Bharti AXA Life Unnati Plan

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

ILLUSTRATION OF BENEFITS FOR BHARTI AXA LIFE UNNATI PLAN

Proposer Details Quote No.: 70005458878

Name of the Prospect/Policyholder: aman kumar System Reference No.: 70005458878
Age as on last birthday: 56 Years Proposal No:
Gender: Male Policy No:
Life Insured Details Name of the Product: Bharti AXA Life Unnati Plan
Name of the Life Insured: misthi m Tag Line: A Non-Linked, Participating, Individual,
Savings Life Insurance Plan
Age as on last birthday: 18 Years
Unique Identification Number: 130N106V01
Gender: Female
GST Rate (incl. cess, if any): GST Rate applicable in 1st year is 4.50% and
2nd year onwards is 2.25%. For Riders, 18%
GST rate is applicable.
Policy Term (years): 82
Premium Payment Term (years) : 15
Premium Mode: Monthly
Amount of lnstalment Premium (Rs.): (incl. rider Product Code: PIWL15G
premium and GST) 4,530

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

How to read and understand this benefit illustration?

This benefit illustration is intented to show year-wise premiums payable and benefits under the policy, at two assumed rates of interest i.e., 8% p.a. and 4% p.a.
Some benefits are guaranteed and some benefits are variable with returns based on the future performance of your insurer carrying on life insurance business. 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, of 8% p.a. and 4% p.a. 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 future investment performance.

Name of the Proposer: Aman Kumar Signature of the Proposer:

Registered address- Unit No. 1902, 19th Floor, Parinee Crescenzo, 'G' Block, Bandra Kurla Complex, BKC Road, Behind MCA Ground, Bandra East, Mumbai -400051, Maharashtra
Service Unit address- Bharti AXA Life Insurance Company Limited, Spectrum tower, 3rd Floor,Malad link road, Malad (west), Mumbai 400064. Maharashtra
IRDA Regn no.-130. Website: www.bhartiaxa.com
Page: 1 of 10
 Policy Details
Policy Option: Whole Life Income Option Sum Assured Rs. 6,62,558
Bonus Type : Cash Bonus Sum Assured on Death (at inception of the policy) Rs. 5,25,000

Premium Summary
Bharti AXA Life Unnati Plan Total Instalment Premium
Instalment Premium without GST (Rs.) 4,335 4,335
GST in the First Year 195 195
Instalment Premium with First Year GST (Rs.) 4,530 4,530
GST from 2nd Year onwards 98 98
Instalment Premium with GST 2nd Year Onwards (Rs.) 4,433 4,433

Illustration summary over the duration of the policy

Non-Guaranteed Benefits@ 8% Total Benefits including Guaranteed and Non-

Guaranteed Benefits Non-Guaranteed Benefits@ 4% p.a
p.a Guaranteed Benefit

Single / Maturity Benefit Death Benefit

Policy Annualized Total
Total
Year Premium Surrender Total Total
Guaranteed Survival Surrender Death Maturity Reversionary Cash Surrender Reversionary Cash Benefit, Total Death Total Death
Benefit Benefit Benefit Bonus Benefit, incl Maturity Maturity
Additions. Benefit Bonus Bonus Bonus incl Benefit,incl Benefit, incl Benefit incl Benefit incl
(1) Terminal of Terminal of Terminal
(2) Terminal Terminal Terminal
(3) (5) (8) Bonus (11) (12) Bonus Bonus if any Bonus if any
(4) (6) (7) (9) Bonus, if any Bonus, if any
@ 4% @ 8% @ 4% @ 8%
(10)
(13)
(6+8) (6+11)
(7+8) (7+11)

1 50,000 - - - 5,25,000 - - - - - - - - - 5,25,000 5,25,000

2 50,000 - 11,263 19,949 5,25,000 - - - 19,949 - - 19,949 - - 5,25,000 5,25,000

3 50,000 - 11,263 32,094 5,25,000 - - - 32,094 - - 32,094 - - 5,25,000 5,25,000

4 50,000 - 11,263 70,250 5,25,000 - - - 70,250 - - 70,250 - - 5,25,000 5,25,000

Name of the Proposer: Aman Kumar Signature of the Proposer:

Registered address- Unit No. 1902, 19th Floor, Parinee Crescenzo, 'G' Block, Bandra Kurla Complex, BKC Road, Behind MCA Ground, Bandra East, Mumbai -400051, Maharashtra
Service Unit address- Bharti AXA Life Insurance Company Limited, Spectrum tower, 3rd Floor,Malad link road, Malad (west), Mumbai 400064. Maharashtra
IRDA Regn no.-130. Website: www.bhartiaxa.com
Page: 2 of 10
 Illustration summary over the duration of the policy

Non-Guaranteed Benefits@ 8% Total Benefits including Guaranteed and Non-

Guaranteed Benefits Non-Guaranteed Benefits@ 4% p.a p.a Guaranteed Benefit

Single / Maturity Benefit Death Benefit

Policy Annualized Total
Total
Year Premium Surrender Total Total
Survival Death Maturity Cash Surrender Total Death Total Death
Guaranteed Surrender Reversionary Reversionary Cash Benefit, Maturity Maturity
Benefit Benefit Benefit Bonus Benefit, incl Benefit incl Benefit incl
(1) Additions. Benefit Bonus Terminal Bonus Bonus incl Benefit,incl Benefit, incl
Terminal of Terminal of Terminal
(2) Bonus Terminal Terminal Bonus if any Bonus if any
(3) (5) (8) (11) (12) Bonus Bonus, if any Bonus, if any
(4) (6) (7) (9) @ 4% @ 8%
(10) @ 4% @ 8%
(13)
(6+8) (6+11)
(7+8) (7+11)

5 50,000 - 11,263 84,996 5,25,000 - - - 84,996 - - 84,996 - - 5,25,000 5,25,000

6 50,000 - 11,263 99,743 5,25,000 - - - 99,743 - - 99,743 - - 5,25,000 5,25,000

7 50,000 - 11,263 1,14,489 5,25,000 - - - 1,14,489 - - 1,14,489 - - 5,25,000 5,25,000

8 50,000 - 11,263 1,29,236 5,25,000 - - - 1,29,236 - - 1,29,236 - - 5,25,000 5,25,000

9 50,000 - 11,263 1,43,982 5,25,000 - - - 1,43,982 - - 1,43,982 - - 5,25,000 5,25,000

10 50,000 - 11,263 1,58,729 5,46,210 - - - 1,58,729 - - 1,58,729 - - 5,46,210 5,46,210

11 50,000 - 11,263 1,73,475 6,00,831 - - - 1,73,475 - - 1,73,475 - - 6,00,831 6,00,831

12 50,000 - 11,263 1,88,222 6,55,452 - - - 1,88,222 - - 1,88,222 - - 6,55,452 6,55,452

13 50,000 - 11,263 2,02,968 7,10,073 - - - 2,31,622 - - 2,88,067 - - 7,10,073 7,10,073

14 50,000 - 11,263 2,17,715 7,64,694 - - - 3,00,331 - - 3,84,988 - - 7,64,694 7,64,694

15 50,000 - 11,263 2,32,461 8,19,315 - - - 3,78,820 - - 5,00,002 - - 8,19,315 8,22,290

16 - - 11,263 2,21,198 8,19,315 - - 2,186 5,34,720 - 38,892 7,04,865 - - 8,19,315 8,28,982

17 - - 11,263 2,48,949 8,19,315 - - 2,186 5,49,353 - 38,892 7,09,957 - - 8,19,315 8,36,071

Name of the Proposer: Aman Kumar Signature of the Proposer:

Registered address- Unit No. 1902, 19th Floor, Parinee Crescenzo, 'G' Block, Bandra Kurla Complex, BKC Road, Behind MCA Ground, Bandra East, Mumbai -400051, Maharashtra
Service Unit address- Bharti AXA Life Insurance Company Limited, Spectrum tower, 3rd Floor,Malad link road, Malad (west), Mumbai 400064. Maharashtra
IRDA Regn no.-130. Website: www.bhartiaxa.com
Page: 3 of 10
 Illustration summary over the duration of the policy

