For Office Use Only (w.e.f. Nov 19/ Ver 1.

0)

Illustration No: KACE-4510F-7533-Y200

Quotation Number:BB280922074156976

Proposal No:

Policy No.:

Name of the Prospect/Policyholder Ms Mrs Mrs Name of the Product Kotak Ace Investment

DOB of Prospect/Policyholder 01 August 1977 Tag Line Individual, Unit-Linked, Non-Par,

Life Insurance Plan
Age of the Prospect/Policyholder 45
(in yrs) Unique Identification No UIN: 107L064V05

Name of Life Assured Ms Mrs Mrs Goods and Services Tax and Cess 18.0%
Rate (GST)
DOB of Life Assured 01 August 1977
Investment Strategy selected Systematic Switching Strategy
Age of the Life Assured (in yrs) 45
Funds Opted for Please refer to the section
Gender of Life Assured Female
"Allocation of Premium"
Basic Sum Assured (Rs.) 20,00,000
Destination Fund, if Systematic Classic Opportunities Fund
Policy Term (in yrs) 10 Switching Starategy is chosen

Premium Payment Term (in yrs) 5 Systematic Exit Strategy chosen No

Amount of Installment Premium (in 2,00,000 Sales Channel Individual Agent

Rs.)

Mode of Payment of Premium Yearly

Agent's Branch Location Uttar Pradesh

Proposer's Current Location Uttar Pradesh

Allocation of Premium(8)

Classic
Money Market Dynamic Gilt Dynamic Bond Dynamic Floating Frontline Equity
Balanced Fund Opportunities
Fund Fund Fund Rate Fund Fund
Fund

100% 0% 0% 0% 0% 0% 0%

SFIN Code : Money Market Fund (ULIF-041-05/01/10-MNMKKFND-107) ; Dynamic Gilt Fund (ULIF-006-27/06/03-DYGLTFND-107) ; Dynamic Bond Fund (ULIF-015-
15/04/04-DYBNDFND-107) ; Dynamic Floating Rate Fund (ULIF-020-07/12/04-DYFLTRFND-107) ; Balanced Fund (ULIF-037-21/12/09-BALKFND-107) ; Frontline Equity
Fund (ULIF-034-17/12/09-FRLEQUFND-107) ; Classic Opportunities Fund (ULIF-033-16/12/09-CLAOPPFND-107)

Rider Details

Rider Premium Payment

Rider Name Rider Sum Assured Rider Term
Term

Kotak Accidental Death Benefit Rider (Linked)

Not Selected
(UIN:107A017V01)

Kotak Permanent Disability Benefit Rider (Linked)

Not Selected
(UIN:107A018V01)

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Quotation Number:BB280922074156976
How to read and understand this benefit Illustration?

This benefit illustration is intended to show what charges are deducted from your premiums and how the unit fund, net of charges and taxes, may grow
over the years of the policy term if the fund earns a gross return of 8% p.a. or 4% p.a. These rates, i.e., 8% p.a. and 4% p.a. are assumed only for the
purpose of illustrating the flow of benefits if the returns are at this level. It should not be interpreted that the returns under the plan are going to be either
8% p.a. or 4% p.a.

Net Yield mentioned corresponds to the gross investment return of 8% p.a., net of all charges but does not consider mortality, morbidity charges,
underwriting extra, if any, guarantee charges and cost of riders, if deducted by cancellation of units. It demonstrates the impact of charges exclusive of
taxes on the net yield. Please note that the mortality charges per thousand sum assured in general, increases with age.

The actual returns can vary depending on the performance of the chosen fund, charges towards mortality, morbidity, underwriting extra, cost of riders,
etc. The investment risk in this policy is borne by the policyholder, hence, for more details on terms and conditions please read sales literature carefully.

Part A of this statement presents a summary view of year-by-year charges deducted under the policy, fund value, surrender value and the death benefit,
at two assumed rates of return.
Part B of this statement presents a detailed break-up of the charges, and other values.

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Quotation Number:BB280922074156976
PART A
PART A : Year on Year summary of Charges deducted under the policy, fund value, surrender value and death benefit at two assumed rate of return.
Commission
Annualized
Policy Year Top-Up Premium At 4% p.a. Gross Investment Return At 8% p.a. Gross Investment Return payable to
Premium
intermediary#(Rs.)

