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