Non-Guaranteed Benefits@ 8% Total Benefits including Guaranteed and Non-

Guaranteed Benefits Non-Guaranteed Benefits@ 4% p.a
p.a Guaranteed Benefit

Single / Maturity Benefit Death Benefit

Policy Annualized Total
Total
Year Premium Surrender Total Total
Survival Death Maturity Cash Surrender Total Death Total Death
Guaranteed Surrender Reversionary Reversionary Cash Benefit, Maturity Maturity
(1) Additions. Benefit Benefit Benefit Benefit Bonus Bonus Benefit, incl Bonus Bonus incl Benefit,incl Benefit, incl
Benefit incl Benefit incl
Terminal of Terminal of Terminal
(2) Terminal Terminal Terminal
(3) (5) (8) Bonus (11) (12) Bonus Bonus if any Bonus if any
(4) (6) (7) (9) Bonus, if any Bonus, if any
@ 4% @ 8%
(10) @ 4% @ 8%
(13)
(6+8) (6+11)
(7+8) (7+11)

18 - - 11,263 2,37,686 8,19,315 - - 2,186 5,54,057 - 38,892 7,03,166 - - 8,19,315 8,43,690

19 - - 11,263 2,26,422 8,19,315 - - 2,186 5,59,093 - 38,892 7,10,580 - - 8,19,315 8,51,774

20 - - 11,263 2,15,159 8,19,315 - - 2,186 5,64,393 - 38,892 7,13,111 - - 8,19,315 8,60,453

21 - - 11,263 2,03,895 8,19,315 - - 2,186 5,69,959 - 38,892 7,28,145 - - 8,19,315 8,69,663

22 - - 11,263 1,92,632 8,19,315 - - 2,186 5,75,855 - 38,892 7,37,036 - - 8,19,315 8,79,469

23 - - 11,263 1,81,368 8,19,315 - - 2,186 5,82,017 - 38,892 7,46,590 - - 8,19,315 8,90,003

24 - - 11,263 1,70,105 8,19,315 - - 2,186 5,81,759 - 38,892 7,58,265 - - 8,19,315 9,01,200

25 - - 11,263 1,58,841 8,19,315 - - 2,186 5,97,495 - 38,892 7,76,982 - - 8,19,315 9,13,193

26 - - 11,263 1,86,593 8,19,315 - - 2,186 6,12,684 - 38,892 7,88,610 - - 8,19,315 9,25,980

27 - - 11,263 1,75,329 8,19,315 - - 2,186 6,19,889 - 38,892 8,02,623 - - 8,19,315 9,39,563

28 - - 11,263 1,64,066 8,19,315 - - 2,186 6,30,808 - 38,892 8,15,927 - - 8,19,315 9,54,139

29 - - 11,263 1,52,802 8,19,315 - - 2,186 6,48,750 - 38,892 8,36,718 - - 8,19,315 9,69,709

30 - - 11,263 1,41,539 8,19,315 - - 2,186 6,55,429 - 38,892 8,46,842 - - 8,19,315 9,86,273

Name of the Proposer: Aman Kumar Signature of the Proposer:

Registered address- Unit No. 1902, 19th Floor, Parinee Crescenzo, 'G' Block, Bandra Kurla Complex, BKC Road, Behind MCA Ground, Bandra East, Mumbai -400051, Maharashtra
Service Unit address- Bharti AXA Life Insurance Company Limited, Spectrum tower, 3rd Floor,Malad link road, Malad (west), Mumbai 400064. Maharashtra
IRDA Regn no.-130. Website: www.bhartiaxa.com
Page: 4 of 10
 Illustration summary over the duration of the policy

Non-Guaranteed Benefits@ 8% Total Benefits including Guaranteed and Non-

Guaranteed Benefits Non-Guaranteed Benefits@ 4% p.a p.a Guaranteed Benefit

Maturity Benefit Death Benefit

Single /
Policy Annualized Total
Total
Year Premium Surrender Total Total
Survival Death Maturity Cash Surrender Total Death Total Death
Guaranteed Surrender Reversionary Reversionary Cash Benefit, Maturity Maturity
Benefit Benefit Benefit Bonus Benefit, incl Benefit incl Benefit incl
(1) Additions. Benefit Bonus Bonus Bonus incl Benefit,incl Benefit, incl
Terminal of Terminal of Terminal
(2) Bonus Terminal Terminal Terminal
(3) (5) (8) (11) (12) Bonus Bonus if any Bonus if any
(4) (6) (7) (9) Bonus, if any Bonus, if any @ 4% @ 8%
(10) @ 4% @ 8%
(13)
(6+8) (6+11)
(7+8) (7+11)

31 - - 11,263 1,30,275 8,19,315 - - 2,186 6,74,186 - 38,892 8,69,641 - - 8,19,315 10,03,963

32 - - 11,263 1,19,012 8,19,315 - - 2,186 6,81,726 - 38,892 8,81,951 - - 8,19,315 10,22,846

33 - - 11,263 1,07,748 8,19,315 - - 2,186 7,01,232 - 38,892 9,06,956 - - 8,21,826 10,43,054

34 - - 11,263 96,485 8,19,315 - - 2,186 7,16,808 - 38,892 9,31,146 - - 8,36,535 10,64,587

35 - - 11,263 1,24,236 8,19,315 - - 2,186 7,37,374 - 38,892 9,59,000 - - 8,51,774 10,87,578

36 - - 11,263 1,12,973 8,19,315 - - 2,186 7,53,567 - 38,892 9,83,408 - - 8,67,542 11,12,159

37 - - 11,263 1,01,710 8,19,315 - - 2,186 7,68,455 - 38,892 10,07,638 - - 8,83,908 11,38,330

38 - - 11,263 90,446 8,19,315 - - 2,186 7,85,641 - 38,892 10,35,293 - - 9,00,803 11,66,356

39 - - 11,263 79,183 8,19,315 - - 2,186 8,03,199 - 38,892 10,64,512 - - 9,18,228 11,96,238

40 - - 11,263 67,919 8,19,315 - - 2,186 8,19,942 - 38,892 10,94,307 - - 9,36,316 12,28,173

41 - - 11,263 56,656 8,19,315 - - 2,186 8,38,560 - 38,892 11,27,435 - - 9,55,000 12,62,228

42 - - 11,263 45,392 8,19,315 - - 2,186 8,66,407 - 38,892 11,74,563 - - 9,74,281 12,98,669

43 - - 11,263 34,129 8,19,315 - - 2,186 8,91,604 - 38,892 12,17,715 - - 9,94,290 13,37,561

Name of the Proposer: Aman Kumar Signature of the Proposer:

Registered address- Unit No. 1902, 19th Floor, Parinee Crescenzo, 'G' Block, Bandra Kurla Complex, BKC Road, Behind MCA Ground, Bandra East, Mumbai -400051, Maharashtra
Service Unit address- Bharti AXA Life Insurance Company Limited, Spectrum tower, 3rd Floor,Malad link road, Malad (west), Mumbai 400064. Maharashtra
IRDA Regn no.-130. Website: www.bhartiaxa.com
Page: 5 of 10
 Illustration summary over the duration of the policy

Non-Guaranteed Benefits@ 8% Total Benefits including Guaranteed and Non-

Guaranteed Benefits Non-Guaranteed Benefits@ 4% p.a
p.a Guaranteed Benefit

Maturity Benefit Death Benefit

Single /
Policy Annualized Total
Total
Year Premium Surrender Total Total
Survival Death Maturity Cash Surrender Total Death Total Death
Guaranteed Surrender Reversionary Reversionary Cash Benefit, Maturity Maturity
Benefit Benefit Benefit Bonus Benefit, incl Benefit incl Benefit incl
(1) Additions. Benefit Bonus Bonus Bonus incl Benefit,incl Benefit, incl
Terminal Terminal of Terminal of Terminal
(2) Bonus Terminal Terminal
(3) (5) (8) (11) (12) Bonus Bonus if any Bonus if any
(4) (6) (7) (9) Bonus, if any Bonus, if any @ 4% @ 8%
(10) @ 4% @ 8%
(13)
(6+8) (6+11)
(7+8) (7+11)

44 - - 11,263 61,880 8,19,315 - - 2,186 9,12,250 - 38,892 12,58,171 - - 10,14,962 13,79,104

45 - - 11,263 50,617 8,19,315 - - 2,186 9,33,690 - 38,892 13,01,476 - - 10,36,296 14,23,429

46 - - 11,263 39,353 8,19,315 - - 2,186 9,55,680 - 38,892 13,47,517 - - 10,58,425 14,70,868

47 - - 11,263 28,090 8,19,315 - - 2,186 9,78,419 - 38,892 13,96,560 - - 10,81,284 15,21,487

48 - - 11,263 16,826 8,19,315 - - 2,186 10,01,821 - 38,892 14,48,981 - - 11,04,871 15,75,552

49 - - 11,263 5,563 8,19,315 - - 2,186 10,26,037 - 38,892 15,04,802 - - 11,29,319 16,33,327

50 - - 11,263 - 8,19,315 - - 2,186 10,51,003 - 38,892 15,64,352 - - 11,54,629 16,95,011

51 - - 11,263 - 8,19,315 - - 2,186 10,93,989 - 38,892 16,51,002 - - 11,80,734 17,60,936

52 - - 11,263 - 8,19,315 - - 2,186 11,20,829 - 38,892 17,19,517 - - 12,07,766 18,31,432

53 - - 11,263 - 8,19,315 - - 2,186 11,48,551 - 38,892 17,92,690 - - 12,35,726 19,06,698

54 - - 11,263 - 8,19,315 - - 2,186 11,78,611 - 38,892 18,72,243 - - 12,64,613 19,87,133

55 - - 11,263 - 8,19,315 - - 2,186 12,08,141 - 38,892 19,55,639 - - 12,94,495 20,73,133

56 - - 11,263 - 8,19,315 - - 2,186 12,45,245 - 38,892 20,51,313 - - 13,25,370 21,64,964

Name of the Proposer: Aman Kumar Signature of the Proposer:

Registered address- Unit No. 1902, 19th Floor, Parinee Crescenzo, 'G' Block, Bandra Kurla Complex, BKC Road, Behind MCA Ground, Bandra East, Mumbai -400051, Maharashtra
Service Unit address- Bharti AXA Life Insurance Company Limited, Spectrum tower, 3rd Floor,Malad link road, Malad (west), Mumbai 400064. Maharashtra
IRDA Regn no.-130. Website: www.bhartiaxa.com
Page: 6 of 10
 Illustration summary over the duration of the policy

Non-Guaranteed Benefits@ 8% Total Benefits including Guaranteed and Non-

Guaranteed Benefits Non-Guaranteed Benefits@ 4% p.a
p.a Guaranteed Benefit

Maturity Benefit Death Benefit

Single /
Policy Annualized Total
Total
Year Premium Surrender Total Total
Survival Death Maturity Cash Surrender Total Death Total Death
Guaranteed Surrender Reversionary Reversionary Cash Benefit, Maturity Maturity
Benefit Benefit Benefit Bonus Benefit, incl Benefit incl Benefit incl
(1) Additions. Benefit Bonus Bonus Bonus incl Benefit,incl Benefit, incl
Terminal Terminal of Terminal of Terminal
(2) Bonus Terminal Terminal
(3) (5) (8) (11) (12) Bonus Bonus, if any Bonus, if any Bonus if any Bonus if any
(4) (6) (7) (9) @ 4% @ 8%
(10) @ 4% @ 8%
(13)
(6+8) (6+11)
(7+8) (7+11)

57 - - 11,263 - 8,19,315 - - 2,186 12,71,747 - 38,892 21,41,421 - - 13,57,372 22,63,221

58 - - 11,263 - 8,19,315 - - 2,186 13,10,924 - 38,892 22,49,570 - - 13,90,367 23,68,170

59 - - 11,263 - 8,19,315 - - 2,186 13,46,126 - 38,892 23,59,707 - - 14,24,555 24,80,341

60 - - 11,263 - 8,19,315 - - 2,186 13,94,201 - 38,892 25,00,408 - - 14,59,869 26,00,264

61 - - 11,263 - 8,19,315 - - 2,186 14,31,960 - 38,892 26,27,082 - - 14,96,376 27,28,469

62 - - 11,263 - 8,19,315 - - 2,186 14,70,958 - 38,892 27,62,483 - - 15,34,142 28,65,552

63 - - 11,263 - 8,19,315 - - 2,186 15,16,224 - 38,892 29,12,035 - - 15,73,233 30,12,176

64 - - 11,263 - 8,19,315 - - 2,186 15,57,893 - 38,892 30,66,537 - - 16,13,583 31,68,938

65 - - 11,263 - 8,19,315 - - 2,186 15,94,015 - 38,892 32,24,769 - - 16,55,390 33,36,565

