Smart Platina

Insurance Plans With Supreme

Savings UIN :111N171V01

Enjoy a little
extra with
regular
guaranteed
income.

A
personalized
presentation
created for
It's the little things in life that makes every moment more joyful. Have Mr. Salve
the assurance of that extra happiness and extra achievement with SBI Machhindra
Life - Smart Platina Plus which provides a regular guaranteed long term
income so that you can go ahead and live a little more. Bhagvan
SBI Life - Smart Platina Supreme - Key Benefits
Enjoy regular Guaranteed
income during payout Flexibility* to suit your life
period goals

Financial protection along

with tax benefits^

SBI Life - Smart Platina Supreme is an Individual, Non-linked, Non-Participating, Life Insurance Savings Product

Presented by : SABEENA REHMAN (AGENT) Brought to you by: SBI Life Insurance Company Limited.
Mo. : +91 1111111111 For more details, log on to www.sbilife.co.in
Authenticated via OTP shared for proposal no. 3GYJ304894 on 25-02-2025 11:31:26 am
 Smart Platina
Insurance Plans With Supreme
Savings UIN :111N171V01

An Individual, Non-linked, Non-Participating, Life Insurance Savings Product

Your Personal Details

Name Mr. Salve Machhindra Bhagvan Gender Male

Email Mobile 9503106068

Date of Birth (Age) 24-Jul-1987 (37 Years) Planning For Self

Education 12th Pass/HSC Occupation Defence

Annual Income ₹ 3 lacs To < 5 lacs Financial Assets • None of these

Life Stage Married w/o Kid(s) Children NA

Smoker Status Non Smoker Existing Life Cover ₹ 0

You or your spouse

working / retired from No Risk Appetite* High Risk
SBI Bank Group?

Your Goal Priorities

1 2 3 4

Regular Income Protection / Wealth Creation / Retirement

With Insurance Health Cover Savings With
Insurance

SBI Life Recommendations*

Annual Premium upto ₹ 1,60,000 Policy Duration upto > 25 years

Products 1. SBI Life - Smart Platina Supreme, 2. SBI Life - Smart Platina Plus, 3. SBI Life - Smart
Lifetime Saver

Product Opted by you

- SBI Life - Smart Platina Supreme
*Based on your personal & financial details

Customized Life solution for Mr. Salve Machhindra Bhagvan Ref. ID ST327 Date 25-Feb-2025
Presented by: SABEENA REHMAN, AGENT Page 2 of 6
Authenticated via OTP shared for proposal no. 3GYJ304894 on 25-02-2025 11:31:26 am
 Smart Platina
Insurance Plans With Supreme
Savings UIN :111N171V01

An Individual, Non-linked, Non-Participating, Life Insurance Savings Product

Life Assured Details

Name Mr. Salve Machhindra Bhagvan Gender Male

Date of Birth (Age) 24-Jul-1987 (37 Years)

Plan Details

Plan Option (Income Option) Level Guaranteed Policy Term (years) 10

Income

Premium Payment Term 7 Premium Frequency Yearly

(years)

Sum Assured ( ₹) 10,45,000 Base Premium without tax( ₹) 95,000

Guaranteed Income ( ₹) 60,344 Guaranteed Income Payout Frequency Yearly

Income Period (Years) 15 Sum Assured on Death at Policy Inception ( ₹) 10,45,000

Premium Summary

Base Plan ( ₹) Rider ( ₹) Total Installment Premium (₹ )

Premium without 95,000 0 95,000

applicable taxes ( ₹)

Premium with applicable 99,275 0 99,275

taxes: 1st Year ( ₹ )

Premium with applicable 97,137.50 0 97,137.50

taxes: 2nd Year onwards ( ₹ )

Rate of Applicable Taxes - 4.5% in the 1st policy year and 2.25% from 2nd policy year onwards

Customized Life solution for Mr. Salve Machhindra Bhagvan Ref. ID ST327 Date 25-Feb-2025
Presented by: SABEENA REHMAN, AGENT Page 3 of 6
Authenticated via OTP shared for proposal no. 3GYJ304894 on 25-02-2025 11:31:26 am
 Smart Platina
Insurance Plans With Supreme
Savings UIN :111N171V01

An Individual, Non-linked, Non-Participating, Life Insurance Savings Product

Plan Benefits: Payouts

Expected maturity given(Illustrated) for a policy term of 10 years.

Pay yearly ₹ 95,000¹ for 7 years

0 7 11 25

37 yrs 43 yrs 48 yrs 62 yrs

Get Maturity
Get 110% of total
₹ 60,344 premiums paid
per year ₹ 7,31,500
at the end of 25th
year

Plan Benefits: Protection Cover

Your Family gets cover as death benefit & policy terminates

₹ 10,45,000 ₹ 10,45,000
Death
Policy 0 to 10
year
Cover

¹Installment premium excludes underwriting extra premium, the premiums paid towards the riders, if any, and applicable taxes.

Customized Life solution for Mr. Salve Machhindra Bhagvan Ref. ID ST327 Date 25-Feb-2025
Presented by: SABEENA REHMAN, AGENT Page 4 of 6
Authenticated via OTP shared for proposal no. 3GYJ304894 on 25-02-2025 11:31:26 am
 Smart Platina
Insurance Plans With Supreme
Savings UIN :111N171V01

An Individual, Non-linked, Non-Participating, Life Insurance Savings Product

Let's summarise the benefits

Regular Guaranteed Income for the payout period opted

Receive regular guaranteed income of ₹ 60,344 from policy year 11 to 25 policy year

Return of premiums paid

Get 110% of total premiums paid ₹ 7,31,500 at the end of 25th year

Life Protection
Life cover starting from ₹ 10,45,000 to ₹ 10,45,000 for 10 years

Tax Benefits
Tax benefits are as per prevailing tax laws & are subject to change from time to time. Please consult your tax advisor for
details.

For all the above benefits you need to pay only ₹ 95,000¹ yearly for 7 years

¹Installment premium excludes underwriting extra premium, the premiums paid towards the riders, if any, and applicable taxes.

