test

Page 1

*U11403* L&C/Advt/2010/Mar/1110 SALES BENEFIT ILLUSTRATION

Name of the Proposed Insured:

RITESH

Age/Sex of the Proposed Insured:

22

Name of the Policyholder:

RITESH

Age/Sex of the Policyholder:

22

Insurance Plan

/

/

Male

Male

UIN

MAHALIFE 110N029V01 GOLD

Tata AIG Life MAHALIFE GOLD

4471705

Agent Number:

Agent Name:

Benefit Period (years)

Premium Paying Period (years)

78

15

Proposal Number:

105160

Date:

24-Nov-11

Currency

Rupees

Payment Mode:

Annual

Sum Assured

First Modal Premium

1,000,000

87,000

Total

87,000

Total

87,000

Service Tax* Total Premium Inclusive of Service Tax

1,349 88,349

0

Contact Phone Number:

* Service Tax rate currently applicable is 1.55% ** Please refer to the Exclusion Page(s) attached to this Life Insurance Illustration for the exclusion on the rider(s) attached. Service tax is applicable as per governing laws and the same shall be borne by the policyholder. Tata AIG Life Insurance Company Limited reserves the right to recover from the Policyholder, any levies and duties (including service tax), as imposed by the government from time to time.

Some benefits are guaranteed and some benefits are variable with return based on the future performance of your life insurance company (Tata AIG Life Insurance Company Ltd). If your policy offers guaranteed returns then these will be clearly marked "guaranteed" in the illustration table on this page. If your policy offers variable returns the illustration will have two pages that will show two different rates of assumed future investment returns and corresponding cash dividend rates. The above cash dividends have been determined using assumed future investment returns of 10% & 6% respectively. The rates used have been set by the Life Insurance Council. These assumed rates of return are not guaranteed and they are not upper or lower limits of what you might get back as the value of your policy is dependent on a number of factors including future investment performance. Note: This illustration is not an insurance contract. Read this benefit illustration along with a product brochure for detailed terms and conditions before concluding a sale. Insurance is the subject matter of the solicitation

This product is underwritten by Tata AIG Life Insurance Company Ltd.

Policyholder's Initials/Signatutre___________

Tata AIG Life Insurance Company Ltd. (Regn No. 110) Corporate & Registered Office: Delphi - B Wing, 2nd floor, Orchard Avenue, Hiranandani Business Park, Powai , Mumbai - 400076 For more information, call the Tata AIG Life Insurance Company Ltd. toll free Helpline at 1-800-119966 (facility available to MTNL and BSNL users)

Page 1 of 8

Tata AIG Life Insurance Company Ltd. Version 1.0 105160


Projection Of Values (For Illustration Only) Scenario:

High Cash Dividend Rate

Death Benefits on Policy Anniversary Guaranteed

Policy

Insured

Anniversary

Age

0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38

22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60

Basic

Total

Guaranteed

Life Coverage (6)

Rider

Total

Life

Premium Premium

Premiums

Coverage

Total

87,000 87,000 87,000 87,000 87,000 87,000 87,000 87,000 87,000 87,000 87,000 87,000 87,000 87,000 87,000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000

1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000

87,000 87,000 87,000 87,000 87,000 87,000 87,000 87,000 87,000 87,000 87,000 87,000 87,000 87,000 87,000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

What you will get back Non- Guaranteed

Accident Coverage Total

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Annual Cash (2) Dividend

0 0 0 0 0 0 31,000 31,000 31,000 31,000 62,000 62,000 62,000 62,000 62,000 62,000 62,000 62,000 62,000 62,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000

Guaranteed

Total Cash Dividend (3)

Coupon

(1)

Payable Upto

0 0 0 0 0 0 31,000 62,000 93,000 124,000 186,000 248,000 310,000 372,000 434,000 496,000 558,000 620,000 682,000 744,000 837,000 930,000 1,023,000 1,116,000 1,209,000 1,302,000 1,395,000 1,488,000 1,581,000 1,674,000 1,767,000 1,860,000 1,953,000 2,046,000 2,139,000 2,232,000 2,325,000 2,418,000 2,511,000

Non-Guaranteed

Total Coupons(4) Cash Surrender (5) /Maturity Values (7)

Paid Upto

0 0 0 0 0 0 0 0 0 0 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000

0 0 0 0 0 0 0 0 0 0 50,000 100,000 150,000 200,000 250,000 300,000 350,000 400,000 450,000 500,000 550,000 600,000 650,000 700,000 750,000 800,000 850,000 900,000 950,000 1,000,000 1,050,000 1,100,000 1,150,000 1,200,000 1,250,000 1,300,000 1,350,000 1,400,000 1,450,000

0 0 0 80,910 142,120 207,400 282,970 369,740 446,380 528,090 615,220 654,800 696,990 741,960 789,900 841,020 842,180 843,400 844,680 846,020 847,420 848,890 850,430 852,030 853,710 855,460 857,270 859,140 861,080 863,080 865,150 867,280 869,470 871,730 874,060 876,460 878,930 881,500 884,170

Policyholder's Initials/Signatutre___________ Tata AIG Life Insurance Company Ltd. (Regn No. 110) Corporate & Registered Office: Delphi - B Wing, 2nd floor, Orchard Avenue, Hiranandani Business Park, Powai , Mumbai - 400076 For more information, call the Tata AIG Life Insurance Company Ltd. toll free Helpline at 1-800-119966 (facility available to MTNL and BSNL users)

Page 2 of 8

Tata AIG Life Insurance Company Ltd. Version 1.0 105160


Projection Of Values (For Illustration Only) Scenario:

High Cash Dividend Rate

Death Benefits on Policy Anniversary Guaranteed

Policy

Insured

Anniversary

Age

39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77

61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99

Basic

Total Life Coverage

(6)

Rider

Total

Life

Premium Premium

Premiums

Coverage

Total

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000

1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

What you will get back

Guaranteed

Non- Guaranteed

Accident Coverage Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Annual Cash

(2)

Dividend 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000 93,000

Guaranteed

Total Cash Dividend

(3)

Coupon

(1)

Payable Upto 2,604,000 2,697,000 2,790,000 2,883,000 2,976,000 3,069,000 3,162,000 3,255,000 3,348,000 3,441,000 3,534,000 3,627,000 3,720,000 3,813,000 3,906,000 3,999,000 4,092,000 4,185,000 4,278,000 4,371,000 4,464,000 4,557,000 4,650,000 4,743,000 4,836,000 4,929,000 5,022,000 5,115,000 5,208,000 5,301,000 5,394,000 5,487,000 5,580,000 5,673,000 5,766,000 5,859,000 5,952,000 6,045,000 6,138,000

Non-Guaranteed (4)

Total Coupons Cash Surrender (5) /Maturity Values

Paid Upto 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000

1,500,000 1,550,000 1,600,000 1,650,000 1,700,000 1,750,000 1,800,000 1,850,000 1,900,000 1,950,000 2,000,000 2,050,000 2,100,000 2,150,000 2,200,000 2,250,000 2,300,000 2,350,000 2,400,000 2,450,000 2,500,000 2,550,000 2,600,000 2,650,000 2,700,000 2,750,000 2,800,000 2,850,000 2,900,000 2,950,000 3,000,000 3,050,000 3,100,000 3,150,000 3,200,000 3,250,000 3,300,000 3,350,000 3,400,000

(7)

886,910 889,720 892,600 895,530 898,500 901,530 904,710 907,910 911,110 914,310 917,500 920,660 923,790 926,890 929,930 932,920 935,840 938,690 941,440 944,110 946,660 949,080 951,370 953,490 955,500 957,450 959,350 961,220 963,080 964,940 966,850 968,880 971,140 973,810 977,200 981,850 988,730 999,620 1,017,870

