Dear uttam pal,

All in all, these solutions w ill cater to your protection, w ealth and health protection needs. At Tata AIA Life Insurance, w e are committed to help you w ith solutions
that w ill provide Param Rakshakaran to your family so that you can enjoy life w ithout any w orries.
Best W ishes
Tata AIA Life Insurance Company Limited
Param Rakshak solution comprises of Tata AIA Life Insurance Smart Sampoorna Raksha and Tata AIA Vitality Protect Plus
Param Rakshak Plus solution comprises of Tata AIA Life Insurance Smart Sampoorna Raksha, Tata AIA Vitality Protect Plus and Tata AIA Vitality Health Plus
Tata AIA Life Insurance Smart Sampoorna Raksha,A Unit-linked, Non-participating, Individual Life Insurance Plan for Savings and Protection
(UIN:110L156V02); Tata AIA Vitality Protect Plus, A Non-linked, Non-participating, Individual Health Rider (UIN: 110A048V01) and Tata AIA Vitality Health Plus, A
Non-linked, Non-participating, Individual Health Rider (UIN: 110A047V01).
* Tata AIA Vitality:: A W ellness Program that offers you an upfront discount at policy inception. You can also earn premium discount / cover booster (as
applicable) for subsequent years on policy anniversary basis your Vitality Status (tracked on Vitality app)
Disclaimers: : THE LINKED INSURANCE PRODUCT DO NOT OFFER ANY LIQUIDITY DURING THE FIRST FIVE YEARS OF THE CONTRACT. THE POLICY HOLDER
W ILL NOT BE ABLE TO SURRENDER/W ITHDRAW THE MONIES INVESTED IN LINKED INSURANCE PRODUCTS COMPLETELY OR PARTIALLY TILL THE END OF THE
FIFTH YEAR. For more details please refer to the customized benefit illustration and terms & conditions of the product. In case of any inconsistency betw een this
letter and policy document, the policy document shall alw ays prevail. Vitality is a trademark licensed to Tata AIA Life by Amplify Health Assets PTE. Limited, a joint
venture betw een Vitality Group International, INC. and AIA Company Limited. The assessment under the w ellness program shall not be considered as a medical
advice or a substitute to a consultation/treatment by aprofessional medical practitioner. All investments made by the Company are subject to market risks. The
Company does not guarantee any assured returns. The investment income and price may go dow n as w ell as up depending on several factors influencing the
market. Please know the associated risks and the applicable charges, from your Insurance Agent or the Intermediary or Policy Document issued by the Insurance
Company.Please make your ow n independent decision after consulting your financial or other professional advisor. The performance of the managed portfolios and
funds is not guaranteed and the value may increase or decrease in accordance w ith the future experience of the managed portfolios and funds.The solutions are
underw ritten by Tata AIA Life Insurance Company Limited.

The solutions are not guaranteed issuance solutions and it w ill be subject to Company’s underw riting and acceptance.Buying a Life Insurance Policy is a long-term
commitment.An early termination of the policy usually involves high costs and the surrender value payable may be less than all the premium paid.Unit Linked Life
Insurance products are different from traditional insurance products and are subject to risk factors.The fund is managed by Tata AIA Life Insurance Company Ltd.
(hereinafter the “Company”). Tata AIA Life Insurance Company Limited is only the name of the Insurance Company & Tata AIA Life Insurance Smart Sampoorna
Raksha is only the name of the Unit Linked Life Insurance contract and does not in any w ay indicate the quality of the contract, its future prospects or
returns.Various funds offered under this contract are the names of the funds and do not in any w ay indicate the quality of these plans, their future prospects and
returns.Premium paid in Unit Linked Life Insurance policies are subject to investment risks associated w ith capital markets and the NAVs of the units may go up or
dow n based on the performance of fund and factors influencing the capital market and the insured is responsible for his/her decisions. Past performance is not
indicative of future performance.Returns are calculated on an absolute basis for a period of less than (or equal to) a year, w ith reinvestment of dividends(if any).
Life insurance cover is available under the solution.For details on products, associated risk factors, terms and conditions please read Sales Brochure carefully before
concluding a sale. The precise terms and condition of this plan are specified in the Policy Contract. • L& C/Advt/2022/Oct/2547.

