Version 1

Aditya Birla Sun Life Insurance UID : 1S6167417R1146

Guaranteed Milestone Plan Dec 17, 2019 16:41:47

LIFE INSURANCE
Aditya Birla Sun Life Insurance Company Limited

This shall form a part of the policy contract

Proposer Mr. Sundaramoorthy K Age : 34 years Gender : Male

Life Insured Ms. Rithushana S Age : 3 years Gender : Female

Policy Detail
UIN : 109N106V03
Sum Assured : Rs. 750,000 Policy Term : 18 Years
Annual Premium : Rs. 50,000 Premium Paying Term : 8 Years
Maturity Sum Assured : Rs. 400,000 Pay Frequency : Annual
Joint Life Protection : No ECS : No
Premium Payable (in Rs.) Rider Name Sum Annual Term
Assured(in Rs.) Premium(in
Modal Premium 50,000 Rs.)
GST 2,250 Accidental Death Benefit Rider Plus Rs. 0 0 --
Installment Premium Payable 52,250 Accidental Death & Disability Rs. 0 0 --
Critical Illness Rs. 0 0 --
Surgical Care Rs. 0 0 --
Hospital Care Rs. 0 0 --
Waiver of Premium Rs. 0 0 --

Policy Attn Premium Paid Cumulative Guaranteed

Year Age During Year Cumulative Guaranteed Additions Death Benefit Maturity
Benefit
1 3 52,250 52,250 26,232 750,000 0
2 4 51,125 103,375 52,464 750,000 0
3 5 51,125 154,500 78,696 750,000 0
4 6 51,125 205,625 104,928 750,000 0
5 7 51,125 256,750 131,160 750,000 0
6 8 51,125 307,875 157,392 750,000 0
7 9 51,125 359,000 183,624 750,000 0
8 10 51,125 410,125 209,856 750,000 0
9 11 0 0 236,088 750,000 0
10 12 0 0 262,320 750,000 0
11 13 0 0 288,552 750,000 0
12 14 0 0 314,784 750,000 0
13 15 0 0 341,016 750,000 0
14 16 0 0 367,248 767,248 0
15 17 0 0 393,480 793,480 0
16 18 0 0 419,712 819,712 0
17 19 0 0 445,944 845,944 0
18 20 0 0 472,176 872,176 872,176
Cumulative Guaranteed Additions are payable on maturity only.
Death Benefit is the Sum Assured on Death which will be paid to the nominee as an annual installment equal to 10% of Sum Assured on Death in 10 equal annual
installments. The first annual installment shall be paid on the acceptance of the death claim along with the additional lump sum amount which is the excess, if any, of Maturity
Sum Assured plus accrued Guaranteed Additions over the Sum Assured and subsequent payments shall be paid on each death anniversary of the life insured starting from first
death anniversary till the ninth death anniversary.

- Sum Assured on Death is higher of

• Sum Assured;or
• 105% of the total premiums paid as on the date of death (excluding loadings for modal premiums, applicable taxes, any applicable rider premiums and underwriting
extras, if any);or
• Maturity Sum Assured*
*where Maturity Sum Assured is the sum of all the premiums payable(excluding loadings for modal premiums , applicable taxes, any applicable rider premiums and
underwriting extras, if any)
Premium shown above is inclusive of GST. Any applicable taxes will be additionally included to your premium and levied as per extant tax laws.

Prepared for: Mr. Sundaramoorthy K ABSLI Guaranteed Milestone Plan Page 1

 Aditya Birla Sun Life Insurance Version 1

Guaranteed Milestone Plan UID : 1S6167417R1146

Dec 17, 2019 16:41:47

Your Sales Illustration
LIFE INSURANCE
Aditya Birla Sun Life Insurance Company Limited

If opted for any rider, the rider benefit is payable while the policy is not reduced paid-up.

In "Your Sales Illustration" benefits are as of year end and assume:

Premiums are paid when due, there is no underwriting extra and current applicable taxes rates remain unchanged.

Some benefits are guaranteed and some benefits are variable with returns based on the future performance of the company (ABSLI). If your policy offers guaranteed
returns then these will be clearly marked "guaranteed" in the illustration table on this page. In the illustration above, Sum Assured, Death Benefit, Maturity
Benefit & Guaranteed Additions are fully guaranteed.

Prepared for: Mr. Sundaramoorthy K ABSLI Guaranteed Milestone Plan Page 2

 Aditya Birla Sun Life Insurance Version 1

Guaranteed Milestone Plan UID : 1S6167417R1146

Dec 17, 2019 16:41:47

Your Sales Illustration
LIFE INSURANCE
Aditya Birla Sun Life Insurance Company Limited

DECLARATION OF THE PROPOSER DECLARATION OF THE ADVISOR

I have read the product brochure and understand the values I clarify that this illustration has been fully explained to the proposer
indicated in the illustration. and have made no statement that are inconsistent with this
illustration or the product brochure.

date : ------------------------ Code of the Agent/ Specified Person/

Unit Manager/ Corporate Agent/ Broker ------------------------

Signature or Thumb impression of the PROPOSER Name of Agent/ Specified Person/ Unit Manager

Name & Signature of Witness (in case of Thumb Impression) Signature of Agent/ Specified Person/ Unit Manager

For further details please refer to the product brochure.

Aditya Birla Sun Life Insurance Company Limited Reg. No. 109

Prepared for: Mr. Sundaramoorthy K ABSLI Guaranteed Milestone Plan Page 3