22-11-2022

Quote No : qbfaxb5jdueqg,Application No : 1200077582155

Benefit Illustration for HDFC Life Click 2 Protect Super

This Illustration has been produced by HDFC Life Insurance Company Limited to help you understand the benefits of your
HDFC Life Click 2 Protect Super
Age is taken as on last birthday Proposal No: NA
Name of the Prospect/Policyholder: Moonlit Barman Name of the Product: HDFC Life Click 2 Protect Super
A Non Linked, Non Participating, Individual,
Age: 30 Tag Line: Pure Risk Premium/Savings Life Insurance
Plan
Name of the Life Assured: Moonlit Barman Unique Identification No: 101N145V01
Age: 30 GST Rate: 18%
Gender: Female
Policy Term: 55 Years
Premium Payment Term: 55 Years Tobacco User: No
Amount of Instalment Premium (Without
Rs.15705
GST):
Mode of Premium Payment: Annual

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

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

Plan Option Life Basic Sum Assured Rs. 10000000

Sum Assured Factor Option A Sum Assured on Death (at inception of the policy) Rs. 10000000

WOP CI Benefit No WOP on total Permanent Disability No

Return of Premium Benefit No Spouse Cover Option
Level Cover Period(Years) Not Applicable Ammortization Rate Not Applicable
Life Stage Option No

Rider Details

Rider Name Rider UIN Rider PPT Rider PT Rider Sum Assured Rs.

HDFC Life Critical Illness Plus Rider 101B014V02 40 Years 40 Years 3500000

Premium Summary

PP PP PP Total
Base Plan CI Rider IB Rider Rider Rider Rider Instalment
(PAC) (ADC) (CC) Premium

Instalment Premium without GST 15705 7451 0 0 0 0 23156

First Year Premium
Instalment Premium with First Year GST 18532 8792 0 0 0 0 27324
Instalment Premium without GST 16532 7844 0 0 0 0 24376
Second Year Premium
Instalment Premium with GST 2nd Year Onwards 19508 9256 0 0 0 0 28764
 (Amounts in Rupees.)
Policy Single/ Guaranteed Non Guaranteed
Year Annualized
Survival Benefit/ Accrued Guaranteed Other Maturity Death Policy Cancelation Min Guaranteed Surrender Special Surrender
Premium
Additions Benefits Benefit Value Value Value

1 15,705 0 0 0 1,00,00,000 0 0 0

2 16,532 0 0 0 1,00,00,000 0 0 0

3 16,532 0 0 0 1,00,00,000 0 0 0
4 16,532 0 0 0 1,00,00,000 0 0 0

5 16,532 0 0 0 1,00,00,000 0 0 0

6 16,532 0 0 0 1,00,00,000 0 0 0
7 16,532 0 0 0 1,00,00,000 0 0 0

8 16,532 0 0 0 1,00,00,000 0 0 0

9 16,532 0 0 0 1,00,00,000 0 0 0
10 16,532 0 0 0 1,00,00,000 0 0 0

11 16,532 0 0 0 1,00,00,000 0 0 0
12 16,532 0 0 0 1,00,00,000 0 0 0

13 16,532 0 0 0 1,00,00,000 0 0 0
14 16,532 0 0 0 1,00,00,000 0 0 0

15 16,532 0 0 0 1,00,00,000 0 0 0

16 16,532 0 0 0 1,00,00,000 0 0 0

17 16,532 0 0 0 1,00,00,000 0 0 0

18 16,532 0 0 0 1,00,00,000 0 0 0
19 16,532 0 0 0 1,00,00,000 0 0 0

20 16,532 0 0 0 1,00,00,000 0 0 0

21 16,532 0 0 0 1,00,00,000 0 0 0

22 16,532 0 0 0 1,00,00,000 0 0 0

23 16,532 0 0 0 1,00,00,000 0 0 0

24 16,532 0 0 0 1,00,00,000 0 0 0
25 16,532 0 0 0 1,00,00,000 0 0 0

26 16,532 0 0 0 1,00,00,000 0 0 0

27 16,532 0 0 0 1,00,00,000 0 0 0

28 16,532 0 0 0 1,00,00,000 0 0 0

29 16,532 0 0 0 1,00,00,000 0 0 0
30 16,532 0 0 0 1,00,00,000 0 0 0

31 16,532 0 0 0 1,00,00,000 0 0 0

32 16,532 0 0 0 1,00,00,000 0 0 0

33 16,532 0 0 0 1,00,00,000 0 0 0

34 16,532 0 0 0 1,00,00,000 0 0 0

35 16,532 0 0 0 1,00,00,000 0 0 0
36 16,532 0 0 0 1,00,00,000 0 0 0

37 16,532 0 0 0 1,00,00,000 0 0 0

38 16,532 0 0 0 1,00,00,000 0 0 0

39 16,532 0 0 0 1,00,00,000 0 0 0

40 16,532 0 0 0 1,00,00,000 0 0 0
41 16,532 0 0 0 1,00,00,000 0 0 0

42 16,532 0 0 0 1,00,00,000 0 0 0

43 16,532 0 0 0 1,00,00,000 0 0 0

44 16,532 0 0 0 1,00,00,000 0 0 0

45 16,532 0 0 0 1,00,00,000 0 0 0

46 16,532 0 0 0 1,00,00,000 0 0 0
47 16,532 0 0 0 1,00,00,000 0 0 0

48 16,532 0 0 0 1,00,00,000 0 0 0

49 16,532 0 0 0 1,00,00,000 0 0 0

50 16,532 0 0 0 1,00,00,000 0 0 0

51 16,532 0 0 0 1,00,00,000 0 0 0
52 16,532 0 0 0 1,00,00,000 0 0 0

53 16,532 0 0 0 1,00,00,000 0 0 0

54 16,532 0 0 0 1,00,00,000 0 0 0

55 16,532 0 0 0 1,00,00,000 0 0 0

Notes:
1.Annualised Premium excludes underwriting extra premium, frequency loading on premiums, the premium paid towards rider, if any, and Goods & Service Tax.
2. The benefits illustrated are as of at end of year.
3. Surrender value (if applicable) will be higher of GSV (Guaranteed Surrender value) and SSV (Special Surrender Value).

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

Place :

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