Tata AIA Life Insurance Company Limited (IRDAI Regn. No.110) CIN: U66010MH2000PLC128403. Registered & Corporate Office: 14th Floor, Tow er A,
Peninsula Business Park, Senapati Bapat Marg, Low er 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 any information including cancellation, claims and complaints, please contact our Insurance Advisor /
Intermediary or visit Tata AIA Life’s nearest branch office or call 1-860-266-9966 (local charges apply) or w rite to us at customercare@tataaia.com.Visit us at:
www.tataaia.com.

BEWARE OF SPURIOUS PHONE CALLS AND IRDAI is not involved in activities like selling insurance policies, announcing bonus or investment of premiums.Public
FICTITIOUS / FRAUDULENT OFFERS receiving suchphone calls are requested to lodge a police complaint
 BENEFIT ILLUSTRATION
Tata AIA Life Insurance Smart Sampoorna Raksha
Proposal No: U163982586

Name of the Prospect / Policyholder: uttam pal Name of the Product: Tata AIA Life Insurance Smart Sampoorna Raksha
Age (yrs) : 32 Tag Line : Unit-linked, Non-participating, Individual Linked Non-Participating Life Insurance Savings Plan
Name of the Life Assured : uttam pal Unique Identification No.: 110L156V02
Age (yrs) : 32 GST Rate: 18.0%
Sum Assured (Rs.): 100,00,000 Investment Strategy Opted for: NIL
Policy Term (yrs): 40 Funds opted for along with their risk level
Premium Payment Term (yrs): 12 Fund Name A llocation Percentage Risk Profile
Amount of Instalment Premium (Rs.): 6,033 Large Cap Equity Fund (ULIF 017 07/01/08 TLC 110) 10% High
Whole Life Mid-cap Equity Fund (ULIF 009 04/01/07 WLE 110) 10% High
Mode of Payment of Premium : Monthly
Whole Life Aggressive Growth Fund (ULIF 010 04/01/07 WLA 110) 10% Medium to High
Whole Life Stable Growth Fund (ULIF 011 04/01/07 WLS 110) 0%
Whole Life Income Fund (ULIF 012 04/01/07 WLI 110) 0%
Whole Life Short Term Fixed Income Fund (ULIF 013 04/01/07 WLF 110) 0%
Multi Cap Fund (ULIF 060 15/07/14 MCF 110) 50% High
India Consumption Fund (ULIF 061 15/07/14 ICF 110) 0%
Super Select Equity Fund (ULIF 035 16/10/09 TSS 110) 0%
Top 50 Fund (ULIF 026 12/01/09 ITF 110) 10% High
Top 200 fund (ULIF 027 12/01/09 ITT 110) 10% High
Emerging Opportunities Fund (ULIF 064 12/09/22 EOF 110) 0%
Sustainable Equity Fund (ULIF 065 12/09/22 ESG 110) 0%
Dynamic Advantage Fund (ULIF 066 12/09/22 DAF 110) 0%

Rider Details
Wellness Programme Yes Utilization of rewards (if Wellness program opted) Premium Discount
Details of Life
Rider Name/UIN^ (Benefit Insured/Partner under the Benefit Payout
Option/Benefit Payout Option) Benefit Option Return of Benefit Premium Sum Premium p.a. Year 1
premium Option Payment A ssured without GST Discount
Lumpsum Income Income Option Term Term (Rs.) (Rs.) (Rs.)
Name A ge(yrs) Gender (Rs.) p.a. Duration
(Rs.) (yrs)
VPP - Accidental Death (Lumpsum
uttam pal 32 Male 5000000 0 0 No 40 12 5000000 4550 240
Benefit) UIN:110A047V01
VPP - Accidental Total & Permanent
Disability (Lumpsum Benefit) uttam pal 32 Male 5000000 0 0 No 40 12 5000000 2750 144
UIN:110A047V01

^VPP - Tata AIA Vitality Health Plus, (A Non - linked, Non - participating, Individual Health Rider, UIN: 110A047V01)

Premium Summary
Base Plan Riders Total Instalment Premium
Instalment Premium without GST (Rs.) 5,272 645 5,917
Instalment Premium with First year GST (Rs.) 5,272 761 6,033
Instalment Premium post applicable discount with First year GST (Rs.) 5,272 724 5,996
Instalment Premium with GST 2nd year onwards (Rs.) 5,272 761 6,033
Discount applicable and Installment Premium payable 2nd year onwards will depend on the Wellness status of the Insured

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 and 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.
Some benefits are guaranteed and some benefits are variable with returns based on the future performance of your insurer carrying on life insurance business. If your policy offers guaranteed benefits
then these will be clearly marked "guaranteed" in the illustration table on this page. If your policy offers variable benefits then the illustration on this page will show two different rates of assumed future
investment returns, of 8% p.a. and 4% p.a. These assumed rates of return are not guaranteed and they are not the upper or lower limits of what you might get back, as the value of your policy is
dependant on a number of factors including future investment performance.
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.
BENEFIT ILLUSTRATION
Tata AIA Life Insurance Smart Sampoorna Raksha
Part A
(Amount in Rupees)
At 4% p.a. Gross Investment Return At 8% p.a. Gross Investment Return Commission
Annualized Mortality, Mortality, payable to
Policy Year Other Fund at End Surrender Other Fund at End Surrender
Premium Morbidity GST Death Benefit Morbidity GST Death Benefit intermediary
Charges* of Year Value Charges* of Year Value (Rs.)
Charges Charges
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 63,291 8,783 7,879 2,999 44,546 41,392 100,00,000 8,783 7,883 3,000 45,472 42,253 100,00,000 0
2 63,291 9,111 4,647 2,476 94,376 91,389 100,00,000 9,109 4,675 2,481 98,134 95,147 100,00,000 0
3 63,291 9,515 4,618 2,544 1,45,750 1,43,510 100,00,000 9,509 4,693 2,556 1,54,500 1,52,259 100,00,000 0
4 63,291 9,979 3,980 2,512 1,99,392 1,97,898 100,00,000 9,967 4,129 2,537 2,15,511 2,14,017 100,00,000 0
5 63,291 10,527 5,830 2,944 2,52,290 2,52,290 100,00,000 10,505 6,083 2,986 2,78,341 2,78,341 100,00,000 0
6 63,291 11,152 6,619 3,199 3,05,604 3,05,604 100,00,000 11,115 7,008 3,262 3,44,316 3,44,316 100,00,000 0
7 63,291 11,866 7,419 3,471 3,59,226 3,59,226 100,00,000 11,810 7,978 3,562 4,13,526 4,13,526 100,00,000 0
8 63,291 12,669 8,231 3,762 4,13,049 4,13,049 100,00,000 12,587 8,996 3,885 4,86,073 4,86,073 100,00,000 0
9 63,291 13,567 9,053 4,072 4,66,955 4,66,955 100,00,000 13,450 10,062 4,232 5,62,057 5,62,057 100,00,000 0
10 63,291 14,575 9,884 4,403 5,35,985 5,35,985 100,00,000 14,412 11,179 4,606 6,56,751 6,56,751 100,00,000 0
11 63,291 15,683 11,003 4,803 6,15,392 6,15,392 100,00,000 15,459 12,634 5,057 7,66,563 7,66,563 100,00,000 0
12 63,291 16,932 12,163 5,237 6,94,475 6,94,475 100,00,000 16,630 14,189 5,547 8,81,228 8,81,228 100,00,000 0
13 0 18,430 12,917 5,642 7,07,674 7,07,674 100,00,000 18,025 15,395 6,016 9,34,193 9,34,193 100,00,000 0
14 0 20,243 13,296 6,037 7,15,909 7,15,909 100,00,000 19,707 16,269 6,475 9,85,410 9,85,410 100,00,000 0
15 0 22,359 13,625 6,477 7,22,644 7,22,644 100,00,000 21,659 17,131 6,982 10,38,382 10,38,382 100,00,000 0
16 0 24,829 13,945 6,979 7,27,554 7,27,554 100,00,000 23,924 18,024 7,551 10,92,973 10,92,973 100,00,000 0
17 0 27,701 14,255 7,552 7,30,281 7,30,281 100,00,000 26,537 18,949 8,187 11,49,024 11,49,024 100,00,000 0
18 0 31,002 14,549 8,199 7,30,420 7,30,420 100,00,000 29,515 19,903 8,895 12,06,334 12,06,334 100,00,000 0
19 0 34,751 14,659 8,894 7,27,741 7,27,741 100,00,000 32,863 20,720 9,645 12,64,899 12,64,899 100,00,000 0
20 0 38,943 14,605 9,639 7,22,018 7,22,018 100,00,000 36,563 21,424 10,438 13,24,728 13,24,728 100,00,000 0
21 0 43,531 14,513 10,448 7,12,903 7,12,903 100,00,000 40,556 22,142 11,286 13,85,725 13,85,725 100,00,000 0
22 0 48,481 14,379 11,315 7,00,163 7,00,163 100,00,000 44,794 22,874 12,180 14,47,916 14,47,916 100,00,000 0
23 0 53,723 14,201 12,226 6,83,857 6,83,857 100,00,000 49,198 23,622 13,107 15,11,639 15,11,639 100,00,000 0
24 0 59,200 13,982 13,173 6,64,250 6,64,250 100,00,000 53,699 24,391 14,056 15,77,464 15,77,464 100,00,000 0
25 0 64,853 13,725 14,144 6,41,663 6,41,663 100,00,000 58,229 25,189 15,015 16,46,053 16,46,053 100,00,000 0
26 0 70,663 13,435 15,138 6,16,550 6,16,550 100,00,000 62,756 26,025 15,980 17,18,230 17,18,230 100,00,000 0
27 0 76,624 13,117 16,153 5,89,476 5,89,476 100,00,000 67,255 26,909 16,949 17,94,980 17,94,980 100,00,000 0
28 0 82,758 12,780 17,197 5,61,054 5,61,054 100,00,000 71,730 27,853 17,925 18,77,380 18,77,380 100,00,000 0
29 0 89,153 12,428 18,284 5,31,841 5,31,841 100,00,000 76,231 28,871 18,918 19,66,526 19,66,526 100,00,000 0
30 0 95,895 12,070 19,434 5,02,300 5,02,300 100,00,000 80,805 29,976 19,941 20,63,492 20,63,492 100,00,000 0
31 0 1,02,821 12,040 20,675 5,13,845 5,13,845 100,00,000 85,531 31,179 21,008 21,69,204 21,69,204 100,00,000 0
32 0 1,10,019 12,326 22,022 5,40,171 5,40,171 100,00,000 90,477 32,491 22,134 22,84,464 22,84,464 100,00,000 0
33 0 1,17,856 12,671 23,495 5,70,680 5,70,680 100,00,000 95,729 33,920 23,337 24,09,862 24,09,862 100,00,000 0
34 0 1,26,477 13,071 25,119 6,05,908 6,05,908 100,00,000 1,01,354 35,472 24,629 25,45,799 25,45,799 100,00,000 0
35 0 1,36,017 13,532 26,919 6,46,496 6,46,496 100,00,000 1,07,413 37,151 26,021 26,92,490 26,92,490 100,00,000 0
36 0 1,46,597 14,063 28,919 6,93,205 6,93,205 100,00,000 1,13,947 38,959 27,523 28,50,046 28,50,046 100,00,000 0
37 0 1,58,327 14,674 31,140 7,46,941 7,46,941 100,00,000 1,20,982 40,897 29,138 30,18,504 30,18,504 100,00,000 0
38 0 1,71,285 15,378 33,599 8,08,784 8,08,784 100,00,000 1,28,512 42,965 30,866 31,97,915 31,97,915 100,00,000 0
39 0 1,85,557 16,190 36,314 8,80,017 8,80,017 100,00,000 1,36,529 45,164 32,705 33,88,451 33,88,451 100,00,000 0
40 0 2,01,179 17,126 39,295 9,62,177 9,62,177 100,00,000 1,42,594 48,786 34,448 37,12,874 37,12,874 100,00,000 0

