Quotation No: 82890515

Bajaj Allianz Life eTouch Term

A Non-Linked, Non-Participating, Individual Life Insurance Term Plan

Name of the Prospect/ Policyholder: Hfjdjdndm djdjdj Name of the Product: Bajaj Allianz Life eTouch Term

Age (Years): 24 A Non-Linked, Non-Participating,

Tag Line:
Individual Life Insurance Term Plan
Name of the Life Assured: Hfjdjdndm djdjdj
Unique Identification Number: 116N172V01
Age (Years): 24
GST Rate(First Year): 18.0%
Policy Term (Years): 61
GST Rate(2nd Year onwards): 18.0%
Premium Payment Term (Years): 61
Tobacco User: No
Amount of Instalment Premium (Rs.) 19,239
Premium Category: Medical
Mode of Payment of Premium: Yearly

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

Policy Details

Variant Life Shield Sum Assured (Rs.) 2,00,00,000

Sum Assured on Death

Death Benefit Payment Option 85% Lumpsum payout and 15% in monthly installments 2,00,00,000
(at inception of the Policy) (Rs.)

Premium Holidays 0

Premium Summary

Base Plan Total installment Premium

Installment Premium without GST 19,173 19,173

Salary Rebate, If available 959 959

Insurance for All Discount, If available 911 911

Vaccination Discount, If available 1000 1000

Installment Premium without GST after Salary rebate

and Vaccination discount, if applicable (First Year 16,304 16,304
only)

Installment Premium with GST after Salary rebate

and Vaccination discount, if applicable (First Year 19,239 19,239
only)

Installment Premium with GST 2nd Year Onwards 22,625 22,625

Sum Assured on death will be payable as

Lump Sum Rs.17000000

Monthly Income Rs. 50000 for 60 months

Benefit Summary (Amount in Rupees)

Guaranteed Non Guaranteed
Policy Annualised
Year Premium Survival Maturity Death Accidental Death Guaranteed Surrender Value (GSVI/ Special Surrender
Benefit Benefit Benefit Benefit Early Exit Value Value (SSV

1 16,304 0 0 2,00,00,000 0 0 0

2 19,173 0 0 2,00,00,000 0 0 0

3 19,173 0 0 2,00,00,000 0 0 0

4 19,173 0 0 2,00,00,000 0 0 0

5 19,173 0 0 2,00,00,000 0 0 0
6 19,173 0 0 2,00,00,000 0 0 0

7 19,173 0 0 2,00,00,000 0 0 0

8 19,173 0 0 2,00,00,000 0 0 0

9 19,173 0 0 2,00,00,000 0 0 0

10 19,173 0 0 2,00,00,000 0 0 0

11 19,173 0 0 2,00,00,000 0 0 0

12 19,173 0 0 2,00,00,000 0 0 0

13 19,173 0 0 2,00,00,000 0 0 0

14 19,173 0 0 2,00,00,000 0 0 0

15 19,173 0 0 2,00,00,000 0 0 0

16 19,173 0 0 2,00,00,000 0 0 0

17 19,173 0 0 2,00,00,000 0 0 0

18 19,173 0 0 2,00,00,000 0 0 0

19 19,173 0 0 2,00,00,000 0 0 0

20 19,173 0 0 2,00,00,000 0 0 0

21 19,173 0 0 2,00,00,000 0 0 0

22 19,173 0 0 2,00,00,000 0 0 0

23 19,173 0 0 2,00,00,000 0 0 0

24 19,173 0 0 2,00,00,000 0 0 0

25 19,173 0 0 2,00,00,000 0 0 0

26 19,173 0 0 2,00,00,000 0 0 0

27 19,173 0 0 2,00,00,000 0 0 0

28 19,173 0 0 2,00,00,000 0 0 0

29 19,173 0 0 2,00,00,000 0 0 0

30 19,173 0 0 2,00,00,000 0 0 0

31 19,173 0 0 2,00,00,000 0 0 0

32 19,173 0 0 2,00,00,000 0 0 0

33 19,173 0 0 2,00,00,000 0 0 0

34 19,173 0 0 2,00,00,000 0 0 0

35 19,173 0 0 2,00,00,000 0 0 0

36 19,173 0 0 2,00,00,000 0 0 0

37 19,173 0 0 2,00,00,000 0 7,06,550 0

38 19,173 0 0 2,00,00,000 0 7,25,723 0

39 19,173 0 0 2,00,00,000 0 7,44,896 0

40 19,173 0 0 2,00,00,000 0 0 0

41 19,173 0 0 2,00,00,000 0 0 0

42 19,173 0 0 2,00,00,000 0 0 0

43 19,173 0 0 2,00,00,000 0 0 0

44 19,173 0 0 2,00,00,000 0 0 0

45 19,173 0 0 2,00,00,000 0 0 0

46 19,173 0 0 2,00,00,000 0 0 0

47 19,173 0 0 2,00,00,000 0 0 0

48 19,173 0 0 2,00,00,000 0 0 0
 49 19,173 0 0 2,00,00,000 0 0 0

50 19,173 0 0 2,00,00,000 0 0 0

51 19,173 0 0 2,00,00,000 0 0 0

52 19,173 0 0 2,00,00,000 0 0 0

53 19,173 0 0 2,00,00,000 0 0 0

54 19,173 0 0 2,00,00,000 0 0 0

55 19,173 0 0 2,00,00,000 0 0 0

56 19,173 0 0 2,00,00,000 0 0 0

57 19,173 0 0 2,00,00,000 0 0 0

58 19,173 0 0 2,00,00,000 0 0 0

59 19,173 0 0 2,00,00,000 0 0 0

60 19,173 0 0 2,00,00,000 0 0 0

61 19,173 0 0 2,00,00,000 0 0 0

Notes:

1. The main objective of this benefit illustration is that the policyholder is able to understand the features of the product and the nature of
benefits under different circumstances like survival, death & surrender.

2.
The above information must be read in conjunction with Sales Literature & Policy document. In case of any conflict between this benefit
illustration and your policy document, the latter shall prevail.

3. The Death Benefit is payable on the earlier occurrence of death or diagnosis of Terminal Illness of the Life Assured. On diagnosis of Terminal
Illness, maximum benefit payable is Rs 2 crores

4. The Annualised Premium is exclusive of taxes, underwriting extra premium and loadings for modal premiums if any

5. In case the Life Assured is diagnosed with Accidental Total Permanent Disability or Terminal Illness during the policy term, all future
premiums shall be waived

6. The benefits illustrated are as of at end of the yea

7. Early Exit value shall not be available if Life Stage Upgrade Sum Assured has been taken in the policy or Life Shield ROP variant has been
selected.
8. Premium Holidays can be exercised as per policy terms and conditions. Please refer to the Sales Literature or Policy Document for details

9.
Tax benefits under the policy will be as per the prevailing Income Tax laws. We recommend that you seek professional advice for
applicability of tax benefit on premiums paid and benefits received.

10. For any further clarification, contact our sales representative or e-mail us on customercare@bajajallianz.co.in

I, ___________________________(name), have explained the

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

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

Bajaj Allianz Life Insurance Company Limited

GE Plaza, Airport Road, Yerawada, Pune -411006
Tel:(020) 66026777; Fax:(020) 66026789
Email: life@bajajallianz.co.in
www.bajajallianz.com