66 - - 11,263 - 8,19,315 - - 2,186 16,38,354 - 38,892 34,01,155 - - 16,98,523 35,15,853

67 - - 11,263 - 8,19,315 - - 2,186 16,83,904 - 38,892 35,89,421 - - 17,43,179 37,07,664

68 - - 11,263 - 8,19,315 - - 2,186 17,52,956 - 38,892 38,33,918 - - 17,89,426 39,12,924

69 - - 11,263 - 8,19,315 - - 2,186 18,02,085 - 38,892 40,51,469 - - 18,37,196 41,32,496

Name of the Proposer: Aman Kumar Signature of the Proposer:

Registered address- Unit No. 1902, 19th Floor, Parinee Crescenzo, 'G' Block, Bandra Kurla Complex, BKC Road, Behind MCA Ground, Bandra East, Mumbai -400051, Maharashtra
Service Unit address- Bharti AXA Life Insurance Company Limited, Spectrum tower, 3rd Floor,Malad link road, Malad (west), Mumbai 400064. Maharashtra
IRDA Regn no.-130. Website: www.bhartiaxa.com
Page: 7 of 10
 Illustration summary over the duration of the policy

Non-Guaranteed Benefits@ 8% Total Benefits including Guaranteed and Non-

Guaranteed Benefits Non-Guaranteed Benefits@ 4% p.a
p.a Guaranteed Benefit

Maturity Benefit Death Benefit

Single /
Policy Annualized Total
Total
Year Premium Surrender Total Total
Survival Death Maturity Cash Surrender Total Death Total Death
Guaranteed Surrender Reversionary Reversionary Cash Benefit, Maturity Maturity
Benefit Benefit Benefit Bonus Benefit, incl Benefit incl Benefit incl
(1) Additions. Benefit Bonus Terminal Bonus Bonus incl Benefit,incl Benefit, incl
Terminal of Terminal of Terminal
(2) Bonus Terminal Terminal
(3) (5) (8) (11) (12) Bonus Bonus, if any Bonus, if any Bonus if any Bonus if any
(4) (6) (7) (9) @ 4% @ 8%
(10) @ 4% @ 8%
(13)
(6+8) (6+11)
(7+8) (7+11)

70 - - 11,263 - 8,19,315 - - 2,186 18,52,936 - 38,892 42,84,127 - - 18,86,623 43,67,439

71 - - 11,263 - 8,19,315 - - 2,186 19,05,311 - 38,892 45,32,950 - - 19,37,706 46,18,946

72 - - 11,263 - 8,19,315 - - 2,186 19,59,542 - 38,892 47,99,199 - - 19,90,578 48,88,209

73 - - 11,263 - 8,19,315 - - 2,186 20,15,448 - 38,892 50,84,020 - - 20,45,306 51,76,488

74 - - 11,263 - 8,19,315 - - 2,186 20,79,836 - 38,892 53,95,541 - - 21,01,888 54,85,240

75 - - 11,263 - 8,19,315 - - 2,186 21,39,473 - 38,892 57,21,791 - - 21,60,458 58,15,923

76 - - 11,263 - 8,19,315 - - 2,186 22,00,938 - 38,892 60,71,072 - - 22,21,082 61,70,259

77 - - 11,263 - 8,19,315 - - 2,186 22,87,534 - 38,892 65,10,944 - - 22,83,893 65,49,971

78 - - 11,263 - 8,19,315 - - 2,186 23,60,032 - 38,892 69,22,075 - - 23,48,823 69,56,981

79 - - 11,263 - 8,19,315 - - 2,186 24,41,155 - 38,892 73,68,798 - - 24,16,139 73,93,474

80 - - 11,263 - 8,19,315 - - 2,186 25,25,419 - 38,892 78,47,549 - - 24,85,840 78,61,704

81 - - 11,263 - 8,19,315 - - 2,186 26,17,694 - 38,892 83,65,716 - - 25,58,059 83,64,121

82 - - 11,263 - 8,19,315 6,62,558 - 2,186 - - 38,892 - 26,62,092 88,58,400 26,32,928 89,03,443

Name of the Proposer: Aman Kumar Signature of the Proposer:

Registered address- Unit No. 1902, 19th Floor, Parinee Crescenzo, 'G' Block, Bandra Kurla Complex, BKC Road, Behind MCA Ground, Bandra East, Mumbai -400051, Maharashtra
Service Unit address- Bharti AXA Life Insurance Company Limited, Spectrum tower, 3rd Floor,Malad link road, Malad (west), Mumbai 400064. Maharashtra
IRDA Regn no.-130. Website: www.bhartiaxa.com
Page: 8 of 10
 Notes: Annualized Premium excludes underwriting extra premium, frequency loadings on premiums, the premiums paid towards the riders, if any and Goods & Services Tax.