*Other charges includes Premium Allocation Charge, Policy Admin Charge, Fund Management Charge and Rider Charges, 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 explained the premiums, charges and benefits under the I ............ (name), having received the information with respect to the above, have understood the
policy fully to the prospect / policyholder. above statement before entering into the contract.

Place:

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

BENEFIT ILLUSTRATION
Tata AIA Life Insurance Smart Sampoorna Raksha
Part B
Gross Yield 8% p.a Net Yield 7.93% Amount in Rupees
Annualized
Premium
Annualized Premium —
Allocation Mortality Policy Admin Guarantee Rider Additions to Fund before Fund at End Surrender Death
Policy Year Premium Premium GST FMC
Charge charge Charge Charge Charges the Fund* FMC of Year Value Benefit
(AP) Allocation
(PAC)
Charges
1 63,291 7,592 55,699 8,783 3,000 0 0 0 0 45,526 291 45,472 42,253 100,00,000
2 63,291 3,796 59,495 9,109 2,481 0 0 0 0 98,249 878 98,134 95,147 100,00,000
3 63,291 3,163 60,128 9,509 2,556 0 0 0 0 1,54,681 1,529 1,54,500 1,52,259 100,00,000
4 63,291 1,898 61,393 9,967 2,537 0 0 0 0 2,15,763 2,231 2,15,511 2,14,017 100,00,000
5 63,291 0 63,291 10,505 2,986 3,114 0 0 0 2,78,667 2,969 2,78,341 2,78,341 100,00,000
6 63,291 0 63,291 11,115 3,262 3,270 0 0 0 3,44,719 3,738 3,44,316 3,44,316 100,00,000
7 63,291 0 63,291 11,810 3,562 3,433 0 0 0 4,14,011 4,544 4,13,526 4,13,526 100,00,000
8 63,291 0 63,291 12,587 3,885 3,605 0 0 0 4,86,643 5,390 4,86,073 4,86,073 100,00,000
9 63,291 0 63,291 13,450 4,232 3,785 0 0 0 5,62,715 6,277 5,62,057 5,62,057 100,00,000
10 63,291 0 63,291 14,412 4,606 3,974 0 0 15,183 6,42,320 7,204 6,56,751 6,56,751 100,00,000
11 63,291 0 63,291 15,459 5,057 4,173 0 0 25,157 7,58,398 8,460 7,66,563 7,66,563 100,00,000
12 63,291 0 63,291 16,630 5,547 4,382 0 0 24,544 8,74,410 9,807 8,81,228 8,81,228 100,00,000
13 0 0 0 18,025 6,016 4,601 0 0 22,814 9,29,905 10,794 9,34,193 9,34,193 100,00,000
14 0 0 0 19,707 6,475 4,831 0 0 19,934 9,84,906 11,437 9,85,410 9,85,410 100,00,000
15 0 0 0 21,659 6,982 5,072 0 0 21,011 10,37,850 12,058 10,38,382 10,38,382 100,00,000
16 0 0 0 23,924 7,551 5,326 0 0 22,231 10,92,404 12,698 10,92,973 10,92,973 100,00,000
17 0 0 0 26,537 8,187 5,592 0 0 23,621 11,48,405 13,356 11,49,024 11,49,024 100,00,000
18 0 0 0 29,515 8,895 5,872 0 0 25,173 12,05,655 14,031 12,06,334 12,06,334 100,00,000
19 0 0 0 32,863 9,645 6,000 0 0 26,899 12,64,145 14,720 12,64,899 12,64,899 100,00,000
20 0 0 0 36,563 10,438 6,000 0 0 28,823 13,23,885 15,424 13,24,728 13,24,728 100,00,000
21 0 0 0 40,556 11,286 6,000 0 0 30,919 13,84,782 16,142 13,85,725 13,85,725 100,00,000
22 0 0 0 44,794 12,180 6,000 0 0 33,259 14,46,853 16,874 14,47,916 14,47,916 100,00,000
23 0 0 0 49,198 13,107 6,000 0 0 36,049 15,10,409 17,622 15,11,639 15,11,639 100,00,000
24 0 0 0 53,699 14,056 6,000 0 0 39,413 15,76,033 18,391 15,77,464 15,77,464 100,00,000
25 0 0 0 58,229 15,015 6,000 0 0 43,318 16,44,377 19,189 16,46,053 16,46,053 100,00,000
26 0 0 0 62,756 15,980 6,000 0 0 47,848 17,16,263 20,024 17,18,230 17,18,230 100,00,000
