IN THIS POLICY, THE INVESTMENT RISK IN INVESTMENT PORTFOLIO IS BORNE BY THE POLICYHOLDER.

Dear sonalben patel,

Thank you for choosing us to protect your loved ones.
Your decision to select Smart Sampoorna Raksha Plus Solution with a Life Cover of INR 25,93,830 will help secure the financial future of your loved ones as it comprises Tata AIA
Life Insurance Smart Sampoorna Raksha, Accidental Death, Accidental Total & Permanent Disability and Term Booster under Tata AIA Vitality Protect Plus.
In case of any eventuality during the Policy Term, you are entitled to a life cover of INR 25,93,830 which is inclusive of sum assured of INR 12,96,915 under the base plan (Tata AIA
Life Insurance Smart Sampoorna Raksha) and INR 12,96,915 under Term Booster (Tata AIA Vitality Protect Plus). In case of no claims during policy term, total premiums paid with
respect to Accidental Death, Accidental Total & Permanent Disability and Term Booster will be returned to you at Maturity. Kindly refer to our benefit illustration here for all
requisite details.
At Tata AIA Life Insurance, we are committed to help you live happier, healthier lives through solutions that provide Sampoorna Rakshakaran to your family so that you can be happy
with no worries.

Best Wishes
Tata AIA Life Insurance Company Limited

Disclaimer: Smart Sampoorna Raksha Plus solution comprises of Tata AIA Life Insurance Smart Sampoorna Raksha, Non-Participating, Unit linked Individual Life insurance Savings Plan(UIN: 110L156V04) and Tata AIA Vitality Protect Plus, A
Non - linked, Non - participating, Individual Health Rider(UIN: 110A048V04). Insurance cover is available under the solution. | The solution is underwritten by Tata AIA Life Insurance Company Ltd. This is not a guaranteed issuance solution
and it will be subject to Company's underwriting and acceptance. | For more details on risk factors, terms and conditions please read sales brochure carefully before concluding a sale
THE LINKED INSURANCE PRODUCT DO NOT OFFER ANY LIQUIDITY DURING THE FIRST FIVE YEARS OF THE CONTRACT. THE POLICY HOLDER WILL NOT BE ABLE TO SURRENDER / WITHDRAW THE MONIES INVESTED IN LINKED INSURANCE PRODUCTS
COMPLETELY OR PARTIALLY TILL THE END OF THE FIFTH YEAR. L&C/Misc/2024/Jan/0032

#TataAIAKaBharosa
Tata AIA Life Insurance Company Limited (IRDAI Regn. No.110) CIN: U66010MH2000PLC128403. Registered & Corporate Office: 14th Floor, Tower A, Peninsula Business Park, Senapati Bapat Marg, Lower Parel, Mumbai – 400013. Trade
logo displayed above belongs to Tata Sons Ltd and AIA Group Ltd. and is used by Tata AIA Life Insurance Company Ltd under a license. For any information including cancellation, claims and complaints, please contact our Insurance Advisor /
Intermediary or visit Tata AIA Life's nearest branch office or call 1–860–266–9966 (local charges apply) or write to us at customercare@tataaia.com. Visit us at: www.tataaia.com•
BEWARE OF SPURIOUS PHONE CALLS AND FICTITIOUS / IRDAI is not involved in activities like selling insurance policies, announcing bonus or investment of premiums. Public receiving such phone calls are requested to lodge a police
FRAUDULENT OFFERS complaint
BENEFIT ILLUSTRATION
Tata AIA Life Insurance Smart Sampoorna Raksha
Name of the Prospect/ Policyholder: sonalben patel Proposal No: 70023827318
Age (yrs) : 45 Name of the Product: Tata AIA Life Insurance Smart Sampoorna Raksha
Name of the Life Assured: sonalben patel Tag Line: Non-Participating, Unit linked Individual Life insurance Savings Plan
Age (yrs) : 45 Unique Identification Number: 110L156V04
Sum Assured (Rs.): 12,96,915 GST Rate : 18.00%
Policy Term (yrs): 40 Investment Strategy Opted For NIL
Premium Payment Term (yrs): 12 Funds opted for along with their risk level
Amount of Instalment Premium(Rs.): 1,14,236 Fund Name Allocation Percentage Risk Profile
Mode of Payment of Premium : Annual Midcap Momentum Index Fund (ULIF 075 50% High
09/05/24 MIF 110)
Nifty Alpha 50 Index Fund (ULIF 077 30/09/24 50% High
NAF 110)

Rider Details
Tata AIA Vitality (Wellness Program): Yes Utilisation of Rewards (if Wellness program opted) Premium Discount
Details of Life Insured/Partner under the Benefit Option Benefit Payout Return Premium
Rider Name / UIN^(Benefit Option / Benefit of Benefit Premium Sum p.a. Year 1
Income Income Option Payment Assured Discount
Payout Option) Name Age(yrs) Gender Lumpsum (Rs.) p.a. Duration premium Term Term without
option (Rs.) GST (Rs.) (Rs.)
(Rs.) (yrs)
VPP - Term Booster (Lumpsum Benefit)# sonalben patel 45 F 12,96,915 0 0 Yes 40 12 12,96,915 19,998 2,000
VPP - Accidental Death (Lumpsum Benefit) sonalben patel 45 F 12,96,915 0 0 Yes 40 12 12,96,915 2,049 102
VPP - Accidental Total & Permanent Disability sonalben patel 45 F 12,96,915 0 0 Yes 40 12 12,96,915 1,491 75
(Lumpsum Benefit)

^VPP: Tata AIA Vitality Protect Plus, (A Non-Linked, Non- Participating Individual Health rider, UIN:110A048V04)
#Premium calculated for Term Booster on sonalben patel is considering underwriting class as Preferred

Premium Summary
Base Plan Riders Total Installment Premium
Installment Premium without GST (Rs.) 86,461 23,538 1,09,999
Installment Premium with First year GST (Rs.) 86,461 27,775 1,14,236
Installment Premium post applicable discount with First year GST (Rs.) 86,461 25,206 1,11,667
Installment Premium with GST 2nd year onwards (Rs.) 86,461 27,775 1,14,236

Discount applicable and Installment Premium payable 2nd year onwards will depend on the Wellness status of the Insured
Total Discount on First Year Premium includes- TATA AIA Vitality Discount (10%)
How to read and understand this benefit illustration?
This benefit illustration is intended to show what charges are deducted from your premiums and how the unit fund, net of charges and taxes, may grow over the years of the policy term if the fund earns a gross return of 8 % p.a or 4 %
p.a.These rates, i.e., 8 % p.a.and 4 % p.a.are assumed only for the purpose of illustrating the flow of benefits if the returns are at this level. It should not be interpreted that the returns under the plan are going to be either 8 % p.a.or 4 % p.a.

Net Yield mentioned corresponds to the gross investment return of 8% p.a., net of all charges but does not consider mortality, morbidity charges, underwriting extra, if any, guarantee charges and cost of riders, if deducted by cancellation of
units. It demonstrates the impact of charges and taxes on the net yield.Please note that the mortality charges per thousand sum assured in general, increases with age.

The actual returns can vary depending on the performance of the chosen fund, charges towards mortality, morbidity, underwriting extra, cost of riders, etc. The investment risk in this policy is borne by the policyholder, hence, for more details
on terms and conditions please read sales literature carefully.

Some benefits are guaranteed and some benefits are variable with returns based on the future performance of your insurer carrying on life insurance business. If your policy offers guaranteed benefits then these will be clearly marked
"guaranteed" in the illustration table on this page. If your policy offers variable benefits then the illustration on this page will show two different rates of assumed future investment returns, of 8% p.a. and 4% p.a. These assumed rates of
return are not guaranteed and they are not the upper or lower limits of what you might get back, as the value of your policy is dependant on a number of factors including future investment performance.

Part A of this statement presents a summary view of year-by-year charges deducted under the policy, fund value, surrender value and the death benefit, at two assumed rates of return. Part B of this statement presents a detailed break-up of
the charges, and other values.

Table 5
Part A
(Amount in Rupees)
At 4% p.a. Gross Investment Return At 8% p.a. Gross Investment Return
Policy Annualized
Year Premium Mortality, Morbidity Other GST Fund at End of Surrender Death Mortality, Morbidity Other GST Fund at End of Surrender Death
Charges Charges* Year Value Benefit Charges Charges* Year Value Benefit
1 2 3 4 5 6 7 8 9 10 11 12 13 14
1 86,461 2,035 11,318 2,404 73,601 68,390 12,96,915 2,033 11,338 2,407 76,477 71,063 12,96,915
2 86,461 2,070 7,162 1,662 1,55,231 1,51,150 12,96,915 2,059 7,241 1,674 1,64,318 1,60,237 12,96,915
3 86,461 2,096 6,514 1,550 2,40,918 2,37,857 12,96,915 2,069 6,698 1,578 2,59,928 2,56,867 12,96,915
4 86,461 2,112 5,920 1,446 3,30,771 3,28,731 12,96,915 2,057 6,258 1,497 3,63,829 3,61,789 12,96,915
5 86,461 2,116 9,598 2,109 4,19,822 4,19,822 12,96,915 2,017 10,147 2,189 4,71,394 4,71,394 12,96,915
6 86,461 2,111 10,961 2,353 5,10,803 5,10,803 12,96,915 1,945 11,779 2,470 5,85,656 5,85,656 12,96,915
7 86,461 2,082 12,360 2,599 6,03,777 6,03,777 12,96,915 1,819 13,510 2,759 7,07,096 7,07,096 12,96,915
8 86,461 2,016 13,795 2,846 6,98,824 6,98,824 12,96,915 1,619 15,347 3,054 8,36,249 8,36,249 12,96,915
9 86,461 1,899 15,270 3,090 7,96,041 7,96,041 12,96,915 1,316 17,299 3,351 9,73,719 9,73,719 12,96,915
10 86,461 1,715 16,785 3,330 9,16,297 9,16,297 12,96,915 880 19,374 3,646 11,40,936 11,40,936 12,96,915
11 86,461 1,336 18,637 3,595 10,33,363 10,33,363 12,96,915 166 21,882 3,968 13,13,178 13,13,178 13,13,178
12 86,461 868 20,438 3,835 11,50,124 11,50,124 12,96,915 0 24,441 4,399 14,92,874 14,92,874 14,92,874
13 0 783 20,845 3,893 11,77,843 11,77,843 12,96,915 0 25,686 4,623 15,88,608 15,88,608 15,88,608
14 0 683 21,205 3,940 12,02,935 12,02,935 12,96,915 0 26,950 4,851 16,86,971 16,86,971 16,86,971
15 0 570 21,530 3,978 12,28,783 12,28,783 12,96,915 0 28,248 5,085 17,91,534 17,91,534 17,91,534
16 0 422 21,866 4,012 12,55,431 12,55,431 12,96,915 0 29,628 5,333 19,02,627 19,02,627 19,02,627
17 0 236 22,211 4,041 12,82,892 12,82,892 12,96,915 0 31,093 5,597 20,20,557 20,20,557 20,20,557
18 0 36 22,568 4,069 13,11,133 13,11,133 13,11,133 0 32,648 5,877 21,45,607 21,45,607 21,45,607
19 0 0 22,932 4,128 13,39,872 13,39,872 13,39,872 0 34,295 6,173 22,78,019 22,78,019 22,78,019
20 0 0 23,302 4,194 13,68,941 13,68,941 13,68,941 0 36,039 6,487 24,17,991 24,17,991 24,17,991
21 0 0 23,673 4,261 13,97,956 13,97,956 13,97,956 0 37,878 6,818 25,65,434 25,65,434 25,65,434
22 0 0 24,043 4,328 14,26,734 14,26,734 14,26,734 0 39,822 7,168 27,21,947 27,21,947 27,21,947
23 0 0 24,414 4,395 14,56,044 14,56,044 14,56,044 0 41,889 7,540 28,88,456 28,88,456 28,88,456
24 0 0 24,792 4,463 14,85,869 14,85,869 14,85,869 0 44,087 7,936 30,65,599 30,65,599 30,65,599
25 0 0 25,177 4,532 15,16,195 15,16,195 15,16,195 0 46,426 8,357 32,54,055 32,54,055 32,54,055
26 0 0 25,567 4,602 15,46,964 15,46,964 15,46,964 0 48,915 8,805 34,54,546 34,54,546 34,54,546
27 0 0 25,963 4,673 15,78,109 15,78,109 15,78,109 0 51,562 9,281 36,67,841 36,67,841 36,67,841
28 0 0 26,363 4,745 16,09,610 16,09,610 16,09,610 0 54,378 9,788 38,94,758 38,94,758 38,94,758
29 0 0 26,770 4,819 16,41,809 16,41,809 16,41,809 0 57,374 10,327 41,36,166 41,36,166 41,36,166
30 0 0 27,187 4,894 16,74,795 16,74,795 16,74,795 0 60,561 10,901 43,92,991 43,92,991 43,92,991
31 0 0 27,613 4,970 17,08,588 17,08,588 17,08,588 0 63,952 11,511 46,66,218 46,66,218 46,66,218
32 0 0 28,050 5,049 17,43,208 17,43,208 17,43,208 0 67,560 12,161 49,56,894 49,56,894 49,56,894
 At 4% p.a. Gross Investment Return At 8% p.a. Gross Investment Return
Policy Annualized
Year Premium Mortality, Morbidity Other GST Fund at End of Surrender Death Mortality, Morbidity Other GST Fund at End of Surrender Death
Charges Charges* Year Value Benefit Charges Charges* Year Value Benefit
1 2 3 4 5 6 7 8 9 10 11 12 13 14
33 0 0 28,498 5,130 17,78,674 17,78,674 17,78,674 0 71,398 12,852 52,66,133 52,66,133 52,66,133
34 0 0 28,957 5,212 18,15,008 18,15,008 18,15,008 0 75,481 13,587 55,95,122 55,95,122 55,95,122
35 0 0 29,427 5,297 18,52,231 18,52,231 18,52,231 0 79,825 14,368 59,45,120 59,45,120 59,45,120
36 0 0 29,908 5,383 18,90,364 18,90,364 18,90,364 0 84,446 15,200 63,17,471 63,17,471 63,17,471
37 0 0 30,402 5,472 19,29,430 19,29,430 19,29,430 0 89,362 16,085 67,13,600 67,13,600 67,13,600
38 0 0 30,907 5,563 19,69,452 19,69,452 19,69,452 0 94,592 17,027 71,35,028 71,35,028 71,35,028
39 0 0 31,425 5,656 20,10,453 20,10,453 20,10,453 0 1,00,157 18,028 75,83,370 75,83,370 75,83,370
40 0 0 31,955 5,752 20,52,456 20,52,456 20,52,456 0 1,06,076 19,094 80,60,344 80,60,344 80,60,344
*Other charges includes Premium Allocation Charge, Policy Admin Charge, Fund Management Charge, Extra Mortality Charge and Rider Charges, if any. See Part B for details.
IN THIS POLICY, THE INVESTMENT RISK IS BORNE BY THE POLICYHOLDER AND THE ABOVE INTEREST RATES ARE ONLY FOR ILLUSTRATIVE PURPOSE.
I, ___________________________(name), have explained the premiums, charges and benefits under the policy I, ___________________________ (name), having received the information with respect to the above, have
fully to the prospect / policyholder. understood the above statement before entering into the contract.

Place:
Date: Signature of Agent/ Intermediary / Official Date: Signature of Prospect / Policyholder
Part B
Gross Yield 8% pa Net Yield 6.44 % (Amount in Rupees)
Annualized
Annualized Premium Premium - Mortality Policy Admin Guarantee Additions to Fund before Fund at Surrender Death
Policy Year Premium (AP) Allocation Premium Charge GST Charge Charge Rider Charges the Fund* FMC FMC End of Value Benefit
Charge (PAC) Allocation Year
Charge
1 86,461 10,375 76,086 2,033 2,407 0 0 0 0 76,573 963 76,477 71,063 12,96,915
2 86,461 5,188 81,273 2,059 1,674 0 0 0 0 1,64,524 2,053 1,64,318 1,60,237 12,96,915
3 86,461 3,458 83,003 2,069 1,578 0 0 0 0 2,60,254 3,240 2,59,928 2,56,867 12,96,915
4 86,461 1,729 84,732 2,057 1,497 0 0 0 0 3,64,286 4,529 3,63,829 3,61,789 12,96,915
5 86,461 0 86,461 2,017 2,189 4,254 0 0 0 4,71,986 5,893 4,71,394 4,71,394 12,96,915
6 86,461 0 86,461 1,945 2,470 4,467 0 0 0 5,86,391 7,312 5,85,656 5,85,656 12,96,915
7 86,461 0 86,461 1,819 2,759 4,690 0 0 0 7,07,983 8,820 7,07,096 7,07,096 12,96,915
8 86,461 0 86,461 1,619 3,054 4,924 0 0 0 8,37,299 10,423 8,36,249 8,36,249 12,96,915
9 86,461 0 86,461 1,316 3,351 5,171 0 0 0 9,74,942 12,128 9,73,719 9,73,719 12,96,915
10 86,461 0 86,461 880 3,646 5,429 0 0 20,751 11,21,591 13,945 11,40,936 11,40,936 12,96,915
11 86,461 0 86,461 166 3,968 5,701 0 0 14,441 13,04,100 16,181 13,13,178 13,13,178 13,13,178
12 86,461 0 86,461 0 4,399 5,986 0 0 11,036 14,87,480 18,455 14,92,874 14,92,874 14,92,874
13 0 0 0 0 4,623 6,000 0 0 7,597 15,86,796 19,686 15,88,608 15,88,608 15,88,608
14 0 0 0 0 4,851 6,000 0 0 4,113 16,88,749 20,950 16,86,971 16,86,971 16,86,971
15 0 0 0 0 5,085 6,000 0 0 4,033 17,93,451 22,248 17,91,534 17,91,534 17,91,534
16 0 0 0 0 5,333 6,000 0 0 3,890 19,04,697 23,628 19,02,627 19,02,627 19,02,627
17 0 0 0 0 5,597 6,000 0 0 3,639 20,22,798 25,093 20,20,557 20,20,557 20,20,557
18 0 0 0 0 5,877 6,000 0 0 3,238 21,48,041 26,648 21,45,607 21,45,607 21,45,607
 Gross Yield 8% pa Net Yield 6.44 % (Amount in Rupees)
Annualized
Annualized Premium Premium - Mortality Policy Admin Guarantee Additions to Fund before Fund at Surrender Death
Policy Year Premium (AP) Allocation Premium Charge GST Charge Charge Rider Charges the Fund* FMC FMC End of Value Benefit
Charge (PAC) Allocation Year
Charge
19 0 0 0 0 6,173 6,000 0 0 2,632 22,80,674 28,295 22,78,019 22,78,019 22,78,019
20 0 0 0 0 6,487 6,000 0 0 1,760 24,20,899 30,039 24,17,991 24,17,991 24,17,991
21 0 0 0 0 6,818 6,000 0 0 332 25,68,654 31,878 25,65,434 25,65,434 25,65,434
22 0 0 0 0 7,168 6,000 0 0 0 27,25,364 33,822 27,21,947 27,21,947 27,21,947
23 0 0 0 0 7,540 6,000 0 0 0 28,92,082 35,889 28,88,456 28,88,456 28,88,456
24 0 0 0 0 7,936 6,000 0 0 0 30,69,447 38,087 30,65,599 30,65,599 30,65,599
25 0 0 0 0 8,357 6,000 0 0 0 32,58,140 40,426 32,54,055 32,54,055 32,54,055
26 0 0 0 0 8,805 6,000 0 0 0 34,58,882 42,915 34,54,546 34,54,546 34,54,546
27 0 0 0 0 9,281 6,000 0 0 0 36,72,445 45,562 36,67,841 36,67,841 36,67,841
28 0 0 0 0 9,788 6,000 0 0 0 38,99,647 48,378 38,94,758 38,94,758 38,94,758
29 0 0 0 0 10,327 6,000 0 0 0 41,41,358 51,374 41,36,166 41,36,166 41,36,166
30 0 0 0 0 10,901 6,000 0 0 0 43,98,506 54,561 43,92,991 43,92,991 43,92,991
31 0 0 0 0 11,511 6,000 0 0 0 46,72,075 57,952 46,66,218 46,66,218 46,66,218
32 0 0 0 0 12,161 6,000 0 0 0 49,63,116 61,560 49,56,894 49,56,894 49,56,894
33 0 0 0 0 12,852 6,000 0 0 0 52,72,744 65,398 52,66,133 52,66,133 52,66,133
34 0 0 0 0 13,587 6,000 0 0 0 56,02,145 69,481 55,95,122 55,95,122 55,95,122
35 0 0 0 0 14,368 6,000 0 0 0 59,52,583 73,825 59,45,120 59,45,120 59,45,120
36 0 0 0 0 15,200 6,000 0 0 0 63,25,401 78,446 63,17,471 63,17,471 63,17,471
37 0 0 0 0 16,085 6,000 0 0 0 67,22,028 83,362 67,13,600 67,13,600 67,13,600
38 0 0 0 0 17,027 6,000 0 0 0 71,43,985 88,592 71,35,028 71,35,028 71,35,028
39 0 0 0 0 18,028 6,000 0 0 0 75,92,890 94,157 75,83,370 75,83,370 75,83,370
40 0 0 0 0 19,094 6,000 0 0 0 80,70,462 1,00,076 80,60,344 80,60,344 80,60,344
Gross Yield 4% pa (Amount in Rupees)
Annualized
Annualized Premium Premium - Mortality Policy Admin Guarantee Additions to Fund before Fund at Surrender Death
Policy Year Premium (AP) Allocation Premium Charge GST Charge Charge Rider Charges the Fund* FMC FMC End of Value Benefit
Charge (PAC) Allocation Year
Charge
1 86,461 10,375 76,086 2,035 2,404 0 0 0 0 73,693 943 73,601 68,390 12,96,915
2 86,461 5,188 81,273 2,070 1,662 0 0 0 0 1,55,426 1,974 1,55,231 1,51,150 12,96,915
3 86,461 3,458 83,003 2,096 1,550 0 0 0 0 2,41,220 3,056 2,40,918 2,37,857 12,96,915
4 86,461 1,729 84,732 2,112 1,446 0 0 0 0 3,31,186 4,191 3,30,771 3,28,731 12,96,915
5 86,461 0 86,461 2,116 2,109 4,254 0 0 0 4,20,349 5,344 4,19,822 4,19,822 12,96,915
6 86,461 0 86,461 2,111 2,353 4,467 0 0 0 5,11,444 6,494 5,10,803 5,10,803 12,96,915
7 86,461 0 86,461 2,082 2,599 4,690 0 0 0 6,04,535 7,670 6,03,777 6,03,777 12,96,915
8 86,461 0 86,461 2,016 2,846 4,924 0 0 0 6,99,701 8,871 6,98,824 6,98,824 12,96,915
9 86,461 0 86,461 1,899 3,090 5,171 0 0 0 7,97,040 10,099 7,96,041 7,96,041 12,96,915
10 86,461 0 86,461 1,715 3,330 5,429 0 0 20,751 8,96,671 11,356 9,16,297 9,16,297 12,96,915
11 86,461 0 86,461 1,336 3,595 5,701 0 0 14,445 10,23,933 12,936 10,33,363 10,33,363 12,96,915
12 86,461 0 86,461 868 3,835 5,986 0 0 11,056 11,44,297 14,452 11,50,124 11,50,124 12,96,915
13 0 0 0 783 3,893 6,000 0 0 7,650 11,75,510 14,845 11,77,843 11,77,843 12,96,915
 Gross Yield 4% pa (Amount in Rupees)
Annualized
Annualized Premium Premium - Mortality Policy Admin Guarantee Additions to Fund before Fund at Surrender Death
Policy Year Premium (AP) Allocation Premium Charge GST Charge Charge Rider Charges the Fund* FMC FMC End of Value Benefit
Charge (PAC) Allocation Year
Charge
14 0 0 0 683 3,940 6,000 0 0 4,224 12,04,093 15,205 12,02,935 12,02,935 12,96,915
15 0 0 0 570 3,978 6,000 0 0 4,233 12,29,973 15,530 12,28,783 12,28,783 12,96,915
16 0 0 0 422 4,012 6,000 0 0 4,222 12,56,655 15,866 12,55,431 12,55,431 12,96,915
17 0 0 0 236 4,041 6,000 0 0 4,163 12,84,157 16,211 12,82,892 12,82,892 12,96,915
18 0 0 0 36 4,069 6,000 0 0 4,032 13,12,445 16,568 13,11,133 13,11,133 13,11,133
19 0 0 0 0 4,128 6,000 0 0 3,799 13,41,240 16,932 13,39,872 13,39,872 13,39,872
20 0 0 0 0 4,194 6,000 0 0 3,430 13,70,378 17,302 13,68,941 13,68,941 13,68,941
21 0 0 0 0 4,261 6,000 0 0 2,673 13,99,495 17,673 13,97,956 13,97,956 13,97,956
22 0 0 0 0 4,328 6,000 0 0 1,737 14,28,389 18,043 14,26,734 14,26,734 14,26,734
23 0 0 0 0 4,395 6,000 0 0 1,567 14,57,752 18,414 14,56,044 14,56,044 14,56,044
24 0 0 0 0 4,463 6,000 0 0 1,367 14,87,632 18,792 14,85,869 14,85,869 14,85,869
25 0 0 0 0 4,532 6,000 0 0 1,141 15,18,017 19,177 15,16,195 15,16,195 15,16,195
26 0 0 0 0 4,602 6,000 0 0 844 15,48,850 19,567 15,46,964 15,46,964 15,46,964
27 0 0 0 0 4,673 6,000 0 0 473 15,80,067 19,963 15,78,109 15,78,109 15,78,109
28 0 0 0 0 4,745 6,000 0 0 72 16,11,631 20,363 16,09,610 16,09,610 16,09,610
29 0 0 0 0 4,819 6,000 0 0 0 16,43,870 20,770 16,41,809 16,41,809 16,41,809
