Benefit Illustration

Name of the Prospect /Policyholder : Proposal No :

Age: Name of the Product: IndiaFirst Life Guaranteed Pension Plan
Name of the Life Assured: Mr.Abcd
Age: 60 Tag Line: Non-Linked Non-Participating Individual Savings
Age of 2nd Annuitant: NA Deferred Annuity Plan
Policy Term: NA Unique Identification No.: 143N066V01
Premium Paying Term: 6 GST Rate: 1st Year: 4.50% p.a.
Annualised Premium: 100,000 2nd Year onwards: 2.25% p.a.
Premium Payment Frequency: Yearly Annuity Payment Frequency: Yearly

This benefit illustration is intended to show year-wise premiums payable and benefits under the policy.

Policy details
Sum Assured Rs. -
Policy Option Life Annuity with Return of
purchase price on Death Sum Assured on Death (at inception of the policy) Rs. 105,000

Premium summary
Base Plan Riders Total Instalment Premium
Instalment Premium without GST 100,000 - 100,000
Instalment Premium With First year GST 104,500 - 104,500
Instalment Premium With GST 2nd Year onwards 102,250 - 102,250

(Amounts in Rupees)
Policy Guaranteed Non Guaranteed
Year Annualised Premium Annual Annuity Amount Other Benefits, if any Maturity Benefit Death Benefit Min Guaranteed Surrender Value Special Surrender Value
1 100,000 0 0 0 105,000 0 0

2 100,000 0 0 0 210,000 60,000 69,345

3 100,000 0 0 0 315,000 105,000 112,776

4 100,000 0 0 0 420,000 200,000 163,295

5 100,000 0 0 0 525,000 450,000 221,020

6 100,000 0 0 0 630,000 630,000 287,084

7 0 43,861 0 0 600,000 0 310,011

8 0 43,861 0 0 600,000 0 308,274

9 0 43,861 0 0 600,000 0 306,274

10 0 43,861 0 0 600,000 0 304,055

11 0 43,861 0 0 600,000 0 301,616

12 0 43,861 0 0 600,000 0 299,558

13 0 43,861 0 0 600,000 0 296,680

14 0 43,861 0 0 600,000 0 293,540

15 0 43,861 0 0 600,000 0 290,780

16 0 43,861 0 0 600,000 0 287,201

17 0 43,861 0 0 600,000 0 283,402

18 0 43,861 0 0 600,000 0 279,385

19 0 43,861 0 0 600,000 0 274,548

20 0 43,861 0 0 600,000 0 269,535

21 0 43,861 0 0 600,000 0 264,303

22 0 43,861 0 0 600,000 0 258,940

23 0 43,861 0 0 600,000 0 252,245

24 0 43,861 0 0 600,000 0 246,062

25 0 43,861 0 0 600,000 0 238,548

26 0 43,861 0 0 600,000 0 231,034

27 0 43,861 0 0 600,000 0 222,875

28 0 43,861 0 0 600,000 0 214,117

29 0 43,861 0 0 600,000 0 204,847

30 0 43,861 0 0 600,000 0 195,108

31 0 43,861 0 0 600,000 0 184,901

32 0 43,861 0 0 600,000 0 173,669

33 0 43,861 0 0 600,000 0 162,744

34 0 43,861 0 0 600,000 0 151,482

35 0 43,861 0 0 600,000 0 139,372

36 0 43,861 0 0 600,000 0 127,656

37 0 43,861 0 0 600,000 0 115,735

38 0 43,861 0 0 600,000 0 104,252

39 0 43,861 0 0 600,000 0 92,696

40 0 43,861 0 0 600,000 0 81,578

41 0 43,861 0 0 600,000 0 70,343

42 0 43,861 0 0 600,000 0 60,190

43 0 43,861 0 0 600,000 0 51,120

44 0 43,861 0 0 600,000 0 42,488

45 0 43,861 0 0 600,000 0 34,895

46 0 43,861 0 0 600,000 0 27,653

47 0 43,861 0 0 600,000 0 21,962

48 0 43,861 0 0 600,000 0 17,177

49 0 43,861 0 0 600,000 0 12,612

50 0 43,861 0 0 600,000 0 8,911

51 0 43,861 0 0 600,000 0 6,540

52 0 43,861 0 0 600,000 0 4,346

53 0 43,861 0 0 600,000 0 2,239

54 0 43,861 0 0 600,000 0 1,419

55 0 43,861 0 0 600,000 0 88

56 0 43,861 0 0 600,000 0 0

57 0 43,861 0 0 600,000 0 0

58 0 43,861 0 0 600,000 0 0

59 0 43,861 0 0 600,000 0 0

60 0 43,861 0 0 600,000 0 0

61 0 43,861 0 0 600,000 0 0

62 0 43,861 0 0 600,000 0 0

63 0 43,861 0 0 600,000 0 0

64 0 43,861 0 0 600,000 0 0

65 0 43,861 0 0 600,000 0 0

66 0 43,861 0 0 600,000 0 0

67 0 43,861 0 0 600,000 0 0

68 0 43,861 0 0 600,000 0 0

69 0 43,861 0 0 600,000 0 0

70 0 43,861 0 0 600,000 0 0
Annuity payable p.a. based on prevailing annuity rates (Rs.) 43,861
Annuity Option Selected Life Annuity with Return of purchase price on Death
Annuity installment amount based on prevailing annuity rates (Rs.) 43,861

Notes:
1. Please consult our 'Insurance Consultant' for any clarifications on this illustration.
2. The values shown above are for illustration purpose only. The actual annuity amount receivable depends on the prevailing annuity rates at the time of policy issuance.
3. Refer Sales Literature for explantion of terms used in illustration and details about the product. Exclusions under this plan are as per Sales Literature.
4. Premiums payable are eligible for tax benefits under Section 80 (CCC) of the Income Tax Act (as applicable from time to time).
5. All benefits payable under the Plan are subject to the tax laws and other financial enactments, as applicable from time to time.
6. Surrender benefit, if any as per the above table, shall be higher of min Guranteed Surrender Value and Special Surrender Value.
7. The Annualized Premium excludes Goods and Services Tax.

I, ______________________________ (name), have explained the premiums, I, ______________________________ (name), having received the information with
and benefits under the product fully to the prospect/ policyholder. respect to the above , have understood the above statement before entering into the contract.

Place
Date: Signature of Agent/ Date: Signature of Prospect/
Intermediary/ Official Policyholder

Request you to submit the following mandatory requirements along with the application form:
1) Standard Age Proof
2) Photo
3) Photo Identity Proof
4) Address Proof

Disclaimer - IndiaFirst Life reserves the right to call for any additional documents/requirements basis the information provided by you in the application form. The
requirements stated herein are applicable only in case of the current application. Any simultaneous application or previous applications may necessitate additional
requirements by the Company. The AML / KYC documents for the proposer / premium pay or only are to be submitted.