Policyholder's Initials/Signatutre___________ Tata AIG Life Insurance Company Ltd. (Regn No. 110) Corporate & Registered Office: Delphi - B Wing, 2nd floor, Orchard Avenue, Hiranandani Business Park, Powai , Mumbai - 400076 For more information, call the Tata AIG Life Insurance Company Ltd. toll free Helpline at 1-800-119966 (facility available to MTNL and BSNL users)

Page 3 of 8

Tata AIG Life Insurance Company Ltd. Version 1.0 105160


Projection Of Values (For Illustration Only) Scenario:

High Cash Dividend Rate

Death Benefits on Policy Anniversary Guaranteed

Policy

Insured

Anniversary

Age

78

100

Basic

Total

Guaranteed

Life Coverage

(6)

Rider

Total

Life

Premium Premium

Premiums

Coverage

Total

0

1,000,000

1,000,000

0

0

What you will get back Non- Guaranteed

Accident Coverage Total 0

Annual Cash

(2)

Guaranteed

Total Cash Dividend

Dividend

(3)

Coupon

(1)

Payable Upto

93,000

Non-Guaranteed (4)

Total Coupons Cash Surrender (5) /Maturity Values (7)

Paid Upto

6,231,000

50,000

3,450,000

1,050,000

(1) Coupon is a guaranteed feature. Coupon is payable depending on the sum assured of the basic policy. (2) Annual Cash Dividend is declared based on the investment, expenses, and mortality experience of the company and is not guaranteed. This illustration assumes the Annual Cash Dividend if it is declared at the rates mentioned below:Policy Anniversary 6-9 10 - 19 20 & above Annual Cash Dividend per 1,000 Basic Sum Assured

31

62

93

(3) This illustration shows as the column "Total Cash Dividend Payable Upto" the progressive total of Annual Cash Dividends paid out. (4) This illustration shows as the column "Total Coupons Paid Upto" the progressive total of coupon amounts paid out. (5) Cash Surrender Value is available upon surrender of the policy. The company will guarantee a minimum basic cash surrender value of 30% of the premiums paid (excluding the first year's premium and extra premiums, if any) on your basic policy provided three annual premiums have been paid in full. (6) Life Coverage Total includes term rider coverage provided under the term rider, if attached to this policy. (7) The last value shows the Maturity of the Policy. On maturity you will receive Life Coverage (Excluding that on attached term rider, if any) & Final Coupon i.e. Rs.

1,050,000

is payable.

Policyholder's Initials/Signatutre___________ Tata AIG Life Insurance Company Ltd. (Regn No. 110) Corporate & Registered Office: Delphi - B Wing, 2nd floor, Orchard Avenue, Hiranandani Business Park, Powai , Mumbai - 400076 For more information, call the Tata AIG Life Insurance Company Ltd. toll free Helpline at 1-800-119966 (facility available to MTNL and BSNL users)

Page 4 of 8

Tata AIG Life Insurance Company Ltd. Version 1.0 105160


Projection Of Values (For Illustration Only) Scenario:

Low Cash Dividend Rate

Death Benefits on Policy Anniversary Guaranteed

Policy Anniversary

0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38

Insured Basic Rider Age Premium Premium

22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60

87,000 87,000 87,000 87,000 87,000 87,000 87,000 87,000 87,000 87,000 87,000 87,000 87,000 87,000 87,000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Total

Total Premiums

Life Coverage

Life Coverage (6) Total

87,000 87,000 87,000 87,000 87,000 87,000 87,000 87,000 87,000 87,000 87,000 87,000 87,000 87,000 87,000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000

1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000

What you will get back

Guaranteed

Non- Guaranteed

Guaranteed

Accident Coverage Total

Annual Cash (2) Dividend

Total Cash Dividend (3) Payable Upto

Coupon (1)

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 7,000 7,000 7,000 7,000 14,000 14,000 14,000 14,000 14,000 14,000 14,000 14,000 14,000 14,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000

0 0 0 0 0 0 7,000 14,000 21,000 28,000 42,000 56,000 70,000 84,000 98,000 112,000 126,000 140,000 154,000 168,000 189,000 210,000 231,000 252,000 273,000 294,000 315,000 336,000 357,000 378,000 399,000 420,000 441,000 462,000 483,000 504,000 525,000 546,000 567,000

0 0 0 0 0 0 0 0 0 0 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000

Non-Guaranteed

Total Coupons(4)Cash Surrender (5) /Maturity Values (7) Paid Upto

0 0 0 0 0 0 0 0 0 0 50,000 100,000 150,000 200,000 250,000 300,000 350,000 400,000 450,000 500,000 550,000 600,000 650,000 700,000 750,000 800,000 850,000 900,000 950,000 1,000,000 1,050,000 1,100,000 1,150,000 1,200,000 1,250,000 1,300,000 1,350,000 1,400,000 1,450,000

0 0 0 80,910 142,120 207,400 282,970 369,740 446,380 528,090 615,220 654,800 696,990 741,960 789,900 841,020 842,180 843,400 844,680 846,020 847,420 848,890 850,430 852,030 853,710 855,460 857,270 859,140 861,080 863,080 865,150 867,280 869,470 871,730 874,060 876,460 878,930 881,500 884,170

Policyholder's Initials/Signatutre___________ Tata AIG Life Insurance Company Ltd. (Regn No. 110) Corporate & Registered Office: Delphi - B Wing, 2nd floor, Orchard Avenue, Hiranandani Business Park, Powai , Mumbai - 400076 For more information, call the Tata AIG Life Insurance Company Ltd. toll free Helpline at 1-800-119966 (facility available to MTNL and BSNL users)

Page 5 of 8

Tata AIG Life Insurance Company Ltd. Version 1.0 105160


Projection Of Values (For Illustration Only) Scenario:

Low Cash Dividend Rate

Death Benefits on Policy Anniversary Guaranteed

Policy Anniversary 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77

Insured Basic Rider Age Premium Premium 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Total Premiums

Life Coverage

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000

Total

What you will get back

Guaranteed

Non- Guaranteed

(6)

Accident Coverage Total

1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Life Coverage Total

Annual Cash Dividend

(2)

21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000 21,000

Guaranteed

Total Cash Dividend Payable Upto

(3)

588,000 609,000 630,000 651,000 672,000 693,000 714,000 735,000 756,000 777,000 798,000 819,000 840,000 861,000 882,000 903,000 924,000 945,000 966,000 987,000 1,008,000 1,029,000 1,050,000 1,071,000 1,092,000 1,113,000 1,134,000 1,155,000 1,176,000 1,197,000 1,218,000 1,239,000 1,260,000 1,281,000 1,302,000 1,323,000 1,344,000 1,365,000 1,386,000

Coupon

(1)

50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000

Non-Guaranteed (4)

Total Coupons Cash Surrender (5) /Maturity Values (7) Paid Upto 1,500,000 1,550,000 1,600,000 1,650,000 1,700,000 1,750,000 1,800,000 1,850,000 1,900,000 1,950,000 2,000,000 2,050,000 2,100,000 2,150,000 2,200,000 2,250,000 2,300,000 2,350,000 2,400,000 2,450,000 2,500,000 2,550,000 2,600,000 2,650,000 2,700,000 2,750,000 2,800,000 2,850,000 2,900,000 2,950,000 3,000,000 3,050,000 3,100,000 3,150,000 3,200,000 3,250,000 3,300,000 3,350,000 3,400,000

886,910 889,720 892,600 895,530 898,500 901,530 904,710 907,910 911,110 914,310 917,500 920,660 923,790 926,890 929,930 932,920 935,840 938,690 941,440 944,110 946,660 949,080 951,370 953,490 955,500 957,450 959,350 961,220 963,080 964,940 966,850 968,880 971,140 973,810 977,200 981,850 988,730 999,620 1,017,870

Policyholder's Initials/Signatutre___________ Tata AIG Life Insurance Company Ltd. (Regn No. 110) Corporate & Registered Office: Delphi - B Wing, 2nd floor, Orchard Avenue, Hiranandani Business Park, Powai , Mumbai - 400076 For more information, call the Tata AIG Life Insurance Company Ltd. toll free Helpline at 1-800-119966 (facility available to MTNL and BSNL users)

Page 6 of 8

Tata AIG Life Insurance Company Ltd. Version 1.0 105160


Projection Of Values (For Illustration Only) Scenario:

Low Cash Dividend Rate

Death Benefits on Policy Anniversary Guaranteed

Policy Anniversary 78

Insured Basic Rider Age Premium Premium 100

0

Total Premiums

Life Coverage

0

1,000,000

Total

What you will get back

Guaranteed

Non- Guaranteed

(6)

Accident Coverage Total

1,000,000

0

Life Coverage Total

(1) Coupon is a guaranteed feature. Coupon is payable depending on the sum assured of the basic policy. (2) Annual Cash Dividend is declared based on the investment, expenses, and mortality experience of the company and is not guaranteed. This illustration assumes the Annual Cash Dividend if it is declared at the rates mentioned below:Policy Anniversary 6-9 10 - 19 Annual Cash Dividend per 1,000 Basic Sum Assured

7

14

Annual Cash Dividend

(2)

21,000

Guaranteed

Total Cash Dividend Payable Upto

(3)

1,407,000

Coupon

(1)

50,000

Non-Guaranteed (4)

Total Coupons Cash Surrender (5) /Maturity Values (7) Paid Upto 3,450,000

1,050,000

20 & above 21

(3) This illustration shows as the column "Total Cash Dividend Payable Upto" the progressive total of Annual Cash Dividends paid out. (4) This illustration shows as the column "Total Coupons Paid Upto" the progressive total of coupon amounts paid out. (5) Cash Surrender Value is available upon surrender of the policy. The company will guarantee a minimum basic cash surrender value of 30% of the premiums paid (excluding the first year's premium and extra premiums, if any) on your basic policy provided three annual premiums have been paid in full. The last value shows the Maturity of the Policy. (6) Life Coverage Total includes term rider coverage provided under the term rider, if attached to this policy. (7) The last value shows the Maturity of the Policy. On maturity you will receive Life Coverage (Excluding that on attached term rider, if any) & Final Coupon i.e. Rs. 1,050,000

is payable.

Policyholder's Initials/Signatutre___________ Tata AIG Life Insurance Company Ltd. (Regn No. 110) Corporate & Registered Office: Delphi - B Wing, 2nd floor, Orchard Avenue, Hiranandani Business Park, Powai , Mumbai - 400076 For more information, call the Tata AIG Life Insurance Company Ltd. toll free Helpline at 1-800-119966 (facility available to MTNL and BSNL users)

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Declaration: I have received a copy of this Sales Illustration and understand that any non-guaranteed benefits assumed in the Sales Illustration are subject to change and are not guaranteed.

Signed:

___________________________

Name :

___________________________

Date:

___________________________

This is an illustrative document and not a contract. Your policy will contain the exact terms of coverage.

Authorised Official / Intermediary of Tata AIG Life Insurance Company Ltd.

Signed:

___________________________

Name :

___________________________

Date:

___________________________

Tax benefits are available as per Income-tax Act, 1961 and are subject to modifications made thereto from time to time. Tata AIG Life Insurance Company Ltd. does not assume the responsibility on tax implications mentioned any where in this document. Please consult your own tax consultant to know the tax benefit available to you.

Tata AIG Life Insurance Company Ltd. (Regn No. 110) Corporate & Registered Office: Delphi - B Wing, 2nd floor, Orchard Avenue, Hiranandani Business Park, Powai , Mumbai - 400076 For more information, call the Tata AIG Life Insurance Company Ltd. toll free Helpline at 1-800-119966 (facility available to MTNL and BSNL users)

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Tata AIG Life Insurance Company Ltd. Version 1.0 105160


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