27 0 0 0 67,255 16,949 6,000 0 0 53,075 17,92,668 20,908 17,94,980 17,94,980 100,00,000
28 0 0 0 71,730 17,925 6,000 0 0 59,030 18,74,670 21,853 18,77,380 18,77,380 100,00,000
29 0 0 0 76,231 18,918 6,000 0 0 65,725 19,63,363 22,871 19,66,526 19,66,526 100,00,000
30 0 0 0 80,805 19,941 6,000 0 0 73,126 20,59,828 23,976 20,63,492 20,63,492 100,00,000
31 0 0 0 85,531 21,008 6,000 0 0 81,111 21,65,000 25,179 21,69,204 21,69,204 100,00,000
32 0 0 0 90,477 22,134 6,000 0 0 89,587 22,79,691 26,491 22,84,464 22,84,464 100,00,000
33 0 0 0 95,729 23,337 6,000 0 0 98,396 24,04,504 27,920 24,09,862 24,09,862 100,00,000
34 0 0 0 1,01,354 24,629 6,000 0 0 1,07,398 25,39,853 29,472 25,45,799 25,45,799 100,00,000
35 0 0 0 1,07,413 26,021 6,000 0 0 1,16,459 26,85,965 31,151 26,92,490 26,92,490 100,00,000
36 0 0 0 1,13,947 27,523 6,000 0 0 1,25,511 28,42,955 32,959 28,50,046 28,50,046 100,00,000
37 0 0 0 1,20,982 29,138 6,000 0 0 1,34,511 30,10,866 34,896 30,18,504 30,18,504 100,00,000
38 0 0 0 1,28,512 30,866 6,000 0 0 1,43,459 31,89,748 36,964 31,97,915 31,97,915 100,00,000
39 0 0 0 1,36,529 32,705 6,000 0 0 1,52,462 33,79,765 39,163 33,88,451 33,88,451 100,00,000
40 0 0 0 1,42,594 34,448 6,000 0 0 2,74,427 37,03,816 42,786 37,12,874 37,12,874 100,00,000
 Gross Yield 4% p.a Amount in Rupees
Annualized
Annualized Premium Premium —
Allocation Mortality Policy Admin Guarantee Rider Additions to Fund before Fund at End Surrender Death
Policy Year Premium Premium GST FMC
Charge charge Charge Charge Charges the Fund* FMC of Year Value Benefit
(AP) Allocation
(PAC)
Charges
1 63,291 7,592 55,699 8,783 2,999 0 0 0 0 44,598 286 44,546 41,392 100,00,000
2 63,291 3,796 59,495 9,111 2,476 0 0 0 0 94,487 851 94,376 91,389 100,00,000
3 63,291 3,163 60,128 9,515 2,544 0 0 0 0 1,45,921 1,455 1,45,750 1,43,510 100,00,000
4 63,291 1,898 61,393 9,979 2,512 0 0 0 0 1,99,625 2,081 1,99,392 1,97,898 100,00,000
5 63,291 0 63,291 10,527 2,944 3,114 0 0 0 2,52,586 2,716 2,52,290 2,52,290 100,00,000
6 63,291 0 63,291 11,152 3,199 3,270 0 0 0 3,05,962 3,348 3,05,604 3,05,604 100,00,000
7 63,291 0 63,291 11,866 3,471 3,433 0 0 0 3,59,647 3,986 3,59,226 3,59,226 100,00,000
8 63,291 0 63,291 12,669 3,762 3,605 0 0 0 4,13,533 4,626 4,13,049 4,13,049 100,00,000
9 63,291 0 63,291 13,567 4,072 3,785 0 0 0 4,67,502 5,267 4,66,955 4,66,955 100,00,000
10 63,291 0 63,291 14,575 4,403 3,974 0 0 15,183 5,21,412 5,909 5,35,985 5,35,985 100,00,000
11 63,291 0 63,291 15,683 4,803 4,173 0 0 25,158 6,07,049 6,830 6,15,392 6,15,392 100,00,000
12 63,291 0 63,291 16,932 5,237 4,382 0 0 24,548 6,87,438 7,781 6,94,475 6,94,475 100,00,000
13 0 0 0 18,430 5,642 4,601 0 0 22,825 7,03,119 8,316 7,07,674 7,07,674 100,00,000
14 0 0 0 20,243 6,037 4,831 0 0 19,958 7,15,087 8,464 7,15,909 7,15,909 100,00,000
15 0 0 0 22,359 6,477 5,072 0 0 21,055 7,21,738 8,552 7,22,644 7,22,644 100,00,000
16 0 0 0 24,829 6,979 5,326 0 0 22,303 7,26,550 8,619 7,27,554 7,27,554 100,00,000
17 0 0 0 27,701 7,552 5,592 0 0 23,733 7,29,162 8,662 7,30,281 7,30,281 100,00,000
18 0 0 0 31,002 8,199 5,872 0 0 25,338 7,29,167 8,676 7,30,420 7,30,420 100,00,000
