SBI LIFE - PRADHAN MANTRI JEEVAN JYOTI BIMA YOJANA (UIN: 111G102V01)

CERTIFICATE OF INSURANCE

SCHEDULE OF BENEFITS

Master Policy Holder Name SBI Master Policy 76001000135

Number
Annual Renewal Date 1st June of Every Year Date Of Commencement Of Master 01/06/2015
(ARD) Policy
Member Name AKASH MANDAL
Aadhar Number Date Of Birth 22/06/1998 Member ID SBIJB08226202320588326006
Account Number 38098045561 Bank Name SBI
Address BAHARDAB BAHARDAB721 DI:PURBA MEDINIPUR SD:SUTAHATA VI:BAHARDAB CHAR TAMLUK WEST BENGAL 721658
Group Member Nominee PALLABI PATRA MANDAL Nominee Age:22 Relationship with Life WIFE
assured :
Life Cover Details
Date of Commencement of Cover/Date of enrolment into the 24/07/2023 Cover End Date : 31/05/2024
scheme
Sum Assured Rs.200,000 Grace period : 30 days Lien Period: 30 days
Premium Amount Rs.436* Renewal Premium to be Paid Rs.436*

The terms and conditions of the scheme rules are binding on the Insured members and their legal representatives.
* Premium amount is as specified by the Government of India from time to time and would be in accordance with the scheme rules.Applicale taxes if any will be
charged at the rates as notified by Govt. of India from time to time. You may refer the scheme rules for further details.

Dated: 01/08/2023
Authorized Signatory

Terms & Conditions of Your Insurance Cover

1. Benefits
i. Maturity Benefit: There is no maturity benefit payable.
ii. Death Benefit: A death benefit of Rs. 200,000 shall be payable to the nominee /beneficiary or legal heir on the death of the insured member during the policy
term subject to: (a) Insurance cover will start from date of commencement of cover as stated above. (b) Death Benefit payable under Pradhan Mantri Jeevan
Jyoti Bima Yojana across all bank/ post office accounts and all insurance companies for the member will not exceed Rs. 200,000. (c) In case a member is
covered with SBI Life or multiple insurers through a single or multiple bank / post office accounts and premium is received under all covers, the insurance
cover will be restricted to Rs. 200,000 (Rupees two lakhs only) by admitting the claim on the first application based on date of enrollment. The premium on
subsequent enrollments shall be liable to be forfeited. (d) In case of death of the insured member during the grace period, the death benefit would be
payable to the nominee /beneficiary or legal heir as the case may be, subject to deduction of due premium along with applicable taxes,provided the master
policy is in force/renewed.
iii. Surrender Benefit: There is no surrender benefit payable.
iv. Assignment: You cannot assign the benefits under this policy.
2. Exclusion(Lien Period) : For new members enrolling into the scheme the insurance cover shall not be available for death (other than due to accident)
occurring during the first 30 days from the date of enrolment into the scheme (lien period) and in case of death (other than due to accident) during lien period ,
no claim would be admissible.
Individuals who exit the scheme at any point may re-join the scheme in future years. The exclusion of insurance benefits during the lien period shall also apply
to subscribers who exit the scheme during or after the first year, and rejoin on any date on or after 01st June 2021. In future years, new entrants into the
eligible category or currently eligible individuals who did not join earlier or discontinued their subscription shall be able to join while the scheme is continuing
subject to the 30 days lien period described above.
3. Termination of Cover: Risk Cover for the member shall automatically cease on the earliest occurrence of any one of the following events: (i) on attaining age
55 years (age nearest birthday), subject to annual renewal up to that date (entry, however, will not be possible beyond the age of 50 years) or (ii) on death of the
insured member, or (iii) on non-payment of premium within the grace period of 30 days from the due date of premium, or (iv) closure of designated account
with the Bank/ post office or insufficiency of balance to keep the insurance in force or (v) If the insurance cover is ceased due to insufficient balance on due date
or due to exit from the scheme, the same can be reinstated on receipt of appropriate premium as mentioned above, subject however to the cover being treated
as fresh and the 30 days lien clause being applicable (vi) the date on which the claim on insured member is settled by another bank / post office in case the
member was insured by more than one bank/ post office where he/she was having more than one account (vii) In case a member is covered under PMJJBY with
an insurer through more than one account and premium is received by the insurer inadvertently, insurance cover will be restricted to Rs. 2 lakh and the premium
paid for duplicate insurance(s) shall be liable to be forfeited (viii) Participating Banks/post office shall remit the premium to insurance companies in case of
regular enrolment on or before 30th of June every year and in other cases in the same month when received and. (ix) The scheme is liable to be discontinued
prior to commencement of a new future renewal date if circumstances so require.

