Quotation No: E01202020134145354779

Product Suitability Assessment Report

Name of Policyholder: SUBHAS KARMAKAR Life Stage: Married

Age of Policyholder (Years): 33 Financial , Family Goal: Savings

Name of Life Assured: SUBHAS KARMAKAR Annual Family Income (Rs.): 3 Lacs To 6 Lacs

Age of Life Assured (Years): 33

Suggested Plan: Reliance Nippon Life Increasing Income Insurance Plan (UIN: 121N108V03)

Nature of Product: Savings Plan

Premium Payment Frequency: Yearly
Policy Term (Years): 24

Premium Paying Term (Years): 12

Disclaimers:

1. The product suitability assessment report is based on the information provided by customer.
2. Product parameters mentioned above are indicative. The parameters may change basis the underwriting decision.
3. For more details on risk factor, terms and conditions, please read Sales brochure of the plan carefully before concluding a sale.
4. It is customers responsibility to carefully read the suitability assessment report and ascertain if the product recommendation meets his insurance requirements before
concluding the sale.

I hereby confirm that the product (s) recommended above is based on the I hereby acknowledge and confirm that I have read and understood the
information submitted by the prospect as part of the suitability assessment. recommendations made above based on the information provided by me at the
time of suitability assessment exercise before concluding the sale. I further
confirm that I have made the decision to purchase the above recommended
product (s) after having understood the product (s) features which are consistent
with my Insurance needs and financial objectives.

Place: Signature of Agent/

Date: Intermediary/ Company Official Date: Signature of Prospect

Reliance Nippon Life Insurance Company Limited is a licensed life insurance company registered with the Insurance Regulatory and Development Authority of India
(Registration No: 121) in accordance with the provisions of the Insurance Act 1938.

Reliance Nippon Life Insurance Co. Ltd.

H-block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai, Maharashtra - 4000710, India.
CIN: U66010MH2001PLC167089
 Quotation No: E01202020134145354779
Reliance Nippon Life Increasing Income Insurance Plan

The illustration takes into account the guidelines for illustrations set by the Life Insurance Council and the IRDAI. Some benefits are guaranteed and some benefits are
variable with returns based on the future performance of your life insurance company. If your policy offers guaranteed returns then these will be clearly marked ³guaranteed´
in the illustration table on this page. If your policy offers variable returns then the illustrations on this page will show two different rates of assumed investment returns. These
assumed rates of return are not guaranteed and they are not upper or lower limits of what you might get back as the value of your policy is dependent on a number of factors
including future investment performance.

Name of Prospect/Policyholder SUBHAS KARMAKAR Proposal No

Reliance Nippon Life Insurance

Age 33 years Gender Male Name of the Product
Increasing Income Insurance Plan
A Non-Linked Non-Participating
Name of the Life Assured SUBHAS KARMAKAR Tag Line Individual Savings Life Insurance
Plan
Age 33 years Gender Male Unique Identification No 121N108V03
ADAG Year 1 GST Rate including cess
Life Assured's Age Proof Standard No 4.50 %
Employee (if any)
Year 2 onwards GST Rate
Premium Payment Frequency Yearly ECS No 2.25 %
including Cess (if any)
NRI No Advisor Code 22200145

The Benefit Illustration is intended to show year-wise premiums payable and benefits under the Policy.

Policy Details
Amount of
Policy Premium Annualized Sum Assured on Death (at
Instalment Premium Base Sum Assured
Plan Option and Rider Term Payment Term Premium inception of the policy)
(with year 1 GST rate Rs.
(in Years) (in Years) Rs. Rs.
and cess, if any) Rs.
Policy Option: Income With Maturity Benefit
24 12 95,694.00 100,000.23 416,259 1,052,634
Option

Location Details

Customer Communication Address : West Bengal Branch Location : West Bengal

Premium Summary

Total Instalment
Premium Base Plan Riders NSAP Extra
Premium

Instalment Premium without GST Rs. 95,694.00 95,694.00

Instalment Premium with First Year GST Rs. 100,000.23 100,000.23

Instalment Premium with GST 2nd Year Onwards Rs. 97,847.12 97,847.12

(Amount in Rupees.)
Guaranteed Non Guaranteed

Policy Age Annualized Survival Other Benefits (if Maturity Death Min Guaranteed Special Surrender Value
Year (in Premium Benefits any) Benefit Benefit Surrender Value Surrender Value Rs.
Years) Rs. (Income Benefit Rs. Rs. Rs. Rs.
paid during the
policy year) Rs.

