Fund Value Statement

STATEMENT OF ACCOUNT AS ON 21/04/24
FUTURE_WEALTH_GAIN
To, Statement Date : 21-04-2024
Policy No. : 0353483231
Ms. SAVITHA G PATIL Issued Date : 06-DEC-18
Sum Assured : Rs. 1000000
Frequency Of Payment : Quarterly
Premium Amount : Rs. 25000
Policy is eligible for partial withdrawal post lock-in period
Portfolio Strategy : Investor selectable portfolio strategy
Summary Top Up
Top Up
Regular
Regular
Fund Name & SFIN NAV Premium Premium Fund Capital Units
Premium Units Premium Units
Fund Value Value
ACCELERATOR MID CAP FUND - 2 :
75.4078 0 0 5949.357 448627.91 0
ULIF05206/01/10ACCMIDCA02116
DISCONTINUED LIFE POLICY FUND :

15.7767 0 0 0 0 0
ULIF07026/03/13DISCONLIFE116
PURE STOCK FUND II :

23.7688 0 0 16535.02 393017.56 0
ULIF07709/01/2017PURSTKFUN2116
0 0 22484.3765 841645.47 0
*Account Value Rs. 841645.47

ACCELERATOR MID CAP FUND - 2 SFIN : ULIF05206/01/10ACCMIDCA02116
Net
Transaction Allocation Allocated
Req ID Transaction Amount (Rs) Investment Unit Price
Date Rate % Units
(Rs)
05-DEC-18 New Business Regular 100000 95 47500 31.6737 1499.6669
Policy Discontinue Withdrawal
04-MAR-20 -43101.15 0 -43101.152 30.8358 -1397.7634
of Regular Premium
05-DEC-19 Regular Premium Renewal Year 100000 96.5 48250 31.7834 1518.0881
RI Discontinue ExGratia Infusion
28-SEP-20 154.02 0 75.94 31.7834 2.3893
Regular Premium
RI Discontinue Regular Premium
28-SEP-20 89306.56 0 44033.527 31.7834 1385.4253
Infusion
05-DEC-20 Regular Premium Renewal Year 25000 97 12125 36.8056 329.4336
05-MAR-21 Regular Premium Renewal Year 25000 97 12125 41.3625 293.1399
05-JUN-21 Regular Premium Renewal Year 25000 97 12125 45.5975 265.9137
05-SEP-21 Regular Premium Renewal Year 25000 97 12125 48.8748 248.0829
Total Charges 0 0 -3266.2683 0 -85.5997
Balance c/f 5949.3569
DISCONTINUED LIFE POLICY FUND SFIN : ULIF07026/03/13DISCONLIFE116
Bajaj Allianz Life Insurance Co. Ltd., Regd. Office Address: Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006., IRDAI Reg No.: 116, Visit : www.bajajallianzlife.com, CIN :
U66010PN2001PLC015959, Mail us : customercare@bajajallianz.co.in, Call on : Toll free no. 1800 209 7272, Fax No: 02066026789. The Logo of Bajaj Allianz Life Insurance Co. Ltd. is
provided on the basis of license given by Bajaj Finserv Ltd. to use its “Bajaj” Logo and Allianz SE to use its “Allianz” logo.
DISCONTINUED LIFE POLICY FUND SFIN : ULIF07026/03/13DISCONLIFE116
Net
Date Rate % Units
(Rs)
Policy Discontinue Infusion of
04-MAR-20 87415.57 0 87415.57 13.1424 6651.4160
Regular Premium
28-SEP-20 -89306.56 0 -89306.56 13.4267 -6651.4160
Withdrawal
Balance c/f 0.0000
PURE STOCK FUND II SFIN : ULIF07709/01/2017PURSTKFUN2116
Net
Date Rate % Units
(Rs)
05-DEC-18 New Business Regular 100000 95 47500 10.9216 4349.1797
Policy Discontinue Withdrawal
04-MAR-20 -44314.42 0 -44314.418 10.9319 -4053.6794
of Regular Premium
05-DEC-19 Regular Premium Renewal Year 100000 96.5 48250 12.0497 4004.2490
RI Discontinue ExGratia Infusion
28-SEP-20 154.02 0 78.08 12.0497 6.4798
Regular Premium
28-SEP-20 89306.56 0 45273.04 12.0497 3757.1924
Infusion
Total Charges 0 0 -3110.9114 0 -246.8618
16535.019
Balance c/f
5
Foreclosure Pen in Rs : 0 ST/GST on Pen in Rs : 0
Partial Withdrawals and Fund Switch are allowed only from Accumulation Units as per terms and conditions of
the policy ,
Accumulation Units 0 & Unit Value is 0 as on
Lock- In Period
Withdrawal 5 Years from date of commencement
Surrender 5 Years from date of commencement
Top Up 5 Years from date of Top Up adjustment
*The Account Value on the basis of which your request shall be processed may be subject to revision at the time of final
verification of the Statement of Account. The Company reserves the right to make necessary corrections in the Statement of
Account to remove any inadvertent errors and prepare the same in accordance with Policy Terms
Disclaimer :
Tax will be deducted under section 194DA of the Income Tax Act, 1961 subject to conditions as mentioned in Section 10(10D)
of Income Tax Act,1961.If PAN is updated in system, TDS will be deducted @ 5% on income from policy. In the absence of PAN,
TDS will be deducted @ 20% on income from policy. TDS once deducted will not be refunded.
1. Please update your PAN in system so that TDS certificate can be issued. In the absence of PAN, TDS certificate cannot be
issued. Please consult your Income Tax advisor/consultant for tax treatment under Income Tax Act,1961.
For NRI customers TDS shall be deducted under section 195 of Income Tax Act,1961 at applicable rates.
2. You have the option to receive the claims/maturity payments/other sum due to you from the Company through electronic
mode. If you wish to receive the payment through electronic mode, kindly furnish your Bank Account details (Account No,
Name & Address of the Bank and IFSC No.) along with a copy of cancelled cheque at the Office of the Company.
Please ensure to keep your bank particulars updated in case of any subsequent change.
* Account Value is based on NAV available on
Service tax or Goods and service tax is charged as applicable
Note : This is a computer generated letter. No signature is required.
Regd. Office Address: Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006. Reg. No.: 116. CIN :
U66010PN2001PLC015959 | Mail us: customercare@bajajallianzlife.co.in | Call on : Toll free no. 1800 209 7272 | Fax No:
02066026789.
Collection Details
BS
Receipt Transaction Drawee Cheque Deposit
Receipt No. Pay Mode Amount Cheque No Cheque
Date Type Bank Date Bank
Status
ICICI BANK
0734986747 05-DEC-18 CHQ FRP 100000 129005 05-DEC-18 T B5216
LIMITED
0857432076 26-SEP-20 NBOL RWP 100000 T B5330
0875449293 05-DEC-20 EMAND RWP 25000 T B5388
0898763044 05-MAR-21 EMAND RWP 25000 T B5388
0923404320 05-JUN-21 EMAND RWP 25000 T B5388
0950272188 06-SEP-21 EMAND RWP 25000 T B5388
0976307700 08-DEC-21 NBOL RWP 25000 CITRUS T CITRUS
1014993414 16-Apr-22 NBOL RWP 25000 T B5330
1035443495 07-JUL-22 NBOL RWP 25000 CITRUS T CITRUS
1051394701 05-SEP-22 EMAND RWP 25000 T B5388
1075946233 05-DEC-22 EMAND RWP 25000 T B5388
1102545015 06-MAR-23 EMAND RWP 25000 T B5388
1127087044 05-JUN-23 EMAND RWP 25000 T B5388
1151957990 06-SEP-23 EMAND RWP 25000 T B5388
Assuring you the best of our services, always!

Your Life Goals enabler,
Bajaj Allianz Life
For any assistance

Call our Toll Free Number: 18002097272 Email us on: customercare@bajajallianz.co.in

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STATEMENT OF ACCOUNT AS ON 21/04/24

DISCONTINUED LIFE POLICY FUND :

PURE STOCK FUND II :

*Account Value Rs. 841645.47

DISCONTINUED LIFE POLICY FUND SFIN : ULIF07026/03/13DISCONLIFE116

PURE STOCK FUND II SFIN : ULIF07709/01/2017PURSTKFUN2116

Foreclosure Pen in Rs : 0 ST/GST on Pen in Rs : 0

Assuring you the best of our services, always!

For any assistance

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