Customized Life solution for Mr. Salve Machhindra Bhagvan Ref. ID ST327 Date 25-Feb-2025
Presented by: SABEENA REHMAN, AGENT Page 5 of 6
Authenticated via OTP shared for proposal no. 3GYJ304894 on 25-02-2025 11:31:26 am
 Smart Platina
Insurance Plans With Supreme
Savings UIN :111N171V01

An Individual, Non-linked, Non-Participating, Life Insurance Savings Product

Terms and Conditions

Tax benefits are as per the prevailing Tax laws & are subject to change from time to time. Please consult your tax advisor for details.
The premium amount shown in the illustration above is indicative and calculated assuming that the life Proposed/Assured is a
healthy life. In case of any adverse medical condition or medical history, occupation of the customer or other intrinsic factors, the
premium will be determined after proper assessment of risk, as per the Board approved underwriting policy of the Company.
For more details on risk factors, terms and conditions, please read respective individual sales brochure and benefit illustrations
carefully before concluding a sale.
Any reference to age is age as on last birthday
This is an illustrative projection of your future insurance and financial needs. All figures are calculated as per SBI Life's need
analysis calculator and are based on the information provided by you, estimated cost of living and assumed inflation rate.
We request you to review the above analysis and set your priorities of the needs that you would like to address now or in the near
future and take a considered decision on the suggested insurance products that you would wish to buy from us. As per your analysis
of your needs, you may also review the other insurance products offered by SBI Life. In case you voluntarily choose any product
other than the recommended one, then you would be solely responsible for the chosen product.
In case of any conflict between this illustration and your policy document, the latter shall prevail
For any further clarification, please feel free to contact or email us on info@sbilife.co.in or call on 1800 267 9090
For more details on riders, terms and conditions, please read rider brochure.

Declaration
I, Mr. Salve Machhindra Bhagvan , have undergone the Need Analysis while buying insurance product and understand
that folllowing products have been recommended to me based on the information provided by me and it will help to
achieve my financial goal.
SBI Life - Smart Platina Supreme,
SBI Life - Smart Platina Plus,
SBI Life - Smart Lifetime Saver
After understanding its terms & condition and benefits, I have opted for SBI Life - Smart Platina Supreme. I will refer to the
detailed sales brochure, in case of further details.

Customer's Signature:
I SABEENA REHMAN, have fully explained the premiums, benefits under the policy to the prospect / policyholder

IA/CIF/SP/ Marketing Official's Person's Name: Date: 25/02/2025

SABEENA REHMAN
Authenticated by Id & Password

Toll-free No.: 1800 267 9090 | SMS 'LIBERATE' to 56161 | Email: info@sbilife.co.in | Web: www.sbilife.co.in |
Customer Service Timing: 24X7

Trade logo displayed above belongs to State Bank of India and is used by SBI Life under license.
Registered and Corporate Office: SBI Life Insurance Company Limited, Natraj, M.V. Road & Western Express Highway Junction, Andheri (East), Mumbai-400 069.
IRDAI Registration No. 111 CIN: L99999MH2000PLC129113
SBI Life Insurance company Limited and SBI are separate legal entities.

BEWARE OF SPURIOUS PHONE CALLS AND FICTIOUS / FRAUDULENT OFFERS

IRDAI or its officials do not involve in activities like selling insurance policies, announcing bonus or investment of premiums. Public receiving such phone calls are
requested to lodge a police complaint.

Customized Life solution for Mr. Salve Machhindra Bhagvan Ref. ID ST327 Date 25-Feb-2025
Presented by: SABEENA REHMAN, AGENT Page 6 of 6
Authenticated via OTP shared for proposal no. 3GYJ304894 on 25-02-2025 11:31:26 am
 SBI Life Insurance Co. Ltd
Registered & Corporate Office: 'Natraj', M.V.Road and Western Express Highway Junction, Andheri (East), Mumbai - 400069
IRDAI Registration No. 111 | Website: www.sbilife.co.in | Email: info@sbilife.co.in | CIN: L99999MH2000PLC129113
Toll Free: 1800 267 9090 (Customer Service Timing : 24X7)

Benefit Illustration (BI) : SBI Life -Smart Platina Supreme (UIN : 111N171V01)| An Individual, Non-Linked, Non-Participating, Life
Insurance Savings Product

Proposal Number OL3G00099078481825022025110715 Channel / Intermediary : AGENT

Introduction
The main objective of the illustration is that the client is able to appreciate the features of the product and the flow of benefits in different circumstances
with some level of quantification. For further information on the product and its benefits, please refer to the sales brochure and/or policy document.

Proposer and Life Assured Details

Name of the Prospect/Policyholder Mr. Salve Machhindra Bhagvan

Age of the Prospect / Policyholder (Years) 37
Gender Male

Name of the Life Assured Mr. Salve Machhindra Bhagvan

Age of the Life Assured (Years) 37
Gender of the Life Assured Male
Staff No

This benefit illustration is intended to show year-wise premiums payable and benefits under the policy.

Policy Details

Guaranteed Income Option Level Guaranteed Income

Annual Increase in Guaranteed Income NA
Policy Term (Years) 10
Premium Payment Term (Years) 7
Payout Period (Years) 15
Mode / Frequency of Premium Payment Yearly
Guaranteed Income Payout Frequency Yearly

Amount of Installment Premium (Rs.) 95000.00

Sum Assured (Rs.) 1045000
Sum Assured on Death (at inception of the policy) (Rs.) 1045000
Rate of Applicable Taxes 1. 4.5% in the 1st policy year and 2.25% from 2nd policy year onwards
2. Rider (if opted) : 18% throughout

Rider Summary

SBI Life – Accident Benefit Rider Rider Policy Term Rider Premium Rider Sum Assured Rider Premiums (Rs.)
(111B041V01) (Years) Paying Term (Rs.)

Authenticated via OTP shared for proposal no. 3GYJ304894 on 25-02-2025 11:31:26 am
 Option A : Accidental Death - - - -
Benefit (ADB)
Option B : Accidental Partial Permanent
Disability Benefit (APPD) - - - -

Premium Summary

Base Plan Riders Total Installment Premium

Installment Premium without Applicable Taxes (Rs.) 95000.00 0.00 95000.00
Installment Premium with 1st Year Applicable Taxes (Rs.) 99275.00 0.00 99275.00
Installment Premium with Applicable Taxes 2nd Year onwards (Rs.) 97137.50 0.00 97137.50

Please Note:
1. The premiums can also be paid by giving standing instruction to your bank or you can pay through your credit card.
2. Applicable Taxes (including surcharge/cess etc), at the rate notified by the Central Government/ State Government / Union Territories of India from
time to time and as per the provisions of the prevalent tax laws will be payable on premium as per the product features.

Benefit Illustration for SBI Life - Smart Platina Supreme

Amount in Rupees

Policy Year Annualized Guaranteed Non- Guaranteed

premium
Survival Benefits Other Benefits if Maturity Death benefit Guaranteed Special Surrender Value
/ Loyalty any (Guaranteed Benefit* Surrender Value Surrender Value Payable
Additions Additions) (GSV)

1 95,000 0 0 0 1,045,000 0 56,326 56,326

2 95,000 0 0 0 1,045,000 57,000 112,651 112,651
3 95,000 0 0 0 1,045,000 99,750 181,810 181,810
4 95,000 0 0 0 1,045,000 190,000 260,836 260,836
5 95,000 0 0 0 1,045,000 237,500 350,852 350,852
6 95,000 0 0 0 1,045,000 285,000 453,020 453,020
7 95,000 0 0 0 1,045,000 332,500 568,896 568,896
8 0 0 0 0 1,045,000 465,500 612,252 612,252
9 0 0 0 0 1,045,000 598,500 659,082 659,082
10 0 0 0 0 1,045,000 598,500 709,485 709,485
11 0 0 0 60,344 0 0 0 0
12 0 0 0 60,344 0 0 0 0
13 0 0 0 60,344 0 0 0 0
14 0 0 0 60,344 0 0 0 0
15 0 0 0 60,344 0 0 0 0
16 0 0 0 60,344 0 0 0 0
17 0 0 0 60,344 0 0 0 0
18 0 0 0 60,344 0 0 0 0
19 0 0 0 60,344 0 0 0 0
20 0 0 0 60,344 0 0 0 0
21 0 0 0 60,344 0 0 0 0
22 0 0 0 60,344 0 0 0 0
23 0 0 0 60,344 0 0 0 0
24 0 0 0 60,344 0 0 0 0
25 0 0 0 791,844 0 0 0 0

Notes :
1. Annualized Premium is the premium amount payable in a year excluding taxes , rider premiums, underwriting extra premiums and loadings for modal
premiums.
2. All Benefit amount are derived on the assumption that the policies are 'in-force'
3. The illustration is for an healthy individual with age as mentioned above.
4. Guaranteed Surrender Value (GSV) or Special Surrender Value (SSV), whichever is higher, is the Surrender Value Payable. SSV shall be reviewed in
line with IRDAI Master Circular on Life Insurance Products (Ref no.: IRDAI/ACTL/MSTCIR/MISC/89/6/2024 dated 12th June, 2024) and any
subsequent circulars issued by IRDAI in this regard.
5. Guaranteed Surrender Value (GSV) and Special Surrender Value (SSV) mentioned in above table is at beginning of the Policy year except for Year 1.

Authenticated via OTP shared for proposal no. 3GYJ304894 on 25-02-2025 11:31:26 am
Where in year 1, surrender benefit is payable at the end of the first year, subject to payment of first full year's premium.
6. The surrender values may be different than those illustrated above on account of multiple factors such as policy month in which surrender taking place,
non-payment of all the instalment premiums payable in that policy year etc. The policyholder is advised to check the surrender value payable with the
company before surrendering.
7. The Maturity Benefit in the form of Guaranteed Income at the end of each income frequency chosen during the pay-out period and 110% of the Total
Premiums paid and Death Benefit mentioned in above table are at the end of the Policy year.
* The policyholder will have an option to avail guaranteed income at the beginning of the chosen income frequency.
8. In any case, the total death benefit during the policy term shall not be less than 105% of the total premiums paid (excluding GST, extra premium and
rider premiums, if any).
9. TDS shall be deducted from the benefit proceeds (i.e. maturity, surrender etc) , as applicable, which are considered as taxable under the Income Tax
Laws.
10. Tax laws are subject to change from time to time. Please consult your tax advisor for further details.

Important :

You may receive a Welcome Call from our representative to confirm your proposal details like Date of Birth, Nominee Name, Address, Email ID, Sum
Assured, Premium amount, Premium Payment Term etc.

You may have to undergo Medical tests based on our underwriting requirements.

I, Mr. Salve Machhindra Bhagvan having received the information with respect to the above, have understood the above statement before
entering into the contract.

This document is eSigned by Mr. Salve Machhindra Bhagvan

Place :Srinagar
Date :25-2-2025

Marketing official's Signature & Company Seal

I, SABEENA REHMAN have explained the premiums and benefits under the product fully to the prospect/policyholder.

Place :Srinagar Date :25-2-2025 (IA code- IA990784818)

Name of IA- SABEENA REHMAN
Authenticated by Id & Password

Authenticated via OTP shared for proposal no. 3GYJ304894 on 25-02-2025 11:31:26 am
 Proposal Number 3GYJ304894

Foreign Account Tax Compliance Act (FATCA)/ Common Reporting Standard(CRS)/ C-KYC
Declaration Form – For Individual only (including sole proprietors)

(Please consult your professional tax advisor for further guidance on your tax residency, if required)

Registered & Corporate Office: SBI Life Insurance Co. Ltd, Natraj, M.V. Road & Western Express Highway
Junction, Andheri (East), Mumbai - 400 069.IRDAI Registration no. 111.
website: www.sbilife.co.in | Email: info@sbilife.co.in | CIN: L99999MH2000PLC129113 | Toll Free: 1800 267 9090
(Customer Service Timing : 24X7).
Trade logo displayed above belongs to State Bank of India and is used by SBI Life under license.

Proposal No. 3GYJ304894

Proposer/Accountholder Name* Mr. Salve Machhindra Bhagvan

(* In case of joint name, declaration to be provided by both the proposers. An accountholder is person who is entitled to
receive the cash value or change the beneficiary of the contract)

Mother's Name Ms chhaya

Spouse's Name NA

Residential Status Resident Indian

C-KYC number NA

Country of Birth India Place of Birth India

GSTIN

Identification Aadhar Card Identification No XXXXXXXX07 Expiry Date NA

Proof 22
Address Proof AADHAAR Card No

In case you have selected “Service” as your occupation, NA

please specify the nature of your Organization

Are you tax resident of other than India? No

SI No Country TIN Equivalent No Document Name

1 NA NA NA

2 NA NA NA

# To also include United States of America(USA), where the account holder is a US person / green card holder of USA.
US person includes, inter alia (1) an individual being a citizen or resident of USA; and, (2) an estate of a decedent who was a citizen or resident of USA.
% Please attach documentary proof for TIN and functional equivalent number. If no TIN is available, please fill the below Exceptions form along with documentary proof of functional
equivalent number

Exception form to be provided in the following case:

•Exception A - If any foreign country indicia is present but no tax resident of that country then functional equivalent number and declaration to be obtained for such country

FATCA-CRS.ver 06-06-19 ADD ENG 1

Authenticated via OTP shared for proposal no. 3GYJ304894 on 25-02-2025 11:31:26 am
 Proposal Number 3GYJ304894

SI No Residence address/(es) for Tax Address Type Country code Telephone/ Mobile No
purposes

1 NA NA NA NA

2 NA NA NA NA

Certification - Under penalty of perjury, I certify that

• I am aware that Central Board of Direct Taxes (“CBDT”) has notified Rules 114F to 114H as part of the Income-tax
Rules, 1962, (read alongwith FATCA/CRS instructions given below) which require Indian financial institutions such as
SBI Life to seek additional personal, tax and beneficial owner information and certain certifications and documentation
from all our proposers/ accountholders.
• I understand that SBI Life is relying on information provided in this form for the purpose of determining the status of the
accountholder in compliance with FATCA/CRS. SBI Life is not able to offer any tax advice on FATCA or CRS or its
impact on me.
• I acknowledge my responsibility to seek advice from professional tax advisor for any tax questions.I agree to submit a
new form within 30 days if any information or certification on this form changes or becomes incorrect.
• I agree that as may be required by domestic regulators/tax authorities, SBI Life may be required to report, reportable
details to CBDT or other authorities/agencies or may be required to provide informations to any institutions such as
withholding agents for the purpose of ensuring appropriate withholding from the policy/(ies) or any proceeds in relation
thereto or even close or suspend my policy/(ies), as appropriate.
•I hereby declare that the details furnished in the proposal no. specified above and in this declaration are true and correct to
the best of my knowledge and belief and I undertake to inform SBI Life of any changes therein, immediately and in any
case, within 30 days. In case any information furnished in the proposal form or declaration were found to be false or
incorrect, I am aware that I may be liable for any adverse or penal consequences, as may be applicable, including for
indemnification of any penalties levied by any authority on SBI Life.
(Currently there is a penalty of INR 5,000 to be paid by SBI Life for every inaccurate reporting by SBI Life and where
such inaccuracy is due to false or inaccurate information provided by policy holders. The law empowers SBI Life to
recover the same from the respective policy holder)
•I hereby authorize SBI Life to consider details furnished in the proposal no. specified above and in this declaration for the
purpose of Central KYC Registry and to provide my details to CERSAI in the prescribed format. I further hereby consent
to receiving information from Central KYC Registry through SMS/Email or registered mobile number/email address
mentioned in the proposal no. specified above.
•I hereby provide my consent to SBI Life to download and retrieve my KYC details and records from Central KYC
Registry for verification purpose.
•I hereby authorize the Company to provide my/our details to banks, financial institutions and third party service providers
that the Company may have tie-ups with, for verification of proposal details, for servicing of resulting policy/(ies), for
audits and towards statutory reporting.

Signature of the Proposer

This document is eSigned by Mr. Salve Machhindra
Bhagvan

Place :Srinagar Date :25-02-2025

FATCA-CRS.ver 06-06-19 ADD ENG 2

Authenticated via OTP shared for proposal no. 3GYJ304894 on 25-02-2025 11:31:26 am
 Proposal Number 3GYJ304894

FATCA/CRS Instructions

In case Proposer/Accountholder has the following Indicia pertaining to a foreign country and yet declares self to be non-
tax resident in the respective country,Proposer/Accountholder to provide relevant Curing Documents as mentioned below:

FATCA/ CRS Indicia observed (ticked) Documentation required for Cure of FATCA/ CRS indicia/n(If Proposer/Accountholder
does not agree to be Specified USA person/ reportable person status)

a) United States of America (“USA”) place of birth 1. Self-certification (as stated above) that the Proposer/Accountholder is neither a citizen of USA
nor a resident for tax purposes of USA;
2. Non-USA passport or any non-USA government issued document evidencing nationality or
citizenship (refer list below); AND
3. Any one of the following documents:
a. Certified Copy of “Certificate of Loss of Nationality or
b. Reasonable explanation of why the Proposer/Accountholder does not have such a certificate
despite renouncing USA citizenship; or Reason the Proposer/Accountholder did not obtain USA
citizenship at birth

b) Residence/mailing address in a country other than India 1. Self-certification (as stated above) that the Proposer/Accountholder is neither a citizen of USA
nor a resident for tax purposes ofUSA or any other foreign jurisdiction; AND
2. Documentary evidence (refer list below)

c) Telephone number in a country other than India (and no telephone number in India provided) 1. Self-certification ( as stated above) that the Proposer/Accountholder is neither a citizen of USA
nor a resident for tax purposes of USA or any other foreign jurisdiction; AND
2. Documentary evidence (refer list below)

d) Standing instructions to transfer funds to an account maintained in a country other than India 1. Self-certification ( as stated above) that the Proposer/Accountholder is neither a citizen of USA
nor a resident for tax purposes of USA or any other foreign jurisdiction; AND
2. Documentary evidence (refer list below)

List of acceptable documentary evidence needed to establish the residence(s) for tax purposes:
1. Certificate of residence issued by an authorized government body**
2. Valid identification issued by an authorized government body**(e.g.Passport,National Identity card, etc.)
**Government/ agency thereof or a municipality of the country or territory inwhich the Proposer/Accountholder claims to
be a resident.

FATCA-CRS.ver 06-06-19 ADD ENG 3

Authenticated via OTP shared for proposal no. 3GYJ304894 on 25-02-2025 11:31:26 am
 Proposal Number 3GYJ304894

Proposal Number 3GYJ304894 Proposer Name Mr. Salve Machhindra

Bhagvan

Aadhaar Consent Form

I, Mr. Salve Machhindra Bhagvan , hereby give my voluntary consent to SBI Life Insurance Company Limited (SBI Life)
and authorize the Company to obtain necessary details like Name, DOB, Address, Mobile Number, email, Photograph
through the copy of Aadhaar card / QR code available on my Aadhaar card / XML File shared using the offline verification
process of UIDAI or Aadhaar Number/Virtual ID, Name, Date of Birth, Fingerprint/Iris and my Aadhaar details used for
authentication either through Yes/No authentication facility or e-KYC facility in accordance with the Aadhaar (Target
Delivery of Financial and Other Subsidies, Benefits and Services) Act, 2016 and all other applicable laws/ regulations. I
understand and agree that this information will be exclusively used by SBI Life only for the KYC purpose and for all
service aspects related to my policy/ ies, wherever KYC requirements have to be complied with, right from issue of
policies after acceptance of risk under my proposals for life insurance, various payments that many have to be made under
the policies, various contingencies where the KYC information is mandatory, till the contract is terminated. I have duly
been made aware that I can also use alternative KYC documents like Passport, Voter’s ID Card, Driving licence, NREGA
job card, letter from National Population Register, in lieu of Aadhaar for the purpose of completing my KYC formalities. I
understand and agree that the details so obtained shall be stored with SBI Life and be shared solely for the purpose of
issuing insurance policy to me and for servicing them. Further I understand, my biometrics will not be stored/shared by
SBI Life. I will not hold SBI Life or any of its authorized officials responsible in case of any incorrect information
provided by me. I further authorize SBI Life that it may use my mobile number for sending SMS alerts to me regarding
various servicing and other matters related to my policy/ies.

Place Srinagar

Date 25-02-2025

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 Unique Reference No./Proposal No. 3GYJ304894

SBI LIFE INSURANCE COMPANY LIMITED

COMMON PROPOSAL FORM
Registered & Corporate Office: Natraj, M. V. Road, & Western Express Highway Junction, Andheri (East), Mumbai - 400 069.
IRDAI Registration No. 111
Toll Free: 1800 267 9090 (Customer Service Timing : 24X7) | Email: info@sbilife.co.in | Website: www.sbilife.co.in | CIN:
L99999MH2000PLC129113
“SBI Life Insurance Company Limited and SBI are separate legal entities”
SBI Life Insurance Co. Ltd. referred to as “SBI Life” or “ The Company”

"IN CASE OF UNIT LINKED LIFE INSURANCE POLICIES THE INVESTMENT RISK IN INVESTMENT PORTFOLIO IS BORNE BY
THE POLICYHOLDER"

Kindly read the instructions and declarations being sought in the proposal form very carefully before signing.

SECTION ‘A’ PERSONAL DETAILS

Proposer (if different from Life Assured) / Life Assured / HUF Karta

Mr. / Ms. Mr.

First Name Salve

Middle Name Machhindra

Last Name Bhagvan

Gender Male Date of Birth 24-07-1987 Age 37 Years

Marital Status Married

Father's Name Bhagvan Salve

Mother’s Name Ms chhaya

Spouse’s Name NA

C-KYC No. NA

PAN Card No. CTOPS2660B Form 60 NA

Age Proof Pancard KYC OVD (Officially Valid AADHAAR Card No

Document)

Identification Number XXXXXXXX0722

Resident Status Resident Indian

Nationality Indian Current Country of Residence India

Mobile Number 9503106068 Email Id

I hereby authorize SBI LIFE to send, any information/communication relating to this proposal/or the resulting policy through SMS /Email /Phone
/Letter /WhatsApp /any other electronic mode of communication to my registered email id/mobile number.

Qualification 12th Pass/HSC

CONTACT DETAILS

Address 1 S/O, Ganpati Mala , Near Ganpati Mandir Belwandi, Belwandi Bk

po Belwandi ,dist, Ahmadnagar -AHMEDNAGAR, 413702,
MAHARASHTRA, India

Communication address if different from above? (If Yes, then the No

following to be filled)

NCPF.ver.05-08-24 PF ENG 1

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 Unique Reference No./Proposal No. 3GYJ304894

Communication Address (Address 2) S/O, Ganpati Mala , Near Ganpati Mandir , Belwandi, Belwandi Bk,
po Belwandi ,dist, Ahmadnagar -AHMEDNAGAR, 413702,
MAHARASHTRA India

Occupation Details

Army

Force Name Army

Employee / Force No 474668

Designation Army

Current place of posting(City and State) j and k

For Defence personnel- Are you currently engaged or trained for future NA
involvement in any of the following?

Annual Total Income Rs. 720000

Are you exposed to any special hazard No If Yes, please provide details NA
associated with your occupation which may
render you susceptible to injuries or illnesses?
(e.g. chemical factory, mines, explosives,
corrosives, combative duties, oil exploration,
high sea voyage etc.)

Are you a “Politically Exposed Person” (PEP) No If Yes, please provide details NA
or a close relative of PEP?
“Politically Exposed Persons” PEPs are
individuals who are or have been entrusted with
prominent public functions in a foreign country,
e.g., Heads of States/Governments, senior
politicians, senior government/judicial/military
officers, senior executives of state-owned
corporations, important political party officials,
etc.
If No, in case your PEP status changes in
future, you shall inform SBI Life Insurance Co.
Ltd. of such a change.

Do you have any Criminal proceedings initiated No If Yes,please provide details NA

against you?

If previous question is yes then, Do you have NA If Yes,please provide details NA

any history of conviction under any criminal
proceedings in India or abroad?

e-INSURANCE ACCOUNT DETAILS

I want to receive the Insurance policy and all the information related to the proposed insurance Yes
policy through insurance repository.

Do you want a physical copy of this Insurance Policy in addition to the electronic format? No

Do you have e-Insurance account? No

If Yes, provide e-Insurance Account NA Repository Name NA

Number

• If No : Request to select any one insurance repository from below options:Repository Name : NSDL Database Management Ltd

NOMINEE DETAILS (Not applicable for Minor Life Assured / HUF Member)

S.No Name Date of Birth Gender Relationship with Life Percentage Share (%)* Address same as Life
Assured Assured’s Address
(Yes/No) If No, then
please provide

1 Ms.Ashwini ji 21-07-1994 Female Wife 100 S/O, Ganpati Mala ,

Near Ganpati Mandir ,
Belwandi, Belwandi Bk,
po Belwandi ,dist,
Ahmadnagar -
AHMEDNAGAR,
413702,
MAHARASHTRA

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,India

*Percentage share total should be 100%

APPOINTEE DETAILS :(Applicable in case nominee is Minor)

S.No Name Date of Birth Gender Relationship with Life Relationship with Signature/ Consent of
Assured Nominee Appointee

1 NA NA NA NA NA NA

SECTION ‘B-2’ PRODUCT DETAILS

Product Code 3G Product Name SBI Life-Smart Platina Supreme

Do you want to apply for Whole No Smoking Status NA

Life cover
In case Whole Life cover is
chosen, maximum maturity age is
100 years (last birthday of the life
assured). Applicable for SBI Life –
eShield Next (2N)

Plan Type Limited Premium Plan Option Level Guaranteed Income

Premium Frequency Yearly

(For Monthly mode, advance premium may be required, as mentioned in
the Benefit Illustration)

Are you a staff or your spouse is No If Yes please state name of

working/retired from State Bank employer:
Group?

If Yes please state: Self NA Spouse :PF/Pension Index/ NA

:PF/Pension Index/ Employee No. Employee No.

B 2 : Cover Details

Plan/Rider/option Policy Term(Yrs) Premium Payment Term(Yrs) Sum Assured(Rs) Premium Payable(Rs)

SBI Life-Smart Platina Supreme 10 7 1045000 95000.00

Rider Name : SBI Life – Accident

Benefit Rider (111B041V01)

Option A - Accidental Death Benefit

(ADB)

Option B - Accidental Partial

Permanent Disability Benefit
(APPD)

Modal Premium Payable(Rs.) 95000.00

Applicable Tax Amount(Rs.)* 4275.0

Backdating Interest, if any (Rs.) 0

Total Installment Premium 99275.00

Payable(Rs.)

* Taxes shall be applicable as mandated by Government of India from time to time.

BackDating : Upto a date within the same financial year in which the policy has been taken.
Do you wish to Backdate the policy? No If Yes, provide the Backdating Date NA

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SELECT - PRODUCTS/ STRATEGY/ PLAN OPTION, (if any)

SBI Life-Smart Platina Supreme

Income Plan Option Level Guaranteed Income

Payout Period opted for 15 years

How do you wish to receive the Guaranteed Income payout under the Yearly
product

Maturity/ Annuity/ Any other NA Maturity/ Annuity/ Any other NA

option* option Frequency*

* Mandatory for Pension Products

SECTION ‘C-2a’ HEALTH AND OTHER DETAILS OF LIFE ASSURED:

Do you have any other individual existing life insurance policy / policies (from SBI Life or No
any other Life Insurer) or have you applied for any cover other than this SBI Life proposal?
If Yes, please provide details below

Name of Insurance Co. Yearly Premium(Rs) Sum Assured(Rs) Self/Spouse/Parent(pls. Specify) Policy Status

NA NA NA NA NA

Has any of your proposal / No If Yes, then provide the details NA

proposals (from SBI Life or any
other Life Insurer) for life / health /
accident insurance ever been
declined /rejected, postponed,
withdrawn, or accepted with extra
premium or your proposal form is
under process?

No. Health Details of Life Assured Yes(Y)/No(N)

1 Height 5Feet 6inches Weight 70 Kgs Have you lost No
weight of 5Kgs or
more in last 6
months

2. Have you ever been treated, hospitalized, investigated or diagnosed or operated for any of the following (including but not limited to the specific
conditions mentioned under each category).Every point should be answered in “yes” or “no”

a. Diabetes Mellitus/ High Blood No b. Heart Disease of any kind : No

Sugar, High/Low Blood Pressure Chest pain, Angina, Coronary
or High Cholesterol Artery Disease, heart attack, valve
disorder, Rheumatic heart disease,
conduction problem, or any other
disease of Heart, or undergone
Angiography, Bypass, PTCA,
Pacemaker implant etc

c. Lung /Respiratory disorder of No d. Cancer/ Malignancy diagnosed No

any nature: Asthma, COPD, or suspected: Cancer, Overgrowth,
Tuberculosis (TB), Pneumonia, Cyst, Tumor, Malignant growth ,
Bronchitis, emphysema, or any Leukemia, enlarged lymph node,
other chest or lung disease etc Lymphoma, or undergone
Chemotherapy, radiotherapy,
FNAC, Biopsy, Scan etc

e. Kidney, Prostate or No f. Disorder of Liver or other No

genitourinary Diseases : Kidney digestive organs : Alcoholic and
failure, infection, Stone, Other Liver disease, Jaundice,
Obstruction, or any other disease, Hepatitis of any type, Liver failure,
Dialysis, Transplantation or infection, enlargement, Cirrhosis,
removal of kidney , Blood in urine, Ascites etc or Gastric
or enlarge prostate, adrenal gland ulcer/bleeding, vomiting of blood,

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 Unique Reference No./Proposal No. 3GYJ304894

disorder etc blood in stools, Piles, hernia,

colitis, etc or any disease of
Esophagus, Pancreas, Gall bladder,
Spleen, Intestine, Rectum or any
digestive system or undergone
endoscopy, colonoscopy etc

g. Joints & Bone disorder, Vision No h. Brain or Spinal cord: Disorder No

or Hearing disorder, Deformity, of brain and/or spinal cord or
loss of organ or any congenital Nervous system, Hemorrhage,
defect: Arthritis (rheumatoid, bleeding, Tumor, stroke, paralysis,
ankylosing, Osteomyelitis), gout, TIA, epilepsy/fits, seizures, coma,
deformity /disability, polio, any head injury, fainting loss of
disease of bone, joints, muscles, consciousness, tremors, impaired
spine , vertebral disc or, disorders movement of limbs, incontinence,
of eyes, ear, nose, throat, or or any other disorder of nerves or
amputation, absence or had MRI, CT scan etc
transplantation of organs etc

i. Psychiatric disorder: Mental No j. HIV or STD: Were you or your No

illness including, anxiety, spouse/partner test positive for
depression, schizophrenia, stress, HIV/AIDS or any other Sexually
Nervous breakdown, attempted Transmitted Disease?
suicide etc

k. Blood or hormonal No l. Current/ past general medical No

disorder(Thyroid etc) & others: condition Do you have any or in
Anemia, Bleeding or clotting last 5 years any, medical condition,
disorders, Autoimmune Disorder, symptoms , test results or
SLE, Lupus, thyroid disorder, procedure not asked above for
goiter, pituitary hormones disorder which you were/are under
etc treatment, observation or being
Hospitalized for more than 5 days
or were absent from work
continuously for more than 5
days, (excluding, common cold,
fever) or are you currently under
any medication?

o. Questions For Female Lives

1) Are you currently pregnant? NA If YES, kindly state expected NA

delivery date

2) Have you ever consulted a doctor because of an irregularity at the breast, vagina, uterus, ovary, NA
fallopian tubes, menstruation, complications during pregnancy or child delivery or undergone any
gynecological investigations for illness, internal checkups, breast checks such as smear Test,
mammogram or biopsy etc

If any of the above questions is ticked "Yes" (1 -2) then provide details in the below table. Also provide all related reports

Name of the disease/ disability/ deformity/ Date of Diagnosis Since when Currently under treatment / Recovered Date of hospitalisation/surgery done or if
procedure DD/MM/YYYY planned

NA NA NA NA

3. Are any of your family members (include parents, brothers, sisters, spouse and No
children) suffering from/have suffered from/have died of heart disease, high blood
pressure, diabetes, stroke, cancer, kidney disease or any other hereditary/familial
disorder, before 55 years of age? If yes, please share details in the table below

Relation Alive(Yes/ No) Current Age/Age at Death Specify Nature of disorder

NA NA NA NA

NA NA NA NA

NA NA NA NA

NA NA NA NA

NA NA NA NA

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NA NA NA NA

NA NA NA NA

4. Do you currently or have you in the past Smoked, Consumed Tobacco, No

Alcohol, any Narcotic or have ever been treated for complications arising
due to them?
If currently pursuing habit If Quitted
Habit Type Quantity Consuming since how long? Since how long? Consumed how long?
(Number of Years) (Number of Years) (Number of Years)
Smoking NA NA NA NA NA
Tobacco NA NA NA NA NA
Chewing
Alcohol NA NA NA NA NA
Narcotic NA NA NA NA NA

5. Do you take part in or do you No If Yes, please specify NA

have any intention of taking part in
any hazardous sports, hobbies,
activities or pursuits (e.g.
mountaineering, diving, racing or
aviation other than as a fare paying
passenger) that could be dangerous
in any way?

Ayushman Bharat Health Account (ABHA) details (Life Assured):

Do you have ABHA Number? No

SECTION ‘C-2b’ Additional Questions For Female Lives : (Applicable for Housewife)

1. Husband's Annual Income(Rs) NA

2. Husband's Insurance Details
Name of Insurance Co. Yearly Premium(Rs) Sum Assured(Rs) Policy status

NA NA NA NA

SECTION ‘D’ CHANNEL DETAILS(For office use - to be filled by Sales Representative)

Channel Name Agency

Is this Proposal sourced through No If Yes, please state the Distance NA

Distance Marketing? Marketing Mode

IA Code 990784818 IA Name SABEENA REHMAN

Bank/Broker/CA/IMF Code NA Bank/Broker/CA/IMF Name NA

Worksite Code NA

Sourcing Branch Code SNG Sourcing Branch Name SRINAGAR 3

For Institutional Alliances / Corporate Agency(SBG) only

Code 1 NA Code 2 NA Code 3 NA

Code 4 NA Code 5 NA Code 6 NA

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SECTION ‘E’ PREMIUM & BANK DETAILS

PREMIUM PAYMENT

GSTIN of policyholder NA

Is deposit for premium under this proposal paid by you Yes

If answer is No, please provide required information in the Proposal
Form

Source of premium funding Salary

RENEWAL PREMIUM PAYMENT Auto Debit^

^Please fill the Auto Debit Mandate available at the end of the form for seamless payment of Renewal premium.

BANK ACCOUNT DETAILS OF PROPOSER/LIFE ASSURED

Account Number 31233097665 Account Type Savings

Bank Name STATE BANK OF INDIA Bank Branch Name ADB CHINSURA

Name of Account Holder Mr Salve Machhindra Bhagvan

IFS Code SBIN0001745

Please submit any one of the below listed documents for direct credit of Copy of Bank Statement
any refunds / payouts if any, to this account.

I declare that the information given above is true and correct. I hereby authorize SBI Life to directly credit any payment/refund, if any, to the above
mentioned account.
Note: Please ensure that the Bank details provided are correct and complete. Please note that SBI Life shall not be responsible if any payments to the
Bank account number provided by you fail on the ground that the bank details provided are incorrect.
This document is eSigned by Mr. Salve Machhindra Bhagvan

SECTION ‘F’ Declarations and Authorisations by the Proposer /Life Assured /HUF Karta :

• I hereby declare that I have answered the questions in the Proposal Form after having fully understood the nature of the questions and importance of
disclosing all correct information. I further declare that the statements, answers and/or particulars given by me are true and complete in all respects to the
best of my knowledge and I have not concealed any material information which may affect the decision of SBI Life Insurance Company Ltd. (the
Company) to assess the risk. I understand that the information provided by me will form the basis of the insurance policy. All documents submitted by
me along with this Proposal Form are authentic, valid, and I declare that relevant true copies of originals for the purpose of this Proposal Form have been
submitted.
• I understand and agree that the statements in this proposal constitute warranties. If there is any mis-statement or suppression of material information or
if any untrue statements are contained therein or in case of fraud, the said contract shall be treated as void subject to the provisions of section 45 of the
Insurance Act, 1938, as amended from time to time.
• I declare that I have received and fully understood the Product and Benefit Illustration of the plan of insurance under which I have applied for a Policy
on the Life to be Assured. Further, I accept that the investment rates assumed under the Benefit Illustration are not guaranteed and the actual benefits
under the policy will vary from those shown in the Benefit Illustration.
• I agree that after the date of submission of this proposal but before the acceptance of risk or issue of the policy document by the Company (i) if there are
any adverse circumstances connected with my/our occupation, financial condition, health condition, or (ii) if a proposal for assurance on my life or on
the life to be assured made to any other insurance company has been withdrawn or dropped or accepted at an increased premium or on terms other than as
proposed by me, I shall forthwith intimate the same to the Company, in writing to reconsider the terms of acceptance of this proposal. Any omission on
my/our part to do so shall render the contract of assurance invalid. The Company reserves the right to accept, decline or offer alternate terms on my/our
proposal for Life/Health Insurance.
• I understand and agree that, the PROPOSAL WILL NOT BE CONSIDERED UNTIL THE FULL PREMIUM INCLUDING TAXES, IS PAID BY ME.
• I understand and agree that The risk cover under this proposal shall commence only after the risk under the Proposal Form is accepted by the Company
and such acceptance is communicated to me in writing by the Company. I agree that the amount held in proposal/policy deposit shall not earn any
interest except as may be provided in the relevant regulations.
• I hereby confirm that all premiums will be paid from my bonafide sources and in accordance with the provisions of the Prevention of Money
Laundering Act 2002 (as amended from time to time) or any other applicable laws.

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• I also understand that I am liable to pay all the Applicable Taxes and/or any other statutory levy/duty/ surcharge, at the rate notified by the State
Government or Central Government of India from time to time, as per the applicable tax laws on premium and/or other charges (if any) as per the product
features.
• I hereby voluntarily give my consent to collect, process, receive, possess, store, deal or handle my/our sensitive personal data or information [as defined
in the Information Technology (Reasonable security practices and procedures and sensitive personal data or information) Rules 2011 as amended from
time to time].
• I agree and authorize(i) my past and present employers / business associates, any doctor/medical examiner / hospital / laboratory / clinic / insurance
company (notwithstanding any usage or custom or rules/ regulations of such hospital or laboratory or clinic) to disclose and furnish such documents
regarding my employment/business, my health and habits or health and habits of the Life to be Assured (without taking the prior consent of my family or
of any member thereof) to the Company as it may require either for the purpose of processing my proposal for insurance or at any time thereafter for any
other purpose in relation to the Policy that may be issued in pursuance of this proposal for insurance (ii) the Company may, without any reference to me
or my family or any member thereof, furnish any details/ information furnished in this Proposal Form to any judicial or statutory or other authority or to
any insurer or reinsurer in connection with the processing of this proposal for insurance or for the purpose of servicing and settlement of claims of
resultant policy.
• I hereby authorize the Company to assess the health status and conduct screening / confirmation / telephonic verification/reconfirmation of the life/lives
to be assured including the health status through medical examinations which may include Laboratory tests, Cardiology, Radiological investigations and
other medical tests including blood tests to detect bacterial/viral/fungal infections if required by the Company. I/We hereby give my consent to undergo
HIV1/2 test. I am aware that this test is only for screening purpose and not confirmatory for HIV/AIDS.
• I understand and agree that the insurance contract will be governed by the provisions of the Insurance Act 1938,as amended from time to time, and the
Indian Contract Act, 1872, as amended from time to time, and all other applicable statutes and prevailing laws in India as amended from time to time.
• I hereby authorize the Company to receive my details to/from banks, financial institutions, credit bureaus, insurance repository, third party service
providers that the Company may have tie-ups with and insurance intermediary for this proposal/resulting policy for verification of the details of this
proposal and for servicing my policies or settlement of claims.
• I / We hereby authorise the Bank or financial institution to provide copy of my/ our KYC documents available with them to the Company.
• I hereby authorize SBI Life to consider details furnished in the proposal number specified above and in this declaration for the purpose of Central KYC
Registry and to provide my details to CERSAI in the prescribed format. I hereby consent to receiving information from Central KYC Registry through
sms/ email on the above registered number/email address. Further, I hereby provide my consent to download and retrieve my KYC details and records
from Central KYC Registry (CKYCR) for the purpose of verification of my identity and address from the database of CKYCR Registry by SBI Life.
• I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake to inform you of any
changes in KYC related data therein, immediately. In case any of the information is found to be false or untrue or misleading or misrepresenting, I am
aware that I may be held liable for it.
• This consent shall hold good even if I register my number with the National Customer Preference Register (NCPR). I agree that the information
pertaining to my proposal or policy will be sent to the mobile number given in the proposal form or to the number subsequently changed by me.
• Notwithstanding the provision of any law, usage, custom or convention for the time being in force prohibiting any doctor, hospital and/or employer
from divulging any knowledge or information about me concerning my health, employment on the grounds of secrecy, I, my heirs, executors,
administrator or any other person or persons having interest of any kind whatsoever in the life insurance cover provided to me, hereby agree that such
authority, having such knowledge or information, shall be at any time at liberty to divulge any such knowledge or information to the Company.
•I am aware that SBI Life-Smart Platina Supreme is a Limited premium policy and I am aware that I would need to pay premium for 7 years (Premium
Payment Term) and have selected the product & the options applicable/available for me.
• I authorize and provide my consent to SBI Life to share my personal data with third parties/reinsurers/appointed representatives/vendors associated
with the Company for various purposes and outsourced activities exclusively related to evaluation of proposal, issuance and servicing of policy,
investigation/settlement of claim, fraud prevention and monitoring.
• I agree that by submitting this application, I will be bound by all the statements/disclosures of material facts made through the electronic process in the
same manner and to the same extent, as if I have signed and submitted the written proposal for insurance to the Company. I accept and agree to affix my
signature (in electronic mode/tablet/mobile) here.
• I agree to the above declaration.
Signature of the Proposer
This document is eSigned by Mr. Salve
Machhindra Bhagvan

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Witness by (IA code- 990784818)

Name of IA- SABEENA REHMAN
Authenticated by Id & Password
Place :Srinagar Date :25-02-2025

Prohibition of Rebates : Section 41 of the Insurance Act, 1938, as amended from time to time,states
No person shall allow or offer to allow, either directly or indirectly, as an inducement to any person to take out or renew or continue an insurance in
respect of any kind of risk relating to lives or property in India, any rebate of the whole or part of the commission payable or any rebate of the premium
shown on the policy, nor shall any person taking out or renewing or continuing a policy accept any rebate, except such rebate as may be allowed in
accordance with the published prospectuses or tables of the insurer.

Non-Disclosure : Extract of Section 45, as amended from time to time,states

a). No policy of life insurance shall be called in question on any ground whatsoever after the expiry of three years from the date of the policy. A policy of
life insurance may be called in question at anytime within three years from the date of the policy, on the ground of fraud or on the ground that any
statement of or suppression of a fact material to the expectancy of the life of the insured was incorrectly made in the proposal or other document on the
basis of which the policy was issued or revived or rider issued. The insurer shall have to communicate in writing to the insured or the legal representatives
or nominees or assignees of the insured, the grounds and materials on which such decision is based.
b). No insurer shall repudiate a life insurance policy on the ground of fraud if the insured can prove that the mis-statement or suppression of a material
fact was true to the best of his knowledge and belief or that there was no deliberate intention to suppress the fact or that such mis-statement or suppression
are within the knowledge of the insurer.
In case of fraud, the onus of disproving lies upon the beneficiaries, in case the policyholder is not alive.
c). In case of repudiation of the policy on the ground of misstatement or suppression of a material fact, and not on the grounds of fraud, the premiums
collected on the policy till the date of repudiation shall be paid.
d). Nothing in this section shall prevent the insurer from calling for proof of age at any time if he is entitled to do so, and no policy shall be deemed to be
called in question merely because the terms of the policy are adjusted on subsequent proof that the age of the life insured was incorrectly stated in the
proposal.
For complete details of the section and the definition of 'date of policy', please refer Section 45 of the Insurance Act 1938, as amended from time to time.

Place Srinagar Date 25-02-2025

Section 41 and 45 have to be verified at your end from the Insurance Act, 1938, as amended from time to time.

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