Dear MR.

Client
We, at Tata AIA Life, believe in protecting your dreams at various stages of life without compromising on your basic needs through financial resources. You
do not have to think twice to live your dreams as they now come with guaranteed payouts.
We present to you,Tata AIA Life Guaranteed Return Insurance Plan to meets tomorrow's requirements along with protecting your loved ones and dreams
as it ensures you of guaranteed returns.
This plan helps you fulfill your medium to long term goals such as Child's Education/ Marriage or Retirement planning etc.

Key Features

1. Flexibility to choose Plan Option: Endowment, Regular Income or Whole Life Income
2. Receive Guaranteed benefits on Maturity or Death
3. Guaranteed Additions that boost corpus year on year under Endowment Option
4. Flexibility to cover your spouse in same policy under Whole Life Income Option
5. Choice of Policy Term with limited Premium Payment Term
6. Enhance your protection with optional Riders

For Premium Paying Term of 10 Year A Commission Of 30% In The First Year, 3% For Second Policy Year,1% From 3 Years To 5 Years , 1% Thereafter
Till End Of Premium Payment Term Will Be Payable. The Renewal Commission Rates May Be Revised, Without Any Intimation, In Line With Agreement
Between The Corporate Agent And Insurer, From Time To Time Within Approved Regulatory Limits.
(Prohibition of Rebates) Section 41 - of the Insurance Act, 1938 as amended from time to time: 1.No person shall allow or offer to allow, either directly or
indirectly, as an inducement to any person to take out or renew or continue an insurance in respect of any kind of risk relating to lives or property in India,
any rebate of the whole or part of the commission payable or any rebate of the premium shown on the policy, nor shall any person taking out or renewing or
continuing a policy accept any rebate, except such rebate as may be allowed in accordance with the published prospectuses or tables of the insurer. 2. Any
person making default in complying with the provisions of this section shall be liable for a penalty which may extend to ten lakh rupees.
Please read product brochure/ policy document for more details
I am red
Name of the Prospect / Policyholder: Client Proposal No: 11828997

Age (years) : 36 Gender:Male Name of the Product: Tata AIA Life Guaranteed
Return Insurance Plan
Name of the Life Assured 1 : Client Tag Line : Individual, Non-Linked Non-Participating
Life Insurance Savings Plan
Age (years) : 36 Gender:Male
Unique Identification No.: 110N152V11
Name of the Life Assured 2 : NA
I GST Rate: 4.5% for first year
Age (years) : am
NA Gender:NA red I am red 2.25% second year onwards

Policy Term (years) : 20 I am red I am red

Premium Payment Term (years) : 10 I am red I am red

Amount of Instalment Premium (Rs.): 104500 I am red I am red

Mode of Payment of Premium : Annual I am red I am red

I am red I am red

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

Policy Details
Basic Sum Assured (First Death) Rs. 1450000
Policy Option Endowment
Basic Sum Assured (Second Death, if any) Rs. NA

Sum Assured on First Death (at inception of the policy) Rs. 1450000
Guaranteed Annual Income (GAI)* NA
Sum Assured on Second Death, if any (at inception of the policy) Rs. NA

Rider Details

Tata AIA Vitality

(Wellness No
Program)

Details of Life
Rider Name/UIN^ Insured/Partner under the Benefit Payout
Benefit Option Return of Benefit Premium Sum Premium p.a. Year 1
(Benefit
premium Option Payment Assured without GST Discount
Option/Benefit Income
Lumpsum Income option Term Term (Rs.) (Rs.) (Rs.)
Payout Option) Name Age(yrs) Gender Duration
(Rs.) p.a.(Rs.)
(yrs)

Premium Summary

I am red Base Plan Riders Total Instalment Premium

Instalment Premium without GST (Rs.) 100000 0 100000

Instalment Premium with First year GST (Rs.) 104500 0 104500

Instalment Premium post applicable discount with First year GST (Rs.) 104500 0 104500

Instalment Premium with GST 2nd year onwards (Rs.) 102250 0 102250
 (Amount in Rupees)
Guaranteed Non - Guaranteed
Other Benefits,
Survival Benefit if any Death
Policy Single/ Annualized Death
/ (Guaranteed Benefit
Year Premium Maturity Benefit Min Guaranteed Special Surrender
Accrued Maturity (Second
Benefit (First Surrender Value Value
Guaranteed Benefit/ Death, if
Death)
Additions Guaranteed any)
Annual Income)
1 100000 63500 0 0 1450000 NA 0 0

2 100000 127000 0 0 1513500 NA 63683 66675

3 100000 190500 0 0 1577000 NA 113128 116840

4 100000 254000 0 0 1640500 NA 213335 174625

5 100000 317500 0 0 1704000 NA 269558 240030

6 100000 381000 0 0 1767500 NA 326670 313055

7 100000 444500 0 0 1831000 NA 385052 406400

8 100000 508000 0 0 1894500 NA 468895 511175

9 100000 571500 0 0 1958000 NA 569388 627380

10 100000 635000 0 0 2021500 NA 669152 755015

11 0 698500 0 0 2085000 NA 713820 857250

12 0 762000 0 0 2148500 NA 771283 964565

13 0 825500 0 0 2212000 NA 821158 1097280

14 0 889000 0 0 2275500 NA 873637 1236345

15 0 952500 0 0 2339000 NA 938910 1381760

16 0 1016000 0 0 2402500 NA 998120 1555750

17 0 1079500 0 0 2466000 NA 1061648 1737360

18 0 1143000 0 0 2529500 NA 1139875 1973580

19 0 1206500 0 0 2593000 NA 1213182 2195830

20 0 1270000 1270000 2540000 2656500 NA 0 0

Note: Annualized premium excludes underwriting extra premium, frequency loadings on premiums, the premium paid towards the riders, if any, and Goods and
Services Tax.

*Under Option III: The policyholder shall also be given the option to receive the Guaranteed Annual Income (GAI) on a monthly basis. This option has to be
chosen at inception and cannot be altered once chosen. The GAI illustrated above is the total amount payable in a year on selection of monthly mode and 1/12th
of this amount will be payable monthly.

Income Tax benefits would be available as per the prevailing income tax laws, subject to fulfillment of conditions stipulated therein. Tata AIA Life Insurance
Company Ltd. does not assume responsibility on tax implication mentioned anywhere in this document. Please consult your own tax consultant to know the tax
benefits available to you.

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

Place: I am red
Date: Signature of Agent/ Intermediary/ Official Date: Signature of Prospect/ Policyholder

Unique Reference Number - L&C/Advt/2022/Jun/1085 (Rider- L&C/Advt/2022/Sep/2271)

Tata AIA Life Insurance Company Ltd. (IRDA of India Regn No. 110) (CIN: U66010MH2000PLC128403)
Registered and Corporate Office: 14th Floor, Tower A, Peninsula Business Park, Senapati Bapat Marg, Lower Parel, Mumbai- 400013
Trade logo displayed above belongs to Tata Sons Ltd and AIA Group Ltd. and is used by Tata AIA Life Insurance Company Ltd under a license.
For more information, Call the Tata AIA Life Insurance Company Ltd Helpline number1860-266-9966 (local charges apply) or Visit us at: www.tataaia.com

(I)V.99.00/FY2023-2024_Q1/RELEASE 01-04-23/EXPIRY 30-06-2023 004753082ICGRIPSLVBN1 30-05-2023,03:21 PM