Benefit Illustration for SHRIRAM NEW SHRI LIFE PLAN V02

128N047V02

IRDAI Reg No:128

Name: yy Sum Assured : 1000000.00
Date Of Birth: 06/11/1984 Policy Term : 15
Age (in yrs): 37 PPT : 15
Gender: Male Mode: Yearly
Total Benefits
Guaranteed Benefit   Non Guaranteed Benefit @ 4% p.a Non Guaranteed Benefit @ 8% p.a
Including Guaranteed and Non-Guaranteed Benefits
Maturity Benefit Death Benefit
Policy Total Annualised Guaranteed Survival Surrender Death Maturity Reversionary Cash Surrender Reversionary Cash Surrender Survival Total Maturity Total Maturity Total Death Total Death
Year Premiums  Additions Benifits Benefits Benefits Benefits Bonus Bonus Benefits Bonus Bonus Benefits Benifits Benefit 4% Benefit 8% Benefit 4% Benefit 8%
1000000.0 0.00 0.00 0.00 1017000.00 1032000.00
1 72770.00 0.00 0.00 0.00 0.00 17000.00 0.00 32000.00 0.00 0.00
0
1000000.0 0.00 0.00 0.00 1034000.00 1064000.00
2 72770.00 0.00 0.00 43662.00 0.00 34000.00 0.00 46042.00 64000.00 0.00 48142.00
0
1000000.0 0.00 0.00 0.00 1051000.00 1096000.00
3 72770.00 0.00 0.00 76409.00 0.00 51000.00 0.00 81509.00 96000.00 0.00 86009.00
0
1000000.0 0.00 0.00 0.00 1068000.00 1128000.00
4 72770.00 0.00 0.00 145540.00 0.00 68000.00 0.00 153700.00 128000.00 0.00 160900.00
0
1000000.0 0.00 0.00 0.00 1085000.00 1160000.00
5 72770.00 0.00 0.00 196479.00 0.00 85000.00 0.00 208039.00 160000.00 0.00 218239.00
0
1000000.0 0.00 0.00 0.00 1102000.00 1192000.00
6 72770.00 0.00 0.00 253240.00 0.00 102000.00 0.00 268540.00 192000.00 0.00 282040.00
0
1000000.0 0.00 0.00 0.00 1119000.00 1224000.00
7 72770.00 0.00 0.00 315822.00 0.00 119000.00 0.00 335202.00 224000.00 0.00 352302.00
0
1000000.0 0.00 0.00 0.00 1136000.00 1256000.00
8 72770.00 0.00 0.00 384226.00 0.00 136000.00 0.00 408026.00 256000.00 0.00 429026.00
0
1000000.0 0.00 0.00 0.00 1153000.00 1288000.00
9 72770.00 0.00 0.00 458451.00 0.00 153000.00 0.00 487011.00 288000.00 0.00 512211.00
0
1000000.0 0.00 0.00 0.00 1170000.00 1320000.00
10 72770.00 0.00 0.00 545775.00 0.00 170000.00 0.00 580965.00 320000.00 0.00 612015.00
0
1000000.0 0.00 0.00 0.00 1187000.00 1468160.00
11 72770.00 0.00 0.00 640376.00 0.00 187000.00 0.00 681176.00 352000.00 0.00 717176.00
0
1000000.0 0.00 0.00 0.00 1204000.00 1510720.00
12 72770.00 0.00 0.00 742254.00 0.00 204000.00 0.00 789004.00 384000.00 0.00 838656.00
0
1000000.0 0.00 0.00 0.00 1221000.00 1553280.00
13 72770.00 0.00 0.00 851409.00 0.00 221000.00 0.00 906489.00 416000.00 0.00 1008037.00
0
1000000.0 0.00 0.00 0.00 1238000.00 1595840.00
14 72770.00 0.00 0.00 967841.00 0.00 238000.00 0.00 1029721.00 448000.00 0.00 1198208.00
0
1000000.0 1000000.0 0.00 1255000.00 1638400.00 1255000.00 1638400.00
15 72770.00 0.00 0.00 1091550.00 255000.00 0.00 1194670.00 480000.00 0.00 1397320.00
0 0
Disclosures:
(1)This is only an illustration and does not in any way create any rights and/or obligations.
(2) This Illustration is applicable to a healthy individual and acceptance of the proposal is subjected to underwriting.Premiums relating to riders and non-standard risks are excluded from the above.
(3) The above amounts that all premiums have been paid on due date.
(4) The surrender value payable will be the maximum of GSV and SSV.
(5) Please contact nearest branch office for latest surrender values payable on your policy.

Policy Details
Policy Option Not Applicable Sum Assured Rs. 1000000.00
Bonus Type Simple Reversionay Sum Assured on Death (at inception of the policy) Rs. 1000000.00
 Premium Summary
Base Plan Riders Total Instalment Premium
Instalment Premium without GST 72770.00 0.00 72770.00
Instalment Premium with First Year GST 76045.00 76045.00
Instalment Premium with GST 2nd Year Onwards 74407.00 74407.00
I, .......................................... , have explained the premiums, and benefits under the product fully to the I, ......................................... having received the information with respect to the above, have understood the above
prospect / Policyholder. statement before entering into the contract

Date: Signature of Agent / intermediary / Date: Signature of the Prospect /

Official / Specified Person Policy holder's signature

Place: