Quotation No: E011120201104981597

Reliance Nippon Life Protection Plus

The illustration takes into account the guidelines for illustrations set by the Life Insurance Council and the IRDAI. Some benefits are guaranteed and some benefits are
variable with returns based on the future performance of your life insurance company. If your policy offers guaranteed returns then these will be clearly marked ³guaranteed´
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 investment returns. These
assumed rates of return are not guaranteed and they are not 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.
Benefit Illustration Dated 11 Jan 2020 Proposal No

Name of Prospect/Policyholder Name of the

RAJ Reliance Nippon Life Protection Plus
Product
A Non-Linked Non-Participating
Age 37 years Date of Birth 30 May 1982 Gender Male Tag Line Individual Pure Risk Life Insurance
Plan
Name of the Life Unique
RAJ 121N137V01
Assured Identification No
GST Rate including
Age 37 years Date of Birth 30 May 1982 Gender Male 18 %
cess (if any)
Name of Agent /
Smoker Status of
Non-Tobacco consumer Intermediary/ INDU BALA RATHORE
Life Assured
Official
Life Assured's Age
Standard ADAG Employee No Advisor Code 22405972
Proof
Premium Payment
Regular Pay ECS Yes Optional Benefit None
Option
Payment Payment
Monthly NRI No
Frequency
This benefit illustration is intended to show year-wise premiums payable and benefits under the policy.

Category Tobacco consumer Residual Non-Tobacco consumer Preferred Non-Tobacco consumer

Annualized Premium Rs. 13,739 9,556 8,484

Instalment Premium (excluding GST) Rs. 1,180 821 729

Instalment Premium (Year 1 GST Rate including cess, if
1,392 969 860
any) Rs.

Policy Details
Amount of
Premium
Instalment Premium Sum Assured on Death (at
Policy Term Payment Annualized premium
Plan Option and Riders (with year 1 GST Sum Assured Rs. inception of the policy)
(in Years) Term (in Rs.
rate and cess, if any) Rs.
Years)
Rs.
Plan Option and Riders Level Cover Plan 38 38 9,556 969 5,000,000 5,000,000

Location Details

Customer Communication Address : Himachal Pradesh Branch Location : Himachal Pradesh

Premium Summary

Premium Base Plan Riders Total Instalment Premium

Instalment Premium (without GST and Cess, if any) Rs. 821 821

Instalment Premium (with year 1 GST rate and cess, if any) Rs. 969 969

Instalment Premium (with year 2 onwards GST rate and cess,

969 969
if any) Rs.
 (Amounts in Rupees.)
Non
Guaranteed Guaranteed
Guaranteed
Survival Other Special
*Annualized Maturity Death Min Guaranteed Surrender
Policy Age Benefits/ Loyalty Benefits if **Yearly Surrender
Premium Benefit Benefit Surrender Value Benefit
Year (in years) Additions any Income Value
Rs. Rs. Rs. Rs. Rs.
Rs. Rs. Rs.

1 37 9,556 Nil 5,000,000 Nil Nil Nil

2 38 9,556 Nil 5,000,000 Nil Nil Nil

3 39 9,556 Nil 5,000,000 Nil Nil Nil

4 40 9,556 Nil 5,000,000 Nil Nil Nil

5 41 9,556 Nil 5,000,000 Nil Nil Nil

6 42 9,556 Nil 5,000,000 Nil Nil Nil

7 43 9,556 Nil 5,000,000 Nil Nil Nil

8 44 9,556 Nil 5,000,000 Nil Nil Nil

9 45 9,556 Nil 5,000,000 Nil Nil Nil

10 46 9,556 Nil 5,000,000 Nil Nil Nil

11 47 9,556 Nil 5,000,000 Nil Nil Nil

12 48 9,556 Nil 5,000,000 Nil Nil Nil

13 49 9,556 Nil 5,000,000 Nil Nil Nil

14 50 9,556 Nil 5,000,000 Nil Nil Nil

15 51 9,556 Nil 5,000,000 Nil Nil Nil

16 52 9,556 Nil 5,000,000 Nil Nil Nil

17 53 9,556 Nil 5,000,000 Nil Nil Nil

18 54 9,556 Nil 5,000,000 Nil Nil Nil

19 55 9,556 Nil 5,000,000 Nil Nil Nil

20 56 9,556 Nil 5,000,000 Nil Nil Nil

21 57 9,556 Nil 5,000,000 Nil Nil Nil

22 58 9,556 Nil 5,000,000 Nil Nil Nil

23 59 9,556 Nil 5,000,000 Nil Nil Nil

24 60 9,556 Nil 5,000,000 Nil Nil Nil

25 61 9,556 Nil 5,000,000 Nil Nil Nil

26 62 9,556 Nil 5,000,000 Nil Nil Nil

27 63 9,556 Nil 5,000,000 Nil Nil Nil

28 64 9,556 Nil 5,000,000 Nil Nil Nil

29 65 9,556 Nil 5,000,000 Nil Nil Nil

30 66 9,556 Nil 5,000,000 Nil Nil Nil

31 67 9,556 Nil 5,000,000 Nil Nil Nil

32 68 9,556 Nil 5,000,000 Nil Nil Nil

33 69 9,556 Nil 5,000,000 Nil Nil Nil

34 70 9,556 Nil 5,000,000 Nil Nil Nil

35 71 9,556 Nil 5,000,000 Nil Nil Nil

36 72 9,556 Nil 5,000,000 Nil Nil Nil

37 73 9,556 Nil 5,000,000 Nil Nil Nil

38 74 9,556 Nil 5,000,000 Nil Nil Nil

*Annualized Premium excludes underwriting extra premium, frequency loadings on premiums, the premiums paid towards the riders (if any) and Goods & Service Tax
(including cess).
**Yearly Income is the total amount paid in a year in that respective policy year and is payble for period of 10 years from date of death.
Disclaimers:

1. Reliance Nippon Life Insurance Company Limited is a licensed life insurance company registered with the Insurance Regulatory and Development Authority of India
(Registration No: 121) in accordance with the provisions of the Insurance Act 1938.
2. This document is for illustrative purposes only.
3. This illustration is based on the terms and conditions of the life insurance policy as on the date of the illustration.
4. The premium amount shown above is calculated assuming that the Life Assured is a normal healthy person & all premiums are paid when due.
5. In the event the Life Assured is suffering from any sickness/ medical problems or in the event of any past medical history, the premium will be adjusted accordingly, as per
the Company's Board approved underwriting policy.
6. This premium quotation is indicative. The premium rate charged to the customer may be different depending upon the factors such as health, tobacco consumption,
occupation of the customer and other intrinsic factors such as non submission of documentary evidences like age proof.
7. For details of the rates and the terms and conditions applicable to your policy, kindly refer to the specifications in the policy document after issuance.
8. Applicable Goods and Services Tax (GST) along with Cess (inclusive of Kerala Cess), if any, is levied on first year and renewal premiums on base policy premium and on
rider premiums. The Goods and Services Tax (GST) rate and Cess (inclusive of Kerala Cess), if any, will be revised as and when notified by the Government. Taxes, duties
or surcharges of whatever description levied by any statutory authority will be applicable. Current GST rate (including cess, if any) for base product are provided in above
illustration. Current GST rate (excluding cess, if applicable) for rider premiums is 18% p.a.
9. Tax benefits under the policy are subject to conditions under the Income Tax Act, 1961. Tax laws are subject to amendments from time to time. Please consult your tax
advisor.
10 The policy will acquire a surrender value/paid-up value only for the Whole Life Cover Plan Option. Please check the terms and conditions for the same.
11 The illustration assumes that all premiums are paid when due. Further, the above death and surrender values (if applicable) are illustrated assuming that all the
modal/instalment premium payable in a policy year are paid and the death/surrender occurs at the end of the policy year. The death or surrender values at a time other than
at the end of the policy year may be lower than those illustrated above. If death or surrender occur and only some of the modal/ instalment premium are paid, then the death
or surrender values may be lower than those illustrated above.
12 For more details on risk factor, terms and conditions, please read Sales brochure of the plan carefully before concluding a sale.
13 Annualized Premium excludes underwriting extra premium, frequency loadings on premium,the premiums paid towards the Riders, if any and GST and cess and discounts,
if any.
14 In the event of conflict, if any, between the terms and conditions contained in this Benefit Illustration and those contained in the policy document, the terms and conditions
contained in the policy document shall prevail.
15 Rider benefits, if any have not been illustrated in the above Benefit Illustration table. Kindly refer the terms and conditions of the rider for detailed benefits under the riders
opted, if any.

I INDU BALA RATHORE, have explained the premiums, and benefits under the I RAJ, 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: Signature of Agent/ Signature of Prospect / Policyholder

Date: Intermediary/ Official Date:
Reliance Nippon Life Insurance Company Limited.
IRDAI Registration No: 121
Registered Office Address: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai,
Maharashtra -400710, India
CIN : U66010MH2001PLC167089