4. Reinstatement: If the premium is not paid within the grace period, the insurance cover will lapse. The cover may be reinstated for full benefits effective from
the date of reinstatement by paying the full year͛s premium along with submission of requisite documents/declaration,if any , as specified by scheme rules,
provided the master policy is in force.

Registered & Corporate Office: Natraj, M. V. Road, & Western Express Highway Junction, Andheri (East), Mumbai - 400 069. Form 632
IRDAI Registration No. 111 | CIN: L99999MH2000PLC129113
Toll Free: 1800 267 9090 (Between 9.00 am & 9.00 pm) | Website: www.sbilife.co.in | Email: info@sbilife.co.in
5. Claim Intimation & Claim Documents: All claim intimations along with required claim documents should be sent to your bank branch/ post office. You may
also contact the nearest SBI Life Office or e-mail to pmjjbyclaims@sbilife.co.in for assistance.

i. Other Conditions: (i) The renewal premium is subject to change on ARD as specified by the Government of India from time to time. The final premium amount
may vary due to change in premium rates or applicable tax rates. The revised premium amount would be deducted from your above mentioned account on or
before 31st of May every year until your cover is terminated as stated above. (ii) If in respect of the Insured Member, the date of enrollment is later than the
date of commencement of the Master Policy or the ARD, full year͛s / pro-rata Premium, shall be payable immediately based on month of enrollment and
thereafter the insurance coverage shall be effective till the immediate annual renewal date only. (iii) Master policy holder shall deduct the renewal premium
on or before 31st of May every year. (iv) Full year 's premium as applicable plus applicable taxes, if any , would be payable at the time of renewal under the
scheme and pro-rata payment would not be allowed. (v)SBI LIFE shall not be liable in any way whatsoever if the premium is not received in time. It shall be the
responsibility of the insured member or the Master policyholder, as the case may be, to remit the premiums in full before the annual renewal date.

6. Grievance Redressal: In case of query, complaint or grievance, kindly visit any of our SBI Life offices or call us on our toll-free number. You can also speak to
our Head- Client Relationship on 022 ʹϲϲϰϱϲϳϴϱ͘In case you are not satisfied with our response, you may approach the Insurance Ombudsman.The address
of the Insurance Ombudsman is available on IRDAI website (http://www.irdaindia.org)
7. Fraud or Non-Disclosure: In case of fraud or misrepresentation, the insurance cover will be subject to Section 45 of the Insurance Act, 1938. For complete
information on misrepresentation and fraud, please refer to Section 45 of the Insurance Act, 1938 as amended from time to time.

8. For complete information on Prohibition of rebates, please refer to Section 41 of the Insurance Act, 1938 as amended from time to time.

Registered & Corporate Office: Natraj, M. V. Road, & Western Express Highway Junction, Andheri (East), Mumbai - 400 069. Form 632
IRDAI Registration No. 111 | CIN: L99999MH2000PLC129113
Toll Free: 1800 267 9090 (Between 9.00 am & 9.00 pm) | Website: www.sbilife.co.in | Email: info@sbilife.co.in