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SBI Life Insurance Company Limited Date: 06/05/2011 Ms S SALAI SELVAKODI, 11 - E/2 SRIDEVI ILLAM OPP VEKKALIAMMAN KOIL

TRICHY WORAIYUR TAMIL NADU India 620003 Dear Ms S SALAI SELVAKODI, Ref: Policy No : 40006340105 Component SBILife - Base Cover UIN 111L058V01 This is with reference to your request for the revival of the above mentioned policy. We would like to inform you that based on the current status of your policy account, we are pleased to enclose the revival quotation schedule, as applicable. Revival Quotation Schedule: Frequency : Quarterly Installment Premium : Rs.3000.00 Premium not paid since : 30/06/2010 Other dues Policy pending on the (E) Policy (D) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Net revival Amount (A+BC+D-E) 3000.00 9000.00 3000.00 9000.00 3000.00 12000.00 3000.00 12000.00 3000.00 12000.00 3000.00 15000.00

If paid by 29/05/2011 29/06/2011 29/07/2011 29/08/2011 29/09/2011 29/10/2011

Latest Due 31/03/2011 31/03/2011 30/06/2011 30/06/2011 30/06/2011 30/09/2011

No. of Premiums 4 4 5 5 5 6

Total Amount (A) 12000.00 12000.00 15000.00 15000.00 15000.00 18000.00

Rate of interest (%) 0.00 0.00 0.00 0.00 0.00 0.00

Late Fee (B) 0.00 0.00 0.00 0.00 0.00 0.00

* Interest Waived (C)

Deposit

(The Premium displayed in the quotation schedule is subject to change based on the underwriting decision and Issue of quotation doesnt mean acceptance of any risk on the policy by us.) * Amount indicated is inclusive of the concession in interest @20% and is valid only up to Other Requirements:1. Declaration of Good Health (DGH)

We request you to kindly comply with the requirements, as mentioned above along with the premium due, specified in the above quotation schedule, to enable us to revive your policy. Kindly make your payments vide cheque / Draft in favour of SBI Life Insurance Co. Ltd. Do revert if you need further clarifications. Assuring you of our best services at all times. This is a computer generated statement and does not require any signature.

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