Quotation No: 13543952

Bajaj Allianz Life eTouch

A Non-Linked, Non-Participating, Individual Life Insurance Term Plan

Name of the Prospect/ Policyholder: Rowdy hdhdhs Name of the Product: Bajaj Allianz Life eTouch

Age (Years): 26 A Non-Linked, Non-Participating,

Tag Line:
Individual Life Insurance Term Plan
Name of the Life Assured: Rowdy hdhdhs
Unique Identification Number: 116N172V03
Age (Years): 26
GST Rate(First Year): 18.0%
Policy Term (Years): 59
GST Rate(2nd Year onwards): 18.0%
Premium Payment Term (Years): 59
Tobacco User: No
Amount of Instalment Premium (Rs.) 12,658
Premium Category: Medical
Mode of Payment of Premium: Yearly

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

Policy Details

Variant Life Shield Sum Assured (Rs.) 1,00,00,000

Sum Assured on Death

Death Benefit Payment Option 100% Lump Sum Payout 1,00,00,000
(at inception of the Policy) (Rs.)

Premium Holidays 0

Premium Summary

Base Plan Total installment Premium

Installment Premium without GST 12,652 12,652

Online/Web Aggregator Discount 766 766

Partner Discount 0 0

Salary Rebate, If available 594 594

Insurance for All Discount, If available 565 565

Geographical Extra 0 0

Installment Premium without GST after discounts, if

10,727 10,727
applicable (First Year only)

Installment Premium with GST after discounts, if

12,658 12,658
applicable (First Year only)

Installment Premium with GST 2nd Year Onwards 14,929 14,929

Sum Assured on death will be payable as

Lump Sum Rs.10000000

Benefit Summary (Amount in Rupees)

Guaranteed Non Guaranteed

Policy Annualised
Year Premium Survival Maturity Death Accidental Death Guaranteed Surrender Value (GSVI/ Special Surrender
Benefit Benefit Benefit Benefit Early Exit Value Value (SSV

1 10,727 0 0 1,00,00,000 0 0 0

2 12,652 0 0 1,00,00,000 0 0 0

3 12,652 0 0 1,00,00,000 0 0 0

4 12,652 0 0 1,00,00,000 0 0 0
5 12,652 0 0 1,00,00,000 0 0 0

6 12,652 0 0 1,00,00,000 0 0 0

7 12,652 0 0 1,00,00,000 0 0 0

8 12,652 0 0 1,00,00,000 0 0 0

9 12,652 0 0 1,00,00,000 0 0 0

10 12,652 0 0 1,00,00,000 0 0 0

11 12,652 0 0 1,00,00,000 0 0 0

12 12,652 0 0 1,00,00,000 0 0 0

13 12,652 0 0 1,00,00,000 0 0 0

14 12,652 0 0 1,00,00,000 0 0 0

15 12,652 0 0 1,00,00,000 0 0 0

16 12,652 0 0 1,00,00,000 0 0 0

17 12,652 0 0 1,00,00,000 0 0 0

18 12,652 0 0 1,00,00,000 0 0 0

19 12,652 0 0 1,00,00,000 0 0 0

20 12,652 0 0 1,00,00,000 0 0 0

21 12,652 0 0 1,00,00,000 0 0 0

22 12,652 0 0 1,00,00,000 0 0 0

23 12,652 0 0 1,00,00,000 0 0 0

24 12,652 0 0 1,00,00,000 0 0 0

25 12,652 0 0 1,00,00,000 0 0 0

26 12,652 0 0 1,00,00,000 0 0 0

27 12,652 0 0 1,00,00,000 0 0 0

28 12,652 0 0 1,00,00,000 0 0 0

29 12,652 0 0 1,00,00,000 0 0 0

30 12,652 0 0 1,00,00,000 0 0 0

31 12,652 0 0 1,00,00,000 0 0 0

32 12,652 0 0 1,00,00,000 0 0 0

33 12,652 0 0 1,00,00,000 0 0 0

34 12,652 0 0 1,00,00,000 0 0 0

35 12,652 0 0 1,00,00,000 0 4,40,893 0

36 12,652 0 0 1,00,00,000 0 4,53,545 0

37 12,652 0 0 1,00,00,000 0 4,66,197 0

38 12,652 0 0 1,00,00,000 0 0 0

39 12,652 0 0 1,00,00,000 0 0 0

40 12,652 0 0 1,00,00,000 0 0 0

41 12,652 0 0 1,00,00,000 0 0 0

42 12,652 0 0 1,00,00,000 0 0 0

43 12,652 0 0 1,00,00,000 0 0 0

44 12,652 0 0 1,00,00,000 0 0 0

45 12,652 0 0 1,00,00,000 0 0 0

46 12,652 0 0 1,00,00,000 0 0 0
 47 12,652 0 0 1,00,00,000 0 0 0

48 12,652 0 0 1,00,00,000 0 0 0

49 12,652 0 0 1,00,00,000 0 0 0

50 12,652 0 0 1,00,00,000 0 0 0

51 12,652 0 0 1,00,00,000 0 0 0

52 12,652 0 0 1,00,00,000 0 0 0

53 12,652 0 0 1,00,00,000 0 0 0

54 12,652 0 0 1,00,00,000 0 0 0

55 12,652 0 0 1,00,00,000 0 0 0

56 12,652 0 0 1,00,00,000 0 0 0

57 12,652 0 0 1,00,00,000 0 0 0

58 12,652 0 0 1,00,00,000 0 0 0

59 12,652 0 0 1,00,00,000 0 0 0

Notes:

1. The main objective of this benefit illustration is that the policyholder is able to understand the features of the product and the nature of
benefits under different circumstances like survival, death & surrender.

2.
The above information must be read in conjunction with Sales Literature & Policy document. In case of any conflict between this benefit
illustration and your policy document, the latter shall prevail.

3. The Death Benefit is payable on the earlier occurrence of death or diagnosis of Terminal Illness of the Life Assured. On diagnosis of Terminal
Illness, maximum benefit payable is Rs 2 crores

4. The Annualised Premium is exclusive of taxes, underwriting extra premium and loadings for modal premiums if any

5. In case the Life Assured is diagnosed with Accidental Total Permanent Disability or Terminal Illness during the policy term, all future
premiums shall be waived

6. The benefits illustrated are as of at end of the yea

7. Early Exit value shall not be available if Life Stage Upgrade Sum Assured has been taken in the policy or Life Shield ROP variant has been
selected.

8. Premium Holidays can be exercised as per policy terms and conditions. Please refer to the Sales Literature or Policy Document for details

9.
Tax benefits under the policy will be as per the prevailing Income Tax laws. We recommend that you seek professional advice for
applicability of tax benefit on premiums paid and benefits received.

10. For any further clarification, contact our sales representative or e-mail us on customercare@bajajallianz.co.in

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

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

Bajaj Allianz Life Insurance Company Limited

GE Plaza, Airport Road, Yerawada, Pune -411006
Tel:(020) 66026777; Fax:(020) 66026789
Email: life@bajajallianz.co.in
www.bajajallianz.com