Version 1

Aditya Birla Sun Life Insurance UID : 12091M00C92444

Guaranteed Milestone Plan Jan 19, 2020 14:04:21

LIFE INSURANCE
Aditya Birla Sun Life Insurance Company Limited

This shall form a part of the policy contract

Proposer Mr. Mrinmoy Chakraborty Age : 29 years Gender : Male

Life Insured Mr. Mrinmoy Chakraborty Age : 29 years Gender : Male

Policy Detail
UIN : 109N106V03
Sum Assured : Rs. 300,000 Policy Term : 24 Years
Annual Premium : Rs. 20,000 Premium Paying Term : 12 Years
Maturity Sum Assured : Rs. 240,000 Pay Frequency : Annual
Joint Life Protection : No ECS : Yes
Premium Payable (in Rs.) Rider Name Sum Annual Term
Assured(in Rs.) Premium(in
Modal Premium 20,330 Rs.)
GST 914.85 Accidental Death Benefit Rider Plus Rs. 0 0 --
Installment Premium Payable 21,244.85 Accidental Death & Disability Rs. 100,000 150 12 years
Critical Illness Rs. 100,000 180 12 years
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 29 20,900 20,900 14,256 300,000 0
2 30 20,450 41,350 28,512 300,000 0
3 31 20,450 61,800 42,768 300,000 0
4 32 20,450 82,250 57,024 300,000 0
5 33 20,450 102,700 71,280 311,280 0
6 34 20,450 123,150 85,536 325,536 0
7 35 20,450 143,600 99,792 339,792 0
8 36 20,450 164,050 114,048 354,048 0
9 37 20,450 184,500 128,304 368,304 0
10 38 20,450 204,950 142,560 382,560 0
11 39 20,450 225,400 156,816 396,816 0
12 40 20,450 245,850 171,072 411,072 0
13 41 0 0 185,328 425,328 0
14 42 0 0 199,584 439,584 0
15 43 0 0 213,840 453,840 0
16 44 0 0 228,096 468,096 0
17 45 0 0 242,352 482,352 0
18 46 0 0 256,608 496,608 0
19 47 0 0 270,864 510,864 0
20 48 0 0 285,120 525,120 0
21 49 0 0 299,376 539,376 0
22 50 0 0 313,632 553,632 0
23 51 0 0 327,888 567,888 0
24 52 0 0 342,144 582,144 582,144
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.

Prepared for: Mr. Mrinmoy Chakraborty ABSLI Guaranteed Milestone Plan Page 1
 Aditya Birla Sun Life Insurance Version 1

Guaranteed Milestone Plan UID : 12091M00C92444

Jan 19, 2020 14:04:21

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

- 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.

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. Mrinmoy Chakraborty ABSLI Guaranteed Milestone Plan Page 2
 Aditya Birla Sun Life Insurance Version 1

Guaranteed Milestone Plan UID : 12091M00C92444

Jan 19, 2020 14:04:21

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. Mrinmoy Chakraborty ABSLI Guaranteed Milestone Plan Page 3