IN THIS POLICY, THE INVESTMENT RISK IN INVESTMENT PORTFOLIO IS BORNE BY THE POLICYHOLDER Anew look at life Product Name + ‘Tha AIG Life Invests Fe -15-40yean(OL05S¥00) To DEVENDRA KUMAR CHOWDHARY CyoROGPA Rant CHODHARY Mine unptnea 2s Nest Doe Date May 12010 Gira sept as v Owner DEVENDRA KUMAR CHOWDHARY Dex Peron, “Transaction Type: Unit Satement We are plese to crlose the Fund Activity Stitment for your efene Plate fe 1 contr your Serving agent oral ur Tl Fe Heli 80-1195 i Sciy saab o MINA BSN. es ‘onl or ema us st casomerarelatraigcom should you rep iy anne We salad w be sere to SRE APE PE Ree nee hoa eee Fund Portlio Value NR) ene ‘eN®) [Gai] ValueINR) | Unis] ValetINRV] Valuc(INR) Seer ST seer a — a Fora Ta a oe RENESEIN DONATIONS SATE SE LT NO NEE ‘Tot Reglae Pru) Paid 10.00 ‘Total Amount guranteed fom Capital Gusance Randa may ae al Fand Switch han) go val Serie Tae" on Fun Switch Charge) ‘a0 ‘ral Monty Adeusisetion Corp) 7300 Sol Seviee Tax” on Monty Adunttion Changs) a ‘Total Morty Chae) on Bae Sum Aare 26 ‘Total Servic ax” on Morley Chare() on Basic Som Astared a5 ‘oval Morality Chae) on Top-Up Sum Assad om Total Serie Tas” cp Morality Charl) on Topp Sum Astra om Tot Tope Charge) m0 ‘Total Repl Promism) Toes 118565 ‘Tool Suseader nse) ano ‘Youtctveat penis lesion insrucon othe specie fads eps) (ops) ‘Whole Life acne Fad twain “Tota Premium Aloeion Chan) 2is000 ‘Total Sevie Tex” en Premium Aloaion Char Bass ‘Toa Top-Up Perm) Pad ont Total Top Up Prenat) vested 000 ‘Total Top-Up Premium Allocation Chat) om ‘Toa Service Tata Topp Prin Alcon Cegel) om ‘otal Reale Prius) Pail sun Cuil Guna nd 0 "Note: Your Poly wil ic dsconinue ithe eg premar oustanding (days om premium de date Foc dels, plee ree the provisions for Grace Patod an Psmuin Holiday nthe pity document : SS ST or Sum Assured INK) Etfeciee Tepey Dae “Tals AIG life aves ere Fei -1540 years 3000000 May, 2008 Map, 2035 ‘Tal Topp Sum Avs ‘000 Caren Benth Bene teglar Premium Aecourt) asa -soimno0 ‘CarmetDeath Benet (Toprap Premium Acct) sat a ‘oral Death Beas a + INR so0000 Pes clr whe Prey Contacto Death Beni T does none wy Supper Bench wih Dest Gmrergy “ransetion Details forthe cent policy yea + i Sea ‘Tors Regular Pras Tavexed dang Ue cuen: policy ear W609 ‘Torn Regular Premium Alleaton Changer deduced the (AS00000) caren pli sar Service Taxon RelirPeemiun Allocsson Changin the (29355000 cere paiy yur ‘Tata AIG Life Insurance Company Ltd. ‘Corporat/ Regd Olice 546" Foor, Pennine Towa, Peanlasla Corporate Pat, Gangsta Kad Mag Lower ard Mums 40013. or more norman, el be Tats AIG Tole hur Hep 0119946 (Facial vo MTNL and BSNL ween) ununen Page 1"Toa Chae and Serie Ta deuce nthe corn py (esr) 1.2093) eur Fahne Cae Fore WHOLE LIFE INCOME FUND Balan Browgit Fervatd fom the a ofthe erent polis + Beaap of Tol Change deco inthe coe pole year ‘Type of Chae Amouni INR Une Morey Charge Banc Som Assi (azesian, (sou) Monthly Admiisaion Cae sin, (Gts9574 Sence Taxon Monthly Adsration Chat Goma 40s) Service Tas on Monalty Cpe On Bs Sum Aarced 2000, 379855) simasaont soso ‘conn ‘Whit every cae tas een taken ia he preparation of tis samen ei abject coretion and thi water dol Be dla withthe poly doeament an dacs an diay cafe any ea eh For pe tm conto, pene refer othe poly document "Tis sateen sal am prt ofthe poy document Asthisis computer genrted semen, no sgt equa EOL, CEATA.ALG BEOL-TYPE'S) (DEVENDRAKUMARCHOWDHARY) / mea, 004125717 spore / wosuTDS , * Service Taispaabie on fe isranee premium a er apliabe les. Tia AIG Life lvarnce Company Lied sre the ht cover rom the ao, ie a dates (inden ae), eae by oe ream hey min asim oF eet forma deemed appro Tata AIG Life Insurance Company Ltd. (CorpareRop Ofce 5&6" lor, Pensa Towers, Penns Corporat Pat, Gaapatrso Kan Mar, Lowe Parl, Mumbsi 40013 For mor lfomuton cal she Tata AIG Tae Dt Helin st 800-1856 ave 0 MINL and BSNL se) vousaN 7a Be G Anew look at life [ FIRST LIFE INSURANCE PREMIUM RECEIPT i jinsured Name: DEVENDRA KUMAR CHOWDHARY | Policy No “ial | |Policyowner : DEVENDRA KUMAR CHOWDHARY | Reeciptdate = 2009/05/11 ese ‘Agent/Broker code + 04135717 ‘Addeess C/O ROOPA RAM CHOWDHARY | HINO 27 STATION ROAD | Agent/Broker Name: DEVENDRA KUMAR UTTARLAI |cHOWDHARY BARMER | RAJASTHAN, 344035 Bs Office C : Payment Mode : ANNUAL Payment Method : CASH/CHEQUE, Basic Plan Name : Tata AIG Life InvestAssure Flesi | Modal premium: Rs. 15,000.00 (110103501) Service Tax + 0.00, Amount Due . 15000.00 Temporary Receipt No. Date, “Amount 10297862. 72008705708 15,000.00, Excess on Daean) + R000 a a [Nex Premium Due on: 2010/05/11 a | Upon issuance of this receipe, all previously issued temporary receipts iF any, fey are considered nulland | oid. Any excess premium willbe deposived in Future Policy Deposit Fund (FPDI Tsing in FPDF shall not bearany interest. “Pix benefits on Life Insurance Policies are available u/s 80C, on Pension Policies u/s 8OCCC & on Health Policies/Riders u/s 80D. Tax benefits u/s 80D ate not available for premium payments in cash ‘ “This sa computer generated receipt and does nor eeguie signarare “Thisreceipris nulland vod ab initio, ifthe cheque / any other valid negotiable instrument asperthe Negotiable Instruments ‘Act 1881, as reeeipted by the Company vide this eceipe is reported as dishonored by the Company bank or any other ‘nancial Institution on which the Negotiable instrument is drawn or is not acceptable to the Company due wo any reason Hcemedichy the company. ccna Pen Bsa ll Ua Spi aay Soc ayo esos inal aed oe ‘Tata AIG Life Insurance Company Limited (Reg. No. 110) esr Cora i lng Ps Tow ea Cron Pe Gupano Kalar hi Lowe Pe). Men 03 ore akrmasonalTas AiG Ton 2h Re Hine» 120019860 see fae MINA BSN Lanes 20148