Version 1.

9; 30-7-2019

SACHCHI ADVICE FORMDate: ___/____/_____

FINANCIAL ANALYSIS FOR ________________________________________ DOB: _________________ OCC: __________
(Details of prospect aremandatory)

1. Family Information
Spouse Name Child 1 Name Child 2 Name Child 3 Name

Age : Age : Age : Age :

2. Life Stage Select basis personal information of the customer (Mandatory)

Married with Young Married with Older Close to Retirement
Young & Single Newly Married Children Children or Retired
(At least one child more than
(Children up to age 8 years) (Prospect age > 55 years)
8 years old)

3. Goal Grid (Calculation of at least 1 goal is mandatory, calculate only Top 2 priorities at a time)
Children’s Children’s Wealth
Insurance Need Retirement Legacy
Education Marriage Creation
Priority
Current Cost
Years to Goal
Future Cost (A)
(Use Ready Reckoner)
Current Provision (Specific for
different goals)
Future Value of Provision (B)
(Use Ready Reckoner)
Need (A-B)

For Retirement calculation, current cost is the (current monthly expenses *150) if customer was to retire today & current provision is current
value of savings towards retirement (e.g. Current value of Provident Fund, etc.)
Ready Reckoner : Calculation of future value using current value and years to goal
Years to Goal 10 12 15 18 20 22 25 30
Multiplier @6% 1.8 2.0 2.4 2.9 3.2 3.6 4.3 5.7
Multiplier @8% 2.2 2.5 3.2 4.0 4.7 5.4 6.8 10.1
Multiplier @10% 2.6 3.1 4.2 5.6 6.7 8.1 10.8 17.4
If years to goal = 40, use the multiplier of 20 twice = 3.2 * 3.2 = 10.2

4. Premium Paying Capacity

How much money can you set aside for your chosen priorities?

5. Family’s lifestyle protection need (Mandatory)

Could your family continue with their current lifestyle if you died last night or became disabled?
Current Financial Protection Rs. Required Financial Protection Rs.
Existing Liquid Assets
Current Monthly Expense (exclude EMI)
(Exclude assets already earmarked
X 150
for prioritised goals)
Existing Life Cover Outstanding Loan
Total Current Financial Protection Total Required Financial Protection

Life Cover Need

(Total Required Financial Protection – Total Current Financial Protection)
PRODUCT SUITABILITY MATRIX
(Circle the Need, Life Stage & the Product/Sales Story suggested)

LIFE STAGE
Young & Single Newly Married Married with Married with Close to retirement
Version 1.9; 30-7-2019

young children older children or retired

Family Smart Term Plan Smart Term Plan Smart Term Plan Smart Term Plan Smart Term Plan
Super Term Plan Super Term Plan Super Term Plan Super Term Plan Super Term Plan
lifestyle Cancer Insurance Plan Cancer Insurance Plan Cancer Insurance Plan Cancer Insurance Plan Cancer Insurance Plan
protection OTP Plus OTP Plus OTP Plus OTP Plus OTP Plus
Savings Advantage Plan
Monthly Income Advantage
Savings Advantage Plan
Future Genius Education
Future Genius Education Plan
Children's Plan
NA NA Assured Wealth Plan NA
Education Shiksha Plus Super
Shiksha Plus Super
Assured Wealth Plan
Secured Capital Builder Super
Secured Capital Builder
Super
Savings Advantage Plan
Savings Advantage Plan
Children's Assured Wealth Plan
NA NA Assured Wealth Plan NA
Marriage Secured Capital Builder
Secured Capital Builder Super
Super
NEED

GLIP (Annuity)
LPP Super
Monthly Income Advantage
LPP Super Monthly Income Advantage
LPP Super Savings Advantage Plan
Monthly Income Advantage Savings Advantage Plan
Life Long Income Solution Savings Advantage Plan Guaranteed Income Plan
Retirement Forever Young Pension Plan
Savings Advantage Plan Guaranteed Income Plan
Forever Young Pension Plan
Guaranteed Income Plan Forever Young Pension Plan
Life Long Income Solution Assured Wealth Plan
Forever Young Pension Plan Assured Wealth Plan
Secured Capital Builder
Secured Capital Builder Super
Super
Monthly Income Monthly Income Advantage Monthly Income Advantage
Monthly Income Advantage Monthly Income Advantage
Advantage Savings Advantage Plan Savings Advantage Plan
Savings/ Savings Advantage Plan
Savings Advantage Plan
Assured Wealth Plan
Savings Advantage Plan
Assured Wealth Plan
Assured Wealth Plan Assured Wealth Plan
Wealth Assured Wealth Plan Guaranteed Income Plan Guaranteed Income Plan
Fast Track Super Guaranteed Income Plan
Creation/ Fast Track Super Fast Track Super Fast Track Super
Platinum Wealth Plan Fast Track Super
Platinum Wealth Plan Platinum Wealth Plan Platinum Wealth Plan
Income Secured Capital Builder Platinum Wealth Plan
Secured Capital Builder Secured Capital Builder Secured Capital Builder
Super Secured Capital Builder Super
Super Super Super

Whole Life Super

Legacy Whole Life Super Whole Life Super Whole Life Super Whole Life Super
GLIP (Annuity ROP)

Sales Stories are highlighted in PSM

Suitability Checklist (Please Tick) No Yes NA

The premium payment term of the customer is getting over before the customer attains age 60 years.
The annual premium is less than 25% of customer’s annual income.
In case of life Insured being a minor, Waiver of Premium Plus Rider has been attached.
The product being purchased is in-line with the recommended Product Suitability Matrix.

In case, any of the above responses is ‘No’, the customer needs to give a reason and sign under
Reason: ___________________________________________________________________________________________
__________________________________________________________________________________________________

Customer Signature : Office Head Signature:

Mandatory field for all Customers

Customer Name
Proposal No(s) Date
(If proposal is applied)
I ___________________________________________ <Customer name> have opted to purchase
____________________________________________ <Product name with riders> after being completely satisfied by the need
assessment process done by my Agent _______________________________<Agent name>.

Customer Signature Agent Signature