Name of the Proposer: Aman Kumar Signature of the Proposer:

Registered address- Unit No. 1902, 19th Floor, Parinee Crescenzo, 'G' Block, Bandra Kurla Complex, BKC Road, Behind MCA Ground, Bandra East, Mumbai -400051, Maharashtra
Service Unit address- Bharti AXA Life Insurance Company Limited, Spectrum tower, 3rd Floor,Malad link road, Malad (west), Mumbai 400064. Maharashtra
IRDA Regn no.-130. Website: www.bhartiaxa.com
Page: 9 of 10
 Explanation & Information
1. This benefit illustration explains the benefits and features of the proposed policy and is not a contract of insurance.
2. The above illustrated benefits are assumed to occur at the end of policy year.
3. The illustrated values based on the assumption of 4% and 8% gross investment returns per annum are not guaranteed and are for illustration purpose only.
4. The illustration is applicable only for a Standard Life(from medical,lifestyle and occupational point of view).
5. Some benefits are guaranteed and some are variable with returns based on the future performance of the insurance company. If your policy offers guaranteed returns then these will be
clearly marked as ""guaranteed"" in the illustration table. If your policy offers variable returns then the illustrations 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
future investment returns.
6. Guaranteed Benefit is the Guaranteed Annual Income, as illustrated in column (4), payable from the end of 2nd policy year until maturity or death, whichever is earlier. Non Guaranteed
benefits include Cash Bonus, and terminal bonus. Cash bonus, as illustrated in column (9) and column (12) for 4% and 8% gross investment returns per annum respectively, are payable every
year, starting from end of {Premium Paying Term + 1} year until maturity or death, whichever is earlier. Terminal Bonus, as applicable, will be is paid on maturity or death, whichever is
earlier.
7. Guaranteed Surrender benefit in (5) is net of any due guaranteed payout payable at the end of policy year.
8. The policy can be surrendered by the policyholder at any time, provided atleast two (2) full years' premiums have been paid. The minimum guaranteed surrender value(GSV) under the policy
is a percentage of all premiums paid till date.The Company may allow surrender values at such other rates not less than the Guaranteed Surrender Value. The Surrender Value receivable,will
be the higher of the Guaranteed Surrender Value (GSV) and the Special Surrender Value (SSV).The Total Surrender Value receivable at 4% and 8% gross investment returns per annum is
illustrated in column (10) and column (13) respectively.The amounts are net of any guaranteed/ non-guaranteed payouts due to be paid at the end of the policy year. The policy will
terminate on the Date of Surrender.
9. For more details on risk factors, terms and conditions please read sales brochure carefully before concluding a sale.
10. Tax benefits are as per the current tax legislations and are subject to change in tax laws. Neither the company nor its agents can offer legal or tax advice.
11. Bharti AXA Life Insurance Company Ltd. is the name of the Insurance Company and Bharti AXA Life Unnati is the name of the product and does not in any way indicate the quality of the
contract, its future prospects or returns.
12. Goods & Services Tax would be payable as per applicable tax laws

Declaration by Advisor / Sales Person Declaration by Proposer

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

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

Name of the Proposer: Aman Kumar Signature of the Proposer:

Registered address- Unit No. 1902, 19th Floor, Parinee Crescenzo, 'G' Block, Bandra Kurla Complex, BKC Road, Behind MCA Ground, Bandra East, Mumbai -400051, Maharashtra
Service Unit address- Bharti AXA Life Insurance Company Limited, Spectrum tower, 3rd Floor,Malad link road, Malad (west), Mumbai 400064. Maharashtra
IRDA Regn no.-130. Website: www.bhartiaxa.com
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