Fund at End of Fund at End of

Mortality Charges Other Charges^ GST Surrender Value Death Benefit Mortality Charges Other Charges^ GST Surrender Value Death Benefit
Year Year

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

1 2,00,000 0 5,900 16,254 3,988 1,81,047 1,75,047 20,00,000 5,889 16,298 3,994 1,88,198 1,82,198 20,00,000 12,000

2 2,00,000 0 5,795 18,743 4,417 3,66,471 3,61,471 20,00,000 5,746 18,929 4,441 3,88,411 3,83,411 20,00,000 4,000

3 2,00,000 0 5,619 17,340 4,132 5,61,314 5,57,314 20,00,000 5,492 17,780 4,189 6,06,568 6,02,568 20,00,000 4,000

4 2,00,000 0 5,347 20,020 4,566 7,61,059 7,59,059 20,00,000 5,089 20,832 4,666 8,38,942 8,36,942 20,00,000 4,000

5 2,00,000 0 4,946 22,767 4,988 9,65,976 9,65,976 20,00,000 4,484 24,085 5,142 10,86,674 10,86,674 20,00,000 4,000

6 0 0 5,392 15,637 3,786 9,79,318 9,79,318 20,00,000 4,649 17,616 4,008 11,46,333 11,46,333 20,00,000 0

7 0 0 5,906 15,817 3,910 9,92,359 9,92,359 20,00,000 4,802 18,454 4,186 12,09,552 12,09,552 20,00,000 0

8 0 0 6,456 15,992 4,040 10,05,048 10,05,048 20,00,000 4,899 19,342 4,364 12,76,624 12,76,624 20,00,000 0

9 0 0 7,042 16,161 4,177 10,17,335 10,17,335 20,00,000 4,920 20,285 4,537 13,47,883 13,47,883 20,00,000 0

10 0 0 7,663 16,325 4,317 10,29,169 4,845 21,287 4,704 14,23,710 0

# Includes Top-Up Commission if any.

^See Part B for details

IN THIS POLICY, THE INVESTMENT RISK IS BORNE BY THE POLICYHOLDER AND THE ABOVE INTEREST RATES ARE ONLY FOR ILLUSTRATIVE PURPOSE.

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

(Accepted vide a declaration (Customer Declaration Form)

signed by him/her)
Place : _______________ _________________________________ Place : _______________ _________________________________
Date : 28-Sep-2022 Signature of Agent /Intermediary/Official Date : 28-Sep-2022 Signature of Prospect / Policyholder

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Quotation Number:BB280922074156976

PART B

PART B : Detailed break-up of the charges and other values.

Gross Yield 8.00%

Net Yield* 5.66%
Amount in Rupees

Annualized
Premium Premium- Additions to the
Annualized Top-Up Premium Policy Guarantee Fund at end
Policy Year (1) Allocation Charge Premium Mortality Charge GST & Cess(9) Rider Charges Fund Fund Before FMC FMC (2) Surrender Value(4) Death Benefit (3)
Premium (AP) Admin.Charge(2) Charge(2) of the Year
(PAC) (2) Allocation (if any)
Charges

1 2,00,000 0 12,000 1,85,840 5,889 3,994 2,400 0 0 0 1,90,438 1,898 1,88,198 1,82,198 20,00,000

2 2,00,000 0 12,000 1,85,840 5,746 4,441 2,400 0 0 0 3,93,755 4,529 3,88,411 3,83,411 20,00,000

3 2,00,000 0 8,000 1,90,560 5,492 4,189 2,400 0 0 0 6,15,276 7,380 6,06,568 6,02,568 20,00,000

4 2,00,000 0 8,000 1,90,560 5,089 4,666 2,400 0 0 0 8,51,252 10,432 8,38,942 8,36,942 20,00,000

5 2,00,000 0 8,000 1,90,560 4,484 5,142 2,400 0 0 0 11,02,822 13,685 10,86,674 10,86,674 20,00,000

6 0 0 0 0 4,649 4,008 2,400 0 0 0 11,64,288 15,216 11,46,333 11,46,333 20,00,000

7 0 0 0 0 4,802 4,186 2,400 0 0 0 12,28,496 16,054 12,09,552 12,09,552 20,00,000

8 0 0 0 0 4,899 4,364 2,400 0 0 0 12,96,616 16,942 12,76,624 12,76,624 20,00,000

9 0 0 0 0 4,920 4,537 2,400 0 0 0 13,68,987 17,885 13,47,883 13,47,883 20,00,000

10 0 0 0 0 4,845 4,704 2,400 0 0 0 14,45,997 18,887 14,23,710

* Top-Up Premiums & its Benefits are excluded from Net Yield Calculation.