30 0 0 0 0 4,894 6,000 0 0 0 16,76,897 21,187 16,74,795 16,74,795 16,74,795
31 0 0 0 0 4,970 6,000 0 0 0 17,10,733 21,613 17,08,588 17,08,588 17,08,588
32 0 0 0 0 5,049 6,000 0 0 0 17,45,396 22,050 17,43,208 17,43,208 17,43,208
33 0 0 0 0 5,130 6,000 0 0 0 17,80,907 22,498 17,78,674 17,78,674 17,78,674
34 0 0 0 0 5,212 6,000 0 0 0 18,17,287 22,957 18,15,008 18,15,008 18,15,008
35 0 0 0 0 5,297 6,000 0 0 0 18,54,556 23,427 18,52,231 18,52,231 18,52,231
36 0 0 0 0 5,383 6,000 0 0 0 18,92,737 23,908 18,90,364 18,90,364 18,90,364
37 0 0 0 0 5,472 6,000 0 0 0 19,31,853 24,402 19,29,430 19,29,430 19,29,430
38 0 0 0 0 5,563 6,000 0 0 0 19,71,924 24,907 19,69,452 19,69,452 19,69,452
39 0 0 0 0 5,656 6,000 0 0 0 20,12,976 25,425 20,10,453 20,10,453 20,10,453
40 0 0 0 0 5,752 6,000 0 0 0 20,55,033 25,955 20,52,456 20,52,456 20,52,456
Notes:
1. Refer the sale literature for explanation of terms used in this illustration
2. Fund management charge is based on the specific fund option(s) chosen.
3. *Additions to the Fund refers to the periodic additions through
A) Refund of 2X Mortality Charges
B) Refund of 2X Premium Allocation Charges and
C) Cover Continuance Booster.
4. The rider sum assured shall remain unchanged for a period as specified under ‘Guaranteed Period’ from the Date of Commencement of the benefit option. Upon the completion of ‘Guaranteed Period’, the sum assured as applicable for
the benefit option may be revised or the policyholder may be given an option of top up premium to restore the benefit to original amount, subject to IRDAI’s approval. The top up premium may be payable as a single premium/ level
premium during the block of next guarantee period. The requirement of paying the Top up premium in order to continue with the current level of benefit may be applicable even after expiry of limited pay premium term.
5. In case rider charges are collected explicitly through collection of rider premium, and not by way of cancellation of units, then, such charges are not considered in this illustration. In other cases, rider charges are included in Rider/Other
charges.
Income Tax benefits would be available as per the prevailing income tax laws, subject to fulfillment of conditions stipulated therein. Tata AIA Life Insurance Company Ltd. does not assume responsibility on tax implication mentioned anywhere
in this document. Please consult your own tax consultant to know the tax benefits available to you.
I, ___________________________ (name), have explained the premiums, charges and benefits under the policy I, s ona lben pa tel , having received the information with respect to the above, have understood the above
fully to the prospect / policyholder. statement before entering into the contract.

Place:
Date: 18 Mar 2025 Date: 18 Mar 2025
Signature of Agent/ Intermediary/ Official Signature of Prospect / Policyholder
Unique Reference Number - L&C/Advt/2023/Sep/2912 (Rider - L&C/Advt/2022/Sep/2271)

Tata AIA Life Insurance Company Ltd. (IRDA of India Regn No. 110) (CIN: U66010MH2000PLC128403)
Registered and Corporate Office: 14th Floor, Tower A, Peninsula Business Park, Senapati Bapat Marg, Lower Parel, Mumbai- 400013
Trade logo displayed above belongs to Tata Sons Ltd and AIA Group Ltd. and is used by Tata AIA Life Insurance Company Ltd under a license.
For more information, Call the Tata AIA Life Insurance Company Ltd Helpline number1860-266-9966 (local charges apply) or Visit us at: www.tataaia.com
(I)V.96.00/FY2024-2025_Q4/RELEASE 01-01-25/EXPIRY 31-03-2025 005099005SBSSR12UPV2 18-03-2025 04: 38 PM