IN THIS POLICY, THE INVESTMENT RISK IN INVESTMENT PORTFOLIO IS BORNE BY THE POLICYHOLDER

TATA AIA Life Insurance Co. Ltd.

Registration No: : 110 D02

Policyholder ID :U032428773 Login Dt: 24/09/2023

RISHIKANT PANDEY
Address :KARANPUR KAIMA
NULL
NULL
KHERI
UTTAR PRADESH 261501
NA
INDIA

PART - A

Product UIN Premium Premium Funds Units as per Value per Product
(Rs) Allocation Allocated Policy Admin Unit (Rs) Value (Rs)
Charge (Rs) System (PAS)
(Rs)
Fortune Pro 5 Pay Limited term - 110L112V03 600000.00 -40710.00 559290.00 24324.145685 22.9932 559290.00
Age Band (00-29)

PART - B Rs.

Particulars (ULIF 061 15/07/14 ICF 110)

Name of the Fund India Consumption Fund(ICF) Total
Units(as per Investment Management 23953.893280 23953.893280
System)
Percentage of Allocation 24/09/2023 100.00 100.00
Funds Allocated 984493.04 984493.04
Switch In 0.00 0.00
Switch Out 0.00 0.00
Withdrawals 0.00 0.00
Subtotal 984493.04 984493.04
Charges
Commission * 0 0
Switch charge 0.00 0.00
Policy Administration charge -3937.50 -3937.50
Mortality/Morbidity/OPD Care charges -4179.35 -4179.35
Other charges (specify) 0.00 0.00
Goods and Service Tax -1461.24 -1461.24
Total amount invested in Segregated 984493.04 984493.04
funds
Current NAV 41.0995 -
Fund value as on 24/09/2023 984493.04 984493.04

PART - C (Product Statistics)

Insurance Cover over the interim reporting period from 1500000.00

29/03/2020 to 29/03/2035
Total Premium Paid from inception 600000.00
Total Risk premium from inception, for insurance cover -4179.35

Tata AIA Life Insurance Company Ltd.(IRDA of India Regn. No. 110). CIN:U66010MH2000PLC128403.
Registered & Corporate Office: 14th Floor, Tower A, Peninsula Business Park, Senapati Bapat Marg, Lower Parel, Mumbai 400013. Visit us at www.tataaia.com or
call our help line no. 1860 266 9966 (local charges apply) or email us at customercare@tataaia.com or SMS “Service” to 58888.L&C/Misc/2017/Jun/266
BEWARE OF SPURIOUS PHONE CALLS AND FICTITIOUS/FRAUDULENT OFFERS: IRDA of India clarifies to public that
• IRDA of India or its officials do not involve in activities like sale of any kind of insurance or financial products nor invest premiums.
• IRDA of India does not announce any bonus. Public receiving such phone calls are requested to lodge a police complaint along with details of phone call, number.
Total Charges and deductions other than Mortality including -46108.74
Allocation charges till 24/09/2023. (including Service
Charges)
Subtotal (C) 549711.91
Difference between (B) (C) (unrealised Gain / Loss) 434781.13
Portfolio value on Net Investment as per Benefit Please refer to the Sales illustration sheet in the Policy
Illustration at the lower rate as prescribed in the document
regulations
Portfolio value on Net Investment as per Benefit Please refer to the Sales illustration sheet in the Policy
Illustration at the upper rate prescribed in the regulations document

NOTE :
• Whilst every care has been taken in the preparation of this statement, it is subject to correction and this
statement should be read along with the policy document and does not individually confer any legal rights.

• Unit Pricing methodology under Unit Linked Life insurance products has undergone changes pursuant to IRDA
Circular ref: IRDA/F&I/ CIR/INV/173/08/2011 dated 29th July, 2011
Policyholders are informed that effective from 16th August, 2011 unit prices are calculated as per the
procedure prescribed in the above Circular as amended/modified by IRDA from time to time. There is no change
in the number of units to the credit of any policyholder on account of this change

• For policy terms and conditions, please refer to the policy document.
• As this is a computer generated statement, no signature is required.
• * Please refer to the Sales illustration sheet in the Policy document.

• All applicable taxes, duties, surcharge, cesses or levies, as may be imposed by Government, any statutory or
administrative authority from time to time, on the premiums payable and benefits secured under Policy, shall
be borne and paid by the Policyholder.
• Please know the associated risks and the applicable charges, from your Insurance agent or the Intermediary
or policy document issued by the insurance company.
• Premium paid in ULIPs are subject to Investment risks associated with capital markets & the NAV of the units
may go up or down based on the performance of the fund and factors influencing capital markets & the insured
is responsible for his/her decision.
• Various funds offered are the names of funds and do not, in any way, indicate the quality of the funds,
their future prospects & returns.
• Tata AIA Life Insurance Company Limited is only the name of the Insurance Company & any contract bearing the
prefix ‘Tata AIA Life” 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 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 Unit Linked Life Insurance
products are different from traditional insurance products and are subject to risk factors.
• This product is underwritten by Tata AIA Life Insurance Company Ltd.
• Insurance cover is available under this product.
• INSURANCE PRODUCTS DO NOT OFFER ANY LIQUIDITY DURING THE FIRST FIVE YEARS OF THE CONTRACT. THE POLICYHOLDER
WILL NOT BE ABLE TO SURRENDER / WITHDRAW THE MONIES INVESTED IN LINKED INSURANCE PRODUCTS COMPLETELY OR
PARTIALLY TILL THE END OF THE FIFTH YEAR.

Tata AIA Life Insurance Company Ltd.(IRDA of India Regn. No. 110). CIN:U66010MH2000PLC128403.
Registered & Corporate Office: 14th Floor, Tower A, Peninsula Business Park, Senapati Bapat Marg, Lower Parel, Mumbai 400013. Visit us at www.tataaia.com or
call our help line no. 1860 266 9966 (local charges apply) or email us at customercare@tataaia.com or SMS “Service” to 58888.L&C/Misc/2017/Jun/266
BEWARE OF SPURIOUS PHONE CALLS AND FICTITIOUS/FRAUDULENT OFFERS: IRDA of India clarifies to public that
• IRDA of India or its officials do not involve in activities like sale of any kind of insurance or financial products nor invest premiums.
• IRDA of India does not announce any bonus. Public receiving such phone calls are requested to lodge a police complaint along with details of phone call, number.