1. Top-up (if any) is assumed to be paid at the end of the policy year.

2. Includes Top Up Charges, if any

3. Includes Top-Up Death Benefit if any.

4. Surrender Value is exclusive of Goods and Services Tax & Cess deductions applicable on the surrender charge.

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Quotation Number:BB280922074156976

Gross Yield 4.00%

Amount in Rupees

Annualized
Premium Premium- Additions to the
Annualized Top-Up Premium Mortality Policy Guarantee Fund at end
Policy Year (1) Allocation Charge Premium GST & Cess(9) Rider Charges Fund Fund Before FMC FMC (2) Surrender Value(4) Death Benefit (3)
Premium (AP) Charge(2) Admin.Charge(2) Charge(2) of the Year
(PAC) (2) Allocation (if any)
Charges

1 2,00,000 0 12,000 1,85,840 5,900 3,988 2,400 0 0 0 1,83,235 1,854 1,81,047 1,75,047 20,00,000

2 2,00,000 0 12,000 1,85,840 5,795 4,417 2,400 0 0 0 3,71,596 4,343 3,66,471 3,61,471 20,00,000

3 2,00,000 0 8,000 1,90,560 5,619 4,132 2,400 0 0 0 5,69,503 6,940 5,61,314 5,57,314 20,00,000

4 2,00,000 0 8,000 1,90,560 5,347 4,566 2,400 0 0 0 7,72,411 9,620 7,61,059 7,59,059 20,00,000

5 2,00,000 0 8,000 1,90,560 4,946 4,988 2,400 0 0 0 9,80,569 12,367 9,65,976 9,65,976 20,00,000

6 0 0 0 0 5,392 3,786 2,400 0 0 0 9,94,938 13,237 9,79,318 9,79,318 20,00,000

7 0 0 0 0 5,906 3,910 2,400 0 0 0 10,08,191 13,417 9,92,359 9,92,359 20,00,000

8 0 0 0 0 6,456 4,040 2,400 0 0 0 10,21,086 13,592 10,05,048 10,05,048 20,00,000

9 0 0 0 0 7,042 4,177 2,400 0 0 0 10,33,573 13,761 10,17,335 10,17,335 20,00,000

10 0 0 0 0 7,663 4,317 2,400 0 0 0 10,45,600 13,925 10,29,169

* Top-Up Premiums & its Benefits are excluded from Net Yield Calculation.

1. Top-up (if any) is assumed to be paid at the end of the policy year.

2. Includes Top Up Charges, if any

3. Includes Top-Up Death Benefit if any.

4. Surrender Value is exclusive of Goods and Services Tax & Cess deductions applicable on the surrender charge.

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 Quotation Number:BB280922074156976

Terms and Conditions:

1. This is a non-participating unit-linked endowment plan. The illustration stated is for a healthy individual and under the assumption that this is the
only policy the client has with Kotak Life Insurance and would be subject to underwriting.

2. The Maturity Benefit is the Fund Value at Maturity.

3. Death Benefit will be higher of Basic Sum Assured (less partial withdrawal made from Main Account during the two years preceding the date of
death) , or Fund Value, subject to minimum of 105% of all the premiums paid up to the date of death (less partial withdrawal made from Main
Account during the two years preceding the date of death).
In addition, higher of Top up Sum Assured or Fund Value of Top-Up Account, in respect of each Top-Up Premium (If any), subject to minimum of
105% of Top up premium paid up to the date of death will be payable.

4. In case a policy is discontinued during the first 5 years:

In case of discontinuance of Regular/Limited Premium Payment policies (due to non-payment of premium) during the lock-in period of 5 years, the
Fund Value of the policy after deduction of discontinuance charges will be credited to the Discontinued Policy Fund at the end of grace period. The
proceeds of the discontinued policy will be refunded only after completion of the lock-in period of five years or revival period (in case the option to
revive the policy is chosen) whichever is later, except in case of death where it will be paid out immediately. Return on the discontinued policy fund
will be subject to the minimum guaranteed interest rate declared by Insurance Regulatory and Development Authority of India (IRDAI) from time to
time.
The policyholder can revive the discontinued policy within three years from the date of discontinuance of policy as per the revival terms and
conditions. All benefits will be reinstated on revival subject to underwriting and other applicable terms & conditions. The outstanding premium paid
will be used to purchase units on the date of revival. On Revival policy administration charge and premium allocation charge will be deducted as
applicable during the discontinuance period and discontinuance charge will be added back to the fund.

