Ideally: Long Term Planning 15 years + / Medium Term Planning 6 to 15 years / Short Term Planning 1-5 years

Identify client need

1. 2. 3. 4. 5. 6. 7. 8.

Client data sheet

Do Financial planning

Agent / CIF Code

Branch code

ULIP Form No:

9.

10.

Traditional Form No:

11.

Product Name: 12.

Plan option:

13. Product code: 14. 15. 16.

17. 18. 19.

Proposer name ___________________________________________DOB :__________________ Life to be assured__________________________________________DOB:__________________ Independent proposer or HUF? ___________________________________________ Income source from salary / business proceeds / agriculture / other source & with ITRs or without ITRs Saving a/c number :________________________________ Demat A/C(If any) ________________ PAN number : ______________________ _mobile number: _______________________________ Loan a/c number__________________________ loan amount ______________insured ( Yes / No) Financially dependent / independent members in family a. Name _____________________ DOB: __________ Earning per annum_______________ b. Name _____________________ DOB: __________ Earning per annum_______________ c. Name _____________________ DOB:__________ Earning per annum_______________ d. Name _____________________ DOB: __________ Earning per annum_______________ Client present life cycle status select client risk profile: Risk Aversive (or) Risk oriented a. Young and unmarried ( ) extremely risk oriented ( ) equity fund 100% b. Young and married, with no children ( ) moderately risk oriented ( )equity fund 60-85% c. Married and having young children ( ) risk Neutral ( )debt 50% equity 50% d. Married and having older children ( ) moderately risk aversive ( )debt fund 60-85% e. Retirement ( ) extremely risk aversive ( )debt funds 100% Inflation rate: 7% adjusted, financial goals identified are Goal 1: Education plan Maturity Aimed: ___________________Time Gap: _____________Years Goal 2: Marriage fund Maturity Aimed: ___________________Time Gap: _____________Years Goal 3: Education plan Maturity Aimed: ___________________Time Gap: _____________Years Goal 4: Marriage fund Maturity Aimed: ___________________Time Gap: _____________Years Goal 5: Wealth building Maturity Aimed: ___________________Time Gap: _____________Years Goal 6: Retirement fund Maturity Aimed: ___________________Time Gap: _____________Years Assets nature: like house, agro-lands, commercial complexes, gold, shares., etc approximated worth a. Present worth: If resold, is it a Risky asset ( ) or Stable asset ( ) b. Present worth: If resold, is it a Risky asset ( ) or Stable asset ( ) c. Present worth: If resold, is it a Risky asset ( ) or Stable asset ( ) d. Present worth: If resold, is it a Risky asset ( ) or Stable asset ( ) Record of Mortality history of the client family members a. Father: Alive (age : ) Any major illness now ( Yes / No ) Expired at age____(normal / accident) b. Mother: Alive (age : ) Any major illness now ( Yes / No ) Expired at age____(normal / accident) c. Spouse: Alive (age : ) Any major illness now ( Yes / No ) Expired at age____(normal / accident) d. Son: Alive (age : ) Any major illness now ( Yes / No ) Expired at age____(normal / accident) e. Daughter: Alive (age : ) Any major illness now ( Yes / No ) Expired at age____(normal / accident) f. Brother: Alive(age : ) Any major illness now ( Yes / No ) Expired at age____(normal / accident) g. Sister: Alive(age : ) Any major illness now ( Yes / No ) Expired at age____(normal / accident) Suggested priority for unified solution in client financial planning are Protection plan ( ) Savings plan ( ) Investment plan ( ) Health plans ( ) Tax saving ( ) Pension ( ) Credit life cover ( ) Presently looking for Insurance cover of $___________________________ using HLV Total existing Insurance cover under all policies are $__________________________________ Provide clients option, using a tick mark please mention product category he /she is willing & approves a. Traditional plan ( ) for guaranteed assurance & with Bonus (or) without Bonus b. Market Linked Plan ( ) Understands 1-Volatility ( ) 2-Risk ( ) 3-Risk Tolerance ( ) Using possible ways in your way verify clients ability to risk tolerance, may be using below mentioned leads Double income group / Higher tax slab / BSE or NSE trading / Mutual fund / High stable cash inflows etc. Nominee name: __________________________Relationship with client: _____________DOB:_________ KYC document photocopies with client signatures attached ( Yes / No) Channel name: Banc assurance ( ) retail agency ( ) representative signature

Premium Amount:

Premium Mode: Y/H/Q/M

Policy Term:

Paying Term:

Sum Assured:

Having previous policies with SBI Life: Yes / No

Retirement plan Product: Policy term: Paying term: Vesting age: Premium: