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Benefit Illustration

Proposal No. :
Name of the Prospect/Policyholder : vnbj bhbvj Edelweiss Tokio Life- Single Pay Endowment Assurance
Name of the Product: Plan
Age (in years) : 67
Name of the Life Assured : vnbj bhbvj Tag Line: Individual, Non-Linked, Non-Par, Savings Life Insurance
Product
Age (in years) : 67
Unique Identification No.: 147N018V04
Policy Term (in years) : 10
GST Rate - Base: 4.50%
Premium Payment Term (in years) : Single Pay
GST Rate - Rider: 18.00 %
Amount of Instalment Premium (Including rider
premium, additional benefit premium and applicable 5,22,500
taxes in Rupees) :

Additional Information
Gender of the Prospect/Policyholder : Male
Gender of the Life Assured : Male
Distribution Channel : Direct Marketing
Category : Others

Some benefits are guaranteed and some benefits are variable with returns based on the future performance of the Company. If your policy offers guaranteed benefits then these will be clearly marked "guaranteed" in the illustration table
on this page. If your policy offers variable benefits then the illustrations on this page will show two different rates of assumed future investment returns. These assumed rates of return are not guaranteed and they are not the upper or
lower limits of what you might get back, as the value of your policy is dependent on a number of factors including actual future investment performance.
This Benefit Illustration is intended to show year-wise premiums payable and benefits under the policy.

(Amount in Rupees)
Policy details
Policy Option Base Sum Assured on Maturity Rs. 8,03,500
Death Benefit Option Option B Sum Assured on Death (at inception of the policy) Rs. 8,03,500

1 Vers ion : 1.07 ; Quota tionId : W0011385670

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(Amounts in Rupees)
Premium Summary
Base Plan Riders Total Instalment Premium
Instalment Premium without GST 5,00,000 - 5,00,000
Instalment Premium with First Year GST 5,22,500 - 5,22,500
Instalment Premium with GST 2nd Year Onwards NA NA NA

(Amount in Rupees)

Guaranteed Non Guaranteed

Age (Last Birthday) Years Policy Year Single / Annualized Premium
Survival Benefits / Loyalty Additions Other Benefits if any Maturity Benefit Death Benefit Min Guaranteed Surrrender Value Special Surrender Value @
67 1 5,00,000 - - - 8,03,500 3,75,000 3,72,021

68 2 - - - - 8,03,500 3,75,000 4,01,750

69 3 - - - - 8,03,500 4,00,000 4,33,890
70 4 - - - - 8,03,500 4,50,000 4,68,441

71 5 - - - - 8,03,500 4,50,000 5,06,205

72 6 - - - - 8,03,500 4,50,000 5,47,184
73 7 - - - - 8,03,500 4,50,000 5,90,573

74 8 - - - - 8,03,500 4,62,500 6,37,979

75 9 - - - - 8,03,500 4,75,000 6,88,600
76 10 - - - 8,03,500 8,03,500 5,00,000 7,44,041

Notes : Single / Annualized Premium excludes underwriting extra premium, frequency loadings on premiums, the premiums paid towards the riders, if any and Goods & Service Tax.

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

Place:
Date: Signature of Agent/ Intermediary/ Official Date: Signature of Prospect / Policyholder

2 Vers ion : 1.07 ; Quota tionId : W0011385670

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Terms & Conditions

1) This document is for illustration purposes only. This illustration is based on the terms and conditions of the life insurance policy as on date of the illustration. The above information must be read in conjunction with the sales literature &
policy document.
2) Edelweiss Tokio Life Insurance - Single Pay Endowment Assurance Plan is only the name of the policy and does not in any way indicate the quality of the policy, its future prospects or returns.
3) Applicable Taxes will be levied on the premium as per the prevailing Tax Laws and the same shall be borne by the policyholder.
4) Surrender value shall be higher of Guaranteed Surrender Value and Special Surrender Value and is payable at the end of the policy year.
5) @ Special Surrender Values shown above are not guaranteed. Before making a request for Surrender, you may approach the company to know about the Special Surrender Value in respect of your Policy at that point in time.

3 Vers ion : 1.07 ; Quota tionId : W0011385670