46837 0 0 936740 NA 0 0

2 100000 93674 0 0 983577 NA 62482 59751

3 100000 140511 0 0 1030414 NA 110433 103978

4 100000 187348 0 0 1077251 NA 208993 155432

5 100000 234185 0 0 1124088 NA 263114 214112

6 100000 281022 0 0 1170925 NA 318032 280018

7 100000 327859 0 0 1217762 NA 373606 365329

8 0 374696 0 0 1264599 NA 401163 404672

9 0 421533 0 0 1311436 NA 429844 459003

10 0 468370 0 0 1358273 NA 459790 516144

11 0 515207 0 0 1405110 NA 490673 590146

12 0 562044 0 0 1451947 NA 523007 653376

13 0 608881 0 0 1498784 NA 557496 734404

14 0 655718 0 0 1545621 NA 600812 834635

15 0 702555 0 0 1592458 NA 639095 939550

16 0 749392 0 0 1639295 NA 679485 1049149

17 0 796229 0 0 1686132 NA 722874 1180292

18 0 843066 0 0 1732969 NA 769540 1317056

19 0 889903 0 0 1779806 NA 819767 1495037

20 0 936740 0 0 1826643 NA 873833 1662245

21 0 983577 936740 1920317 1873480 NA 0 0

Note: Annualized premium excludes underwriting extra premium, frequency loadings on premiums, the premium paid towards the riders, if any, and Goods and
Services Tax.

*Under Option III: The policyholder shall also be given the option to receive the Guaranteed Annual Income (GAI) on a monthly basis. This option has to be
chosen at inception and cannot be altered once chosen. The GAI illustrated above is the total amount payable in a year on selection of monthly mode and 1/12th
of this amount will be payable monthly.

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.

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

Place: I am red
Date: Signature of Agent/ Intermediary/ Official Date: Signature of Prospect/ Policyholder

Unique Reference Number - L&C/Advt/2023/Sep/3194 (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_Q3/RELEASE 01-10-23/EXPIRY 31-12-2023 004870782ICGRIPSLVBN1 30-10-2023,11:25 AM

(I)V.99.00/FY2023-2024_Q3/RELEASE 01-10-23/EXPIRY 31-12-2023 004870782ICGRIPSLVBN1 30-10-2023,11:25 AM