1 33 95,694 0 0 0 1,052,634 0 0 0

2 34 95,694 0 0 0 1,052,634 57,416 60,585 60,585

3 35 95,694 0 0 0 1,052,634 100,479 100,230 100,479

4 36 95,694 0 0 0 1,052,634 191,388 147,420 191,388

5 37 95,694 0 0 0 1,052,634 239,235 203,310 239,235

6 38 95,694 0 0 0 1,052,634 287,082 269,221 287,082

7 39 95,694 0 0 0 1,052,634 334,929 346,655 346,655

 8 40 95,694 0 0 0 1,052,634 401,915 437,325 437,325

9 41 95,694 0 0 0 1,052,634 473,685 543,187 543,187

10 42 95,694 0 0 0 1,052,634 550,241 666,466 666,466

11 43 95,694 0 0 0 1,105,266 631,580 809,701 809,701

12 44 95,694 0 0 0 1,205,744 717,705 975,791 975,791

13 45 49,951 0 0 1,205,744 696,462 1,025,824 1,025,824

14 46 62,439 0 0 1,205,744 662,731 1,068,148 1,068,148

15 47 74,927 0 0 1,205,744 616,513 1,101,954 1,101,954

16 48 87,414 0 0 1,205,744 557,807 1,126,346 1,126,346

17 49 99,902 0 0 1,205,744 486,613 1,140,323 1,140,323

18 50 112,390 0 0 1,205,744 402,931 1,142,767 1,142,767

19 51 124,878 0 0 1,205,744 306,762 1,132,425 1,132,425

20 52 137,365 0 0 1,205,744 198,104 1,107,884 1,107,884

21 53 149,853 0 0 1,205,744 76,959 1,067,548 1,067,548

22 54 162,341 0 0 1,205,744 0 1,009,615 1,009,615

23 55 174,829 0 0 1,205,744 0 932,043 932,043

24 56 187,317 0 832,518 1,205,744

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

Disclaimers:

1. Reliance Nippon Life Insurance Company Limited is a licensed life insurance company registered with the Insurance Regulatory and Development Authority of India
(Registration No: 121) in accordance with the provisions of the Insurance Act 1938
2. This document is for illustrative purposes only.
3. This illustration is based on the terms and conditions of the life insurance policy as on the date of the illustration
4. The premium amount shown above is calculated assuming that the Life Assured is a normal healthy person & all premiums are paid when due.
5. In the event the Life Assured / Proposer is suffering from any sickness/ medical problems or in the event of any past medical history, the premium may be adjusted
accordingly, as per the Board Approved Underwriting Policy
6. This premium quotation is indicative. The premium rate charged to the customer may be different depending upon the factors such as health, tobacco consumption,
occupation of the customer and other intrinsic factors such as non submission of documentary evidences like age proof.
7. For details of the rates and the terms and conditions applicable to your policy, kindly refer to the specifications in the policy document after issuance.
8. Applicable Goods and Services Tax (GST) along with Cess, if any, is levied on first year and renewal premiums on base policy premium and on rider premiums. The GST
rate and Cess, if any, will be revised as and when notified by the Government. Taxes, duties or surcharges of whatever description levied by any statutory authority will be
applicable. Current GST rate (including cess, if any) for base product are provided in above illustration. Current GST rate (excluding cess, if applicable) for rider
premiums is << 18% p.a. >>
9. Tax benefits under the policy are subject to conditions under the Income Tax Act, 1961. Tax laws are subject to amendments from time to time. Please consult your tax
advisor.
10. The policy acquires Surrender Value after full premiums have been paid for two consecutive years
11. The Surrender Value payable shall be the higher of Guaranteed Surrender Value (GSV) and Special Surrender Value (SSV), wherein, GSV is the minimum guaranteed
Surrender Value payable and Special Surrender Value (SSV) is non guaranteed. The Company reserves the rights to change the SSV Factor from time to time depending
on the economic environment, experience and other factors, subject to IRDAI approval. You are requested to check with the Company for the applicable Special
Surrender Value from time to time.
12. The illustration assumes that all premiums are paid when due. Further, the above death and surrender values (if applicable) are illustrated assuming that all the
modal/installment premium payable in a policy year are paid and the death/surrender occurs at the end of the policy year. The death or surrender values at a time other
than at the end of the policy year may be different than those illustrated above. If death or surrender occur and only some of the modal/ installment premium are paid, then
the death or surrender values may be different than those illustrated above.
13. For more details on risk factor, terms and conditions, please read Sales brochure of the plan carefully before concluding a sale.
14. In the event of conflict, if any, between the terms and conditions contained in this Benefit Illustration and those contained in the policy document, the terms and
conditions contained in the policy document shall prevail.
15. Rider benefits, if any have not been illustrated in the above Benefit Illustration table. Kindly refer the terms and conditions of the rider for detailed benefits under the
riders opted, if any.
I SUMAN KUNDU , have explained the premiums, and benefits under the I SUBHAS KARMAKAR, having received the information with respect to the
product fully to the prospect / policyholder. above, have understood the above statement before entering into the contract.

Place: Signature of Agent/

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

Reliance Nippon Life Insurance Company Limited is a licensed life insurance company registered with the Insurance Regulatory and Development Authority of India
(Registration No: 121) in accordance with the provisions of the Insurance Act 1938.

Reliance Nippon Life Insurance Co. Ltd.

H Block, 1st floor, Dhirubai Ambani Knowledge City, Navi Mumbai, Maharashtra - 400710, India.
CIN: U66010MH2001PLC167089