Tata AIA Sampoorna Raksha Promise

Non-Linked, Non-Participating, Individual Life Insurance plan

Dear GIRIJALA USHAKIRAN
We all want to ensure that our loved ones are never short in terms of financial resources to live the life of their dreams. We all want & need to make sure that come what may, the standard of living of our loved ones is never compromised.
We also want to ensure that the burden of our debts & loans does not become a burden for them & their happiness.
Tata AIA Sampoorna Raksha Promise offers you a wide range of choices to fulfill your family specific needs of financial protection.
Key Benefits
Option to choose from multiple options
Option for Whole Life coverage (till age 100 years)
Option to Increase cover at Important milestones with Life stage option
Inbuilt payor Accelerator benefit that advances 50% of Basic Sum Assured in event of a Terminal illness diagnosis
Flexibility to choose Policy Term and Premium Paying Term
Lower premium rate for Female lives
Enhance your protection with Optional Riders
Tax benefits, as per the applicable Income Tax laws
'Section 41 of the Insurance Act, 1938, prohibits the intermediary from sharing his commission with the customer. It also prohibits the customer from accepting a share of the commission. Any person making default in compliance with this
Section is liable to payment of fine. 'All payouts to the intermediaries are within the limits prescribed under the Insurance Act, 1938, and IRDAI Rules & Regulations as amended from time to time .
Please read the product brochure/ policy documents for more details.
Best Wishes
Tata AIA Life Insurance Company Limited
BENEFIT ILLUSTRATION
Tata AIA Sampoorna Raksha Promise
Name of the Prospect/Policyholder : GIRIJALA USHAKIRAN Proposal No: 1693518115445
Age (years) : 26 Name of the Product: Tata AIA Sampoorna Raksha Promise
Gender: Male Tag Line: Non-linked, non-participating, pure risk, individual life insurance
Name of the Life Assured : GIRIJALA USHAKIRAN product
Age (years) : 26 Unique Identification Number: 110N176V02
Gender: Male GST Rate Year 1: 4.50%
Smoker : No GST Rate Year 2 onwards: 2.25%
Policy Term (years) : 44
Premium Payment Term (years) : 15
Amount of Instalment Premium (Rs.) : 27,445
Mode of Payment of Premium : Annual

This benefit illustration is intended to show year-wise premiums payable and benefits under the policy.
Policy Details
Policy Option Life Promise Plus Sum Assured Rs. 1,00,00,000
Sum Assured on Death (at inception of the policy) Rs. 1,00,00,000

Rider Details
Tata AIA Vitality (Wellness No
Program):
Details of Life Insured/Partner under the Benefit Payout
Benefit Option
Last
Rider Name / UIN^(Benefit Income Year's Return of Benefit Premium Sum Premium Year 1
Option / Benefit Payout premium Option Payment Assured p.a. Discount
Option) Lumpsum Income Increasing Income per Income Income
option Term Term (Rs.) without (Rs.)
Name Age(yrs) Gender (Rs.) Payout Income frequency frequency per Duration GST (Rs.)
Type Rate* chosen frequency (yrs)
(Rs.) chosen
(Rs.)

Premium Summary
Base Plan Riders Total Instalment Premium
Instalment Premium without GST (Rs.) 26,263 0 26,263
Instalment Premium with First year GST (Rs.) 27,445 0 27,445
Instalment Premium post applicable discount with First year GST (Rs.) 27,445 0 27,445
Instalment Premium with GST 2nd year onwards (Rs.) 26,854 0 26,854

(Amount in Rupees)
Guaranteed Non - Guaranteed
Policy Year Single/ Annualised Surrender Value^
Premium Survival Benefit / Other Benefits, if any Maturity Benefit Death Benefit Min Guaranteed Special Surrender Value
Loyalty Additions Surrender Value
1 26,263 NA NA 0 1,00,00,000 0 7,833 7,833
2 26,263 NA NA 0 1,00,00,000 15,758 15,453 15,758
 (Amount in Rupees)
Guaranteed Non - Guaranteed
Policy Year Single/ Annualised Surrender Value^
Premium Survival Benefit / Other Benefits, if any Maturity Benefit Death Benefit Min Guaranteed Special Surrender Value
Loyalty Additions Surrender Value
3 26,263 NA NA 0 1,00,00,000 27,576 24,950 27,576
4 26,263 NA NA 0 1,00,00,000 52,526 35,441 52,526
5 26,263 NA NA 0 1,00,00,000 65,658 45,833 65,658
6 26,263 NA NA 0 1,00,00,000 78,789 58,544 78,789
7 26,263 NA NA 0 1,00,00,000 91,921 72,545 91,921
8 26,263 NA NA 0 1,00,00,000 1,07,153 86,563 1,07,153
9 26,263 NA NA 0 1,00,00,000 1,22,911 1,03,401 1,22,911
10 26,263 NA NA 0 1,00,00,000 1,39,194 1,21,861 1,39,194
11 26,263 NA NA 0 1,00,00,000 1,56,002 1,34,780 1,56,002
12 26,263 NA NA 0 1,00,00,000 1,76,487 1,49,672 1,76,487
13 26,263 NA NA 0 1,00,00,000 1,94,609 1,65,027 1,94,609
14 26,263 NA NA 0 1,00,00,000 2,13,256 1,79,338 2,13,256
15 26,263 NA NA 0 1,00,00,000 2,32,428 1,95,700 2,32,428
16 0 NA NA 0 1,00,00,000 2,36,367 1,98,841 2,36,367
17 0 NA NA 0 1,00,00,000 2,40,306 2,02,115 2,40,306
18 0 NA NA 0 1,00,00,000 2,44,246 2,05,520 2,44,246
19 0 NA NA 0 1,00,00,000 2,48,185 2,09,051 2,48,185
20 0 NA NA 0 1,00,00,000 2,52,125 2,12,696 2,52,125
21 0 NA NA 0 1,00,00,000 2,60,004 3,74,248 3,74,248
22 0 NA NA 0 1,00,00,000 2,63,943 3,74,248 3,74,248
23 0 NA NA 0 1,00,00,000 2,67,883 3,74,248 3,74,248
24 0 NA NA 0 1,00,00,000 2,71,822 3,74,248 3,74,248
25 0 NA NA 0 1,00,00,000 2,75,762 3,93,945 3,93,945
26 0 NA NA 0 1,00,00,000 2,79,701 3,93,945 3,93,945
27 0 NA NA 0 1,00,00,000 2,83,640 3,93,945 3,93,945
28 0 NA NA 0 1,00,00,000 2,87,580 3,93,945 3,93,945
29 0 NA NA 0 1,00,00,000 2,91,519 3,93,945 3,93,945
30 0 NA NA 0 1,00,00,000 2,99,398 3,93,945 3,93,945
31 0 NA NA 0 1,00,00,000 3,03,338 3,93,945 3,93,945
32 0 NA NA 0 1,00,00,000 3,07,277 3,93,945 3,93,945
33 0 NA NA 0 1,00,00,000 3,11,217 3,93,945 3,93,945
34 0 NA NA 0 1,00,00,000 3,15,156 3,93,945 3,93,945
35 0 NA NA 0 1,00,00,000 3,19,095 3,93,945 3,93,945
36 0 NA NA 0 1,00,00,000 3,23,035 3,93,945 3,93,945
37 0 NA NA 0 1,00,00,000 3,26,974 3,93,945 3,93,945
38 0 NA NA 0 1,00,00,000 3,30,914 3,93,945 3,93,945
39 0 NA NA 0 1,00,00,000 3,38,793 3,93,945 3,93,945
40 0 NA NA 0 1,00,00,000 3,42,732 3,93,945 3,93,945
41 0 NA NA 0 1,00,00,000 3,93,945 3,93,945 3,93,945
42 0 NA NA 0 1,00,00,000 3,93,945 3,93,945 3,93,945
43 0 NA NA 0 1,00,00,000 3,93,945 3,93,945 3,93,945
44 0 NA NA 3,93,945 1,00,00,000 3,93,945 3,93,945 3,93,945
Note: "Annualized Premium” shall be the premium payable in a year under a non-single pay option chosen by the policyholder, excluding the taxes, rider premiums, underwriting extra premiums, loading for modal premiums, if any.
"Single Premium” shall be the premium payable under a single pay option chosen by the policyholder, excluding the taxes, rider premiums, underwriting extra premiums, if any.
#The benefits illustrated are as at the end of the policy year.
*Maturity benefit will be equal to 100% of the Total Premiums Paid (excluding loadings for the modal premium and discount).
Surrender Value shall be payable on completion of one policy year, provided one full years premium is paid for non-single pay policies. For Single Pay policies, the Surrender Value shall be payable immediately after it is issued. Surrender value
illustrated above is the value at the end of the POLICYYEAR.

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

Place:
Date: 18 Dec 2024 Date: 18 Dec 2024
Signature of Agent / Intermediary / Official Signature of Prospect / Policyholder
Unique Reference Number - L&C/Advt/2024/Oct/3038 (Rider - L&C/Advt/2022/Sep/2271)
Tata AIA Life Insurance Company Ltd. (IRDA of India Regn No. 110) (CIN: U66010MH2000PLC128403)
Registered and Corporate Office: 14th Floor, Tower A, Peninsula Business Park, Senapati Bapat Marg, Lower Parel, Mumbai- 400013
Trade logo displayed above belongs to Tata Sons Ltd and AIA Group Ltd. and is used by Tata AIA Life Insurance Company Ltd under a license.
For more information, Call the Tata AIA Life Insurance Company Ltd Helpline number1860-266-9966 (local charges apply) or Visit us at: www.tataaia.com