STATEMENT OF ACCOUNT AS ON 23-JAN-2021

BAJAJ ALLIANZ FUTURE GAIN ACCOUNT

To, Statement Date : 23-JAN-2021

MR UMA MAHESWARA RAO TUMATI Policy No : 0342315752
5-43~GOVADA Issued Date : 07/02/2018
GOVADA ,AMRUTHALURU MANDAL~AMARTALURU Sum Assured : 504000
GOVADA, GUNTUR Frequency of Payment : Annual
ANDHRA PRADESH Premium Amount : 50400

The policy has not completed 5 years, hence not eligible for Partial withdrawal/ Surrender

BAJAJ ALLIANZ ACCELERATOR MID CAP FUND - 2 SFIN Code:ULIF05206/01/10ACCMIDCA02116

Transaction Req ID Transaction Amount Allocation Net Unit Price Allocated Units
Date Rate % Investment
(Rs)
08-FEB-18 New Business Regular 15120 98.5 14893.20 35.3740 421.0211
07-FEB-19 Wheel Of Life Withdrawl - -12694.18 31.3105 -405.4287
Regular
07-FEB-19 Wheel Of Life Invest Regular - 9448.71 31.3105 301.7744
11-FEB-19 Regular Premium Renewal 10080 98.5 9928.80 30.7424 322.9676
Year
07-FEB-20 Wheel Of Life Withdrawl - -20256.59 33.0847 -612.2646
Regular
07-FEB-20 Wheel Of Life Invest Regular - 20460.01 33.0847 618.4131
12-FEB-20 Regular Premium Renewal 10080 98.5 9928.80 32.7631 303.0482
Year
24-MAR-20 Mortality Charge Adjustment - 11.53 21.8356 0.5281
Regular
24-MAR-20 Policy Admin Charge - 4.90 21.8356 0.2244
Adjustment Regular
24-MAR-20 PAC Service Tax/GST - 0.88 21.8356 0.0402
Adjustment Regular
24-MAR-20 Service Tax/GST Adjustment - 2.07 21.8356 0.0949
Regular
Charges -1277.07 -39.6513
Balance c/f 910.7674
BAJAJ ALLIANZ BLUE CHIP EQUITY FUND SFIN Code:ULIF06026/10/10BLUECHIPEQ116
Transaction Req ID Transaction Amount Allocation Net Unit Price Allocated Units
Date Rate % Investment
(Rs)
08-FEB-18 New Business Regular 10080 98.5 9928.80 17.9652 552.6685
07-FEB-19 Wheel Of Life Withdrawl - -9996.61 18.7828 -532.2214
Regular
07-FEB-19 Wheel Of Life Invest Regular - 14173.06 18.7828 754.5766
11-FEB-19 Regular Premium Renewal 15120 98.5 14893.20 18.4887 805.5299
Year
07-FEB-20 Wheel Of Life Withdrawl - -30648.74 20.0461 -1528.9129
Regular
07-FEB-20 Wheel Of Life Invest Regular - 30690.02 20.0461 1530.972
12-FEB-20 Regular Premium Renewal 15120 98.5 14893.20 20.1795 738.0361
Year
24-MAR-20 Mortality Charge Adjustment - 18.59 14.0800 1.3206
Regular
24-MAR-20 Policy Admin Charge - 7.90 14.0800 0.5612
Adjustment Regular
24-MAR-20 PAC Service Tax/GST - 1.42 14.0800 0.1011
Adjustment Regular
24-MAR-20 Service Tax/GST Adjustment - 3.35 14.0800 0.2376
Regular
Charges -1524.73 -80.1284
Balance c/f 2242.7409

BAJAJ ALLIANZ EQUITY GROWTH FUND - 2 SFIN Code:ULIF05106/01/10EQTYGROW02116

Transaction Req ID Transaction Amount Allocation Net Unit Price Allocated Units
Date Rate % Investment
(Rs)
08-FEB-18 New Business Regular 25200 98.5 24822.00 31.6128 785.1883
07-FEB-19 Wheel Of Life Withdrawl - -24552.75 32.4720 -756.1208
Regular
07-FEB-19 Wheel Of Life Invest Regular - 23621.77 32.4720 727.4504
11-FEB-19 Regular Premium Renewal 25200 98.5 24822.00 31.9095 777.8875
Year
07-FEB-20 Wheel Of Life Withdrawl - -51394.73 34.8382 -1475.2406
Regular
07-FEB-20 Wheel Of Life Invest Regular - 51150.03 34.8382 1468.2168
12-FEB-20 Regular Premium Renewal 25200 98.5 24822.00 35.0195 708.8051
Year
24-MAR-20 Mortality Charge Adjustment - 30.34 23.8204 1.2738
Regular
24-MAR-20 Policy Admin Charge - 12.89 23.8204 0.5412
Adjustment Regular
Transaction Req ID Transaction Amount Allocation Net Unit Price Allocated Units
Date Rate % Investment
(Rs)
24-MAR-20 PAC Service Tax/GST - 2.32 23.8204 0.0975
Adjustment Regular
24-MAR-20 Service Tax/GST Adjustment - 5.46 23.8204 0.2291
Regular
Charges -2823.29 -86.4812
Balance c/f 2151.8471

Summary Details
Fund Name & SFIN Code NAV Regular Regular Top Up Unit Top Up Total
Units Amount Amount
ACCELERATOR MID CAP FUND - 2 39.232 910.7674 35731.23 0.0000 0.00 35731.23
ULIF05206/01/10ACCMIDCA02116
BLUE CHIP EQUITY FUND 24.8812 2242.7409 55802.08 0.0000 0.00 55802.08
ULIF06026/10/10BLUECHIPEQ116
BOND FUND ULIF02610/07/06BONDFUNDLI116 33.9364 0.0000 0.00 0.0000 0.00 0.00
EQUITY GROWTH FUND - 2 41.9641 2151.8471 90300.33 0.0000 0.00 90300.33
ULIF05106/01/10EQTYGROW02116
LIQUID FUND ULIF02510/07/06LIQUIDFUND116 26.3822 0.0000 0.00 0.0000 0.00 0.00
Total 5305.3554 181833.64 0.0 0.00 181833.64

* Account Value Rs 181833.64 ..................

Note : This is a computer generated letter. No signature is required.

* "Account Value" is based on NAV available on 22/01/2021.
Note: Charges Include Mortality charge.Policy admin charges,Service tax/GST (CGST,SGST/UTGST,IGST as
applicable),Switch fee where ever applicable.
Tax will be deducted under section 194DA of the Income Tax Act, 1961 subject to conditions as mentioned in Section
10(10D) of Income Tax Act,1961.
If PAN is updated in system, TDS will be deducted @ 5% on income from policy. In the absence of PAN, TDS will be
deducted @ 20% on income from policy.
TDS once deducted will not be refunded. Please update your PAN in system so that TDS certificate can be issued. In the
absence of PAN, TDS certificate cannot be issued.
Please consult your Income Tax advisor/consultant for tax treatment under Income Tax Act,1961.
For NRI customers TDS shall be deducted under section 195 of Income Tax Act,1961 at applicable rates.