19 0 0 0 34,751 8,894 6,000 0 0 27,134 7,26,336 8,658 7,27,741 7,27,741 100,00,000
20 0 0 0 38,943 9,639 6,000 0 0 29,150 7,20,439 8,605 7,22,018 7,22,018 100,00,000
21 0 0 0 43,531 10,448 6,000 0 0 31,366 7,11,131 8,513 7,12,903 7,12,903 100,00,000
22 0 0 0 48,481 11,315 6,000 0 0 33,865 6,98,168 8,378 7,00,163 7,00,163 100,00,000
23 0 0 0 53,723 12,226 6,000 0 0 36,861 6,81,584 8,200 6,83,857 6,83,857 100,00,000
24 0 0 0 59,200 13,173 6,000 0 0 40,485 6,61,652 7,981 6,64,250 6,64,250 100,00,000
25 0 0 0 64,853 14,144 6,000 0 0 44,718 6,38,686 7,724 6,41,663 6,41,663 100,00,000
26 0 0 0 70,663 15,138 6,000 0 0 49,659 6,13,130 7,434 6,16,550 6,16,550 100,00,000
27 0 0 0 76,624 16,153 6,000 0 0 55,403 5,85,545 7,117 5,89,476 5,89,476 100,00,000
28 0 0 0 82,758 17,197 6,000 0 0 62,005 5,56,538 6,779 5,61,054 5,61,054 100,00,000
29 0 0 0 89,153 18,284 6,000 0 0 69,501 5,26,665 6,428 5,31,841 5,31,841 100,00,000
30 0 0 0 95,895 19,434 6,000 0 0 77,887 4,96,389 6,069 5,02,300 5,02,300 100,00,000
31 0 0 0 1,02,821 20,675 6,000 0 0 1,27,207 5,05,462 6,040 5,13,845 5,13,845 100,00,000
32 0 0 0 1,10,019 22,022 6,000 0 0 1,49,878 5,31,086 6,326 5,40,171 5,40,171 100,00,000
33 0 0 0 1,17,856 23,495 6,000 0 0 1,62,580 5,60,834 6,671 5,70,680 5,70,680 100,00,000
34 0 0 0 1,26,477 25,119 6,000 0 0 1,76,630 5,95,231 7,070 6,05,908 6,05,908 100,00,000
35 0 0 0 1,36,017 26,919 6,000 0 0 1,92,274 6,34,904 7,531 6,46,496 6,46,496 100,00,000
36 0 0 0 1,46,597 28,919 6,000 0 0 2,09,758 6,80,600 8,062 6,93,205 6,93,205 100,00,000
37 0 0 0 1,58,327 31,140 6,000 0 0 2,29,337 7,33,215 8,673 7,46,941 7,46,941 100,00,000
38 0 0 0 1,71,285 33,599 6,000 0 0 2,51,247 7,93,818 9,378 8,08,784 8,08,784 100,00,000
39 0 0 0 1,85,557 36,314 6,000 0 0 2,75,767 8,63,686 10,189 8,80,017 8,80,017 100,00,000
40 0 0 0 2,01,179 39,295 6,000 0 0 3,03,150 9,44,349 11,126 9,62,177 9,62,177 100,00,000

Notes:
1. Refer the sales literature for explanation of terms used in this illustration.
2. Fund management charge is based on the specific fund option(s) chosen.
3. *Additions to the Fund refers to the periodic additions through A) Refund of 2X Mortality Charges, B) Refund of 2X Premium Allocation Charges and C) Cover Continuance Booster.

The rider sum assured shall remain unchanged for a period as specified under ‘Guaranteed Period’ from the Date of Commencement of the benefit option. Upon the completion of Guaranteed Period’,
the sum assured as applicable for the benefit option may be revised or the policyholder may be given an option of top up premium to restore the benefit to original amount, subject to IRDAI’s
approval. The top up premium may be payable as a single premium/ level premium during the block of next guarantee period. The requirement of paying the Top up premium in order to continue
with the current level of benefit may be applicable even after expiry of limited pay premium term.

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

Place:

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

Unique Reference Number -L&C/Advt/2022/Dec/3196

Tata A IA 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