5. In case a policy is discontinued after the first 5 years:

In case of discontinuance of Regular/Limited Premium Payment policies (due to non-payment of premium) after the lock-in period of 5 years, the
policy shall be converted into Reduced Paid-Up policy without rider cover, (if any) at the end of grace period, with Reduced Paid-Up Sum Assured
calculated as Original Sum Assured × Total Number of Premiums Paid divided by the Original Number of Premiums payable under the Policy.
Mortality Charges and Policy Administration Charges will be applicable in addition to Fund Management Charge.
The policyholder will have the option to either (i) revive the policy within the revival period of 3 years or (ii) opt for complete withdrawal from the
policy without any risk cover.
i. In case the Policyholder opts to revive the policy as mentioned under option(i) above, the policyholder can revive the discontinued policy within
three years from the date of discontinuance of policy. The policy will continue as a Reduced Paid–Up policy till the time revival is done, and the
Fund Value shall be payable to the policyholder at the end of revival period if the policyholder does not revive the policy within the revival period.
ii. In case the Policyholder opts for complete withdrawal as mentioned under option(ii) above, the Fund Value is payable immediately.
iii. In case the policyholder does not exercise any option as set above, the policy shall continue in reduced paid up status and the proceeds of the
policy fund shall be paid at the end of the revival period and the policy shall terminate.

6. The NAV is calculated on daily basis as.

(Market value of investment held by the fund + Value of any current assets - Value of any current liabilities & Provisions, if any)
Number of units existing on valuation date (before creation/ redemption of any units)

7. The above illustrated benefits are derived on the basis of details of life insured provided at the time of filling the proposal form. If the details are
found inaccurate or there are any changes before or at the time of the policy issuance for eg: change in age, the illustrated benefits will be subject
to revision.

8. The above fund allocations are based on the Investment Strategy and the Risk appetite (if applicable) selected by the Proposer, as applicable at
the inception of the policy.

9. Goods and Services Tax and Cess, as applicable, are levied, at the applicable Tax rates in accordance with the prevailing Tax Laws. Prevailing
tax laws are applicable on this policy which may vary from time to time.

10. The values shown are for illustrative purpose only. This illustration is not a contract of insurance and must be read in conjuction with the Product
Brochure and Policy Document.

11. If Riders are opted for, Rider charges are recovered from the fund and no additional premiums are payable for Unit Linked Riders.

12. If the Top-Up Premiums are paid, the policy's Maturity proceeds might not be eligible for exemption under Sec10(10d). Please consult your tax
advisor for details

13. The benefits illustrated assume that all premiums that are due over the premium paying term will be paid and no withdrawals will be made during
the policy term. In case premiums are not paid for the stipulated premium payment term at the original level or withdrawals are made during the
policy term, the illustrated benefits will differ. The illustration also assumes no change during the policy term in Investment Strategy or Risk
Appetite (if applicable) chosen at inception.

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14. Premium Allocation Rates and Mortality Rates, are guaranteed for the lifetime of the policy. All other charges may be altered during the lifetime of
the policy with prior approval from the IRDAI.

15. TDS at prevailing rate will be deducted from any amount paid under a life insurance policy subject to the provisions of prevailing tax laws. In case
of non-availability of valid PAN, TDS will be deducted at higher rate. Prevailing Tax laws are subject to changes from time to time. Kindly consult
your tax advisor for tax implication of your policy.

16. For more details on risk factors, terms and conditions please read the sales brochure carefully before concluding a sale.

Risk Factors

. Unit Linked Life Insurance products are different from the traditional insurance products and are subject to the risk factors.

. The premium paid in Unit Linked Life Insurance policies are subject to investment risks associated with capital markets and the NAVs of the units
may go up or down based on the performance of fund and factors influencing the capital market and the insured is responsible for his/her
decisions.

. Kotak Mahindra Life Insurance Company Ltd. is only the name of the Insurance Company and Kotak Ace Investment is only the name of the unit
linked life insurance contract and does not in any way indicate the quality of the contract, its future prospects or returns.

. The various funds offered under this contract are the names of the funds and do not in any way indicate the quality of these plans, their future
prospects and returns.

. Please know the associated risks and the applicable charges, from your Insurance Agent or Corporate Agent / Insurance Broker or policy
document of the insurer.

. The past performance of other Funds of the Company is not necessarily indicative of the future performance of the funds.

I, _____________________________(Name), have explained the I, Ms Mrs Mrs (Name), having received the information with respect to

premiums and benefits under the product fully to the prospect the above, have understood the above statement before entering into

/policyholder. the contract.

(Accepted vide a declaration (Customer

Declaration Form) signed by him/her)

Place :_____________ __________________________________ Place :_____________ __________________________________

Date : 28-Sep-2022 Signature of Agent /Intermediary/Official Date : 28-Sep-2022 Signature of Prospect/Policyholder

Kotak Mahindra Life Insurance Company Limited.

CIN: U66030MH2000PLC128503
Regd. Off: 8th Floor, Plot # C- 12, G- Block, BKC, Bandra (E), Mumbai - 400051
Regn. No: 107. Toll Free No.: 1800 209 8800. Website: https://www.kotaklife.com

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