Name: JAYA Sum Assured: 100000.00 Annual_Premium w/o 12280.

00
STEC:
DateOf Birth: 21/10/1984 Policy Term: 10 Inst_Premium w/o STEC : 12280.00
Age (in yrs): 34 PPT: 10 First Year Instl_ premium 12833.00
incl.tax:
Gender: Female Mode: Yearly Renewal Year 12556.00
Instl_premium incl.tax:
Rider Premium Including -
Tax:

Benefit Illustration for SHRIRAM NEW SHRI LIFE PLAN

128N047V01
 Policy Annualised   Guaranteed Estimated Guaranteed  Guaranteed Estimated Guaranteed Estimated
  Year  Premiums Death Total Benefit Survival  Maturity MaturityBenefit  Surrender Surrender Benefit
paid  Benefit  (Non-Guranteed) Benefit  Benefit (Non-Guranteed)   Benefit  (Non-Guranteed)
(excl ST) (GSB) 
at 4% at 8% at 4% at 8% at 4% at 8%
             Return Return Return Return Return Return

1 12280.00 122800.00 123800.00 125200.00

2 12280.00 122800.00 124800.00 127600.00
3 12280.00 122800.00 125800.00 130000.00 0.00 10560.00 11904.00
4 12280.00 122800.00 126800.00 132400.00 0.00 17600.00 19840.00
5 12280.00 122800.00 127800.00 134800.00 0.00 26400.00 29760.00
6 12280.00 122800.00 128800.00 137200.00 0.00 37950.00 42780.00
7 12280.00 122800.00 129800.00 139600.00 0.00 51590.00 58156.00
8 12280.00 122800.00 130800.00 142000.00 0.00 66880.00 75392.00
9 12280.00 122800.00 131800.00 144400.00 99468.00 101898.00 105300.00
10 12280.00 122800.00 132800.00 146800.00 100000.00 122928.00 148000.00 110520.00 113520.00 117720.00

Disclosures:
Some benefits are guaranteed and some benefits are variable with returns based on the future performance of your Insurer carrying on life
insurance bussiness.If your policy offers guaranteed returns then these will be clearly marked "guaranteed"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 future investment
returns.These assumed rates of return are not guaranteed and they are not the upper and 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.
(1) This is only an illustration and does not in any way create any rghts and /or obligations.
(2) This illustration is applicable to a healthy individual and acceptance of the proposal is subjected to underwriting.Premiums relating to riders
and non-standard risks are excluded from the above..
(3) The above amounts assume that all premiums have been paid on due date.
(4) Once bonuses have been declared and added to your policy ,they become guaranteed.However,the level of future bonuses yet to be
declared may change during the policy term depending on factors including expense,mortality and investment experience of the participating
fund.
(5) For the purpose of Illustrations ,4% and 8% as the lower and higher rates of investment returns have been assumed in accordance with
guidelines issued by the Life Council and IRDA and the actual returns may be higher or lower than these the assumed rates.

IRDAI Regn No:128

I, ______________________  having received the information with respect to the above, have understood the terms & conditions of this product 
before entering into the contract.
Name of the intermediary/sales officer :
Signature 
Code No / Employee code :
Company seal Policy holder's signature
Date:
Place: