Date : 19 Aug, 2020

39/235

EB498115955IN Speed Post

BNPL Code-TN/SP/BNPL/54/CO/18
Customer No : 607817127
CNCT

BPC, Anna Road,Chennai-02

i&#dc <8e*/Pk
MANGALORE/1CNC099828- SP HNI
Policy No : 1C796830502
i$/$d cKk
SBI Life - Smart Power Insurance
Product Name :
To, Increasing Cover
Mr. Mathabattula Ramesh
UIN : 111L090V02
MATHABATTULA RAMESH
1-103 18-2
SHALOM VILLA SIDARTHA NAGARA
BANTWAL
KARNATAKA-574143,India
Contact Details : 9849416957

Dear Mr. Mathabattula Ramesh,

We welcome you to the SBI Life family and thank you for your trust in our products.
Joining SBI Life family will give you access to the best customer service and a wide range of products which cater to most of your life
insurance needs.
Please note that you have opted for a REGULAR premium payment insurance Policy.Your premium due dates are: 19/08 of every year
during Premium Payment Term.
1. For any information/clarification, please contact your local SBI Life service branch:
MANGALORE, SBI LIFE INSURANCE CO LTD NO.99-24, MMC KHATA NO.3358, 739, 1639, D.NO.2-2108/3, CMM ARENA COMPLXE,
2ND FLOOR, 90B BOLOR VILLAGE, KULUR FERRY ROAD MANGALORE KARNATAKA India 575006, +91-8242422601
2. Your Sourcing Bank/Branch is STATE BANK OF INDIA BAJPE BRANCH and Facilitator is BHAWANA DHARMENDRA KUMAR DIXIT
(IA/CIF Code 990920207 ) , Phone +91-8765487955
3. In case you have any complaint/grievance you may contact the following official for resolution:
REGIONAL DIRECTOR,SBI LIFE INSURANCE CO. LTD.,SBI LIFE INSURANCE CO LTD 2ND FLOOR SRI SAIRAM TOWERS NO. - 24
K. P. PUTTANNA CHETTY ROAD 5TH MAIN CHAMARAJPET BANGALORE KARNATAKA India 560018
4. We enclose the following as a part of the Policy booklet:
4.1 Policy Document.
4.2 First Premium Receipt.
4.3 Copy of proposal form signed by you.
4.4 Copy of KYC and other documents as follows:
Particulars Documents Received
Age Proof Aadhar card with complete DOB
Identity Proof Aadhar Card
Address Proof Aadhar Card
Consent & Revised Benefit Illustration No
Medical Reports No
5. In case of any clarification / discrepancy, call us toll free on our customer service helpline 18002679090 or email us at info@sbilife.co.in,
also you may visit us at www.sbilife.co.in.
6. Register on our Customer Self Service website http://mypolicy.sbilife.co.in to avail various online services available.
7. All your servicing requests should be submitted only to your local SBI Life service branch as mentioned above or your nearest SBI Life
branch.
8. Please note that the digitally signed copy of your policy bond is available on our website www.sbilife.co.in. This can be viewed in a
secure manner through one time password. Please visit our website for details.
Please check all details. Please make sure that the policy document is kept safely.
Free Look Option
You can review the terms and conditions of the policy, within 15 days for policies sourced through any channel other than Distance Marketing
and electronic policies and within 30 days policies sourced through Distance Marketing and electronic policies, from the date of the receipt of
the policy document. If you disagree with any of the terms and conditions, you have the option to return the policy stating the reasons for your
objection.
We shall refund you the amount arrived as per the following formula:
Fund Value as on the date of receipt of a valid request Plus charges already deducted (Premium Allocation Charges, Policy Administration
Charges, Mortality Charges, if any, Plus applicable taxes) Minus
(Mortality Charges if any, along with applicable taxes, proportionate to the period you were covered Plus Cost of Stamp Duty, Plus Medical
Expenses, if any)
Your request for cancellation of the policy under the free look option must reach This yourPolicy Document
nearest is digitally
SBI Life Officesigned
withinforaSBI Life Insurance
period of 15
days or 30 days, as the case may be, as mentioned above.
Signer: PRADEEP GAUTAM
We always look forward to be your preferred Life Insurance Company for all your Date: Friday,Aug 21 2020 07:31 PM
Life Insurance
Location: needs.
Navi Mumbai
Yours truly, Reason:
Policy Encryption

49/766
Authorised Signatory
New Business Processing Page 1 of 72 PolicyNo. 1C796830502
Note: The translated version of this letter in the regional language is printed overleaf for your convenience. However, should
there be any ambiguity or conflict between these two versions, the English version shall prevail.
MANGALORE/1CNC099828-SP

i$/$d cKk Date : 19 Aug, 2020

To,
Mr. Mathabattula Ramesh
MATHABATTULA RAMESH
1-103 18-2 Customer No : 607817127
SHALOM VILLA SIDARTHA NAGARA
BANTWAL Policy No : 1C796830502
KARNATAKA-574143, India SBI Life - Smart Power Insurance
Contact Details : 9849416957 Product Name :
Increasing Cover
UIN : 111L090V02
Dear Mr. Mathabattula Ramesh,

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MANGALORE,SBI LIFE INSURANCE CO LTD NO.99-24, MMC KHATA NO.3358, 739, 1639, D.NO.2-2108/3, CMM ARENA COMPLXE, 2ND FLOOR,
1. {H$gr ^r OmZH$mar/ñnï>rH$aU Ho$ {bE H¥$n`m AnZr ñWmZr` Eg~rAmB© bmB\$ g{d©g emIm go g§nH©$ H$a| :
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2. Your Sourcing Bank/Branch is STATE BANK OF INDIA BAJPE BRANCH and Facilitator is BHAWANA DHARMENDRA KUMAR DIXIT (IA/CIF Code
990920207 ) , Phone +91-8765487955
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REGIONAL DIRECTOR,SBI LIFE INSURANCE CO. LTD.,SBI LIFE INSURANCE CO LTD 2ND FLOOR SRI SAIRAM TOWERS NO. - 24 K. P. PUTTANNA
CHETTY ROAD 5TH MAIN CHAMARAJPET BANGALORE KARNATAKA India 560018
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Page 2 of 72 PolicyNo. 1C796830502 49/766

 SBI Life Insurance Company Ltd CIN:L99999MH2000PLC129113
Central Processing Centre
i$daT&k 7th Level (D Wing) & 8th Level,
Seawoods Grand Central Tower 2, Plot No R-1,
Sector-40, Seawoods, Nerul Node, Dist. Thane,
Navi Mumbai-400 706
Phone Number: 022 6645 6000
FIRST PREMIUM RECEIPT

Mr. Mathabattula Ramesh Invoice date : August 19, 2020

MATHABATTULA RAMESH Sequence No : FP/ 8901
1-103 18-2
SHALOM VILLA SIDARTHA NAGARA Servicing Branch Address:
BANTWAL - 574143 SBI LIFE INSURANCE CO LTD NO.99-24, MMC KHATA NO.3358,
KARNATAKA , India 739, 1639, D.NO.2-2108/3, CMM ARENA COMPLXE, 2ND FLOOR, 90B
BOLOR VILLAGE, KULUR FERRY ROAD MANGALORE
Place of Supply:KARNATAKA/19 KARNATAKA India 575006
GSTIN:N.A.

GSTIN:29AAFCS2530P1ZX

Product and Plan : SBI Life - Smart Power Insurance Increasing Cover
Proposal Number : 1CNC099828
Policy Number : 1C796830502
Date of Commencement of Risk : August 19, 2020
Benefit Term : 10 years
Mode : Annual
HSN code : 99713
HSN Description : Insurance and pension service
Savings Contribution amount Received Rs. 25,000.00
Description of service Premium Allocation Charges Policy Administration Charges Mortality Charges
Basic Charge 1437.50 33.33 39.30
Taxable Value 1437.50 33.33 39.30
Integrated GST - 18% 0.00 0.00 0.00
Central GST - 9% 129.38 3.00 3.54
State/UT GST - 9% 129.38 3.00 3.54
Cess - 1% 0.00 0.00 0.00
Total 1696.26 39.33 46.38
Whether the tax is payable under Reverse charge : No
Net Investible Portion Rs. 23,218.03
Date of Unit Allocation August 19, 2020
Details of Fund Value as on August 19, 2020 after the given allocation is Rs 23,218.03

Fund Value NAV as on

Fund Allocation Percentage Number of Units
Rs. August 19, 2020 Rs.
Equity Fund 70.0000 16,252.62 92.9991 174.761100
Equity Optimiser Fund 0.00 0.00 25.5940 0.000000
Growth Fund 0.00 0.00 48.0886 0.000000
Balanced Fund 30.0000 6,965.41 42.8479 162.561300
Bond Fund 0.00 0.00 37.8837 0.000000
Money Market Fund 0.00 0.00 27.1496 0.000000
Top 300 Fund 0.00 0.00 27.7268 0.000000
Bond Optimiser Fund 0.00 0.00 14.4483 0.000000
Pure Fund 0.00 0.00 13.3604 0.000000
Corporate Bond Fund 0.00 0.00 12.1788 0.000000
Total 100.00 23,218.03
Premium paid under this policy is eligible for tax rebates under section 80C of the Income Tax Act, 1961, as applicable.
Goods & Service Tax (GST)/ Cess and/or any other statutory levy/ duty/surcharge, at the rate notified by the Central Government/ State Government
/ Union Territories of India from time to time, shall be levied on premium /charges (as applicable) as per the provisions of the prevalent tax laws.
The Kerala Flood Cess will be applicable only on the Intra state transaction of State of Kerala.
As per GOI notification, GST has been levied on your insurance policy @18% on premium or charges. (or as applicable) w.e.f 01.07.2017. In the case
of endowment policy, the taxable value is 25% of the premium for first year and 12.5% for second & subsequent year. For single premium annuity
policy, the taxable value is 10% of the premium. Please refer SBI Life website for details.
GST Registration No.29AAFCS2530P1ZX SAC code of Life Insurance Services: 997132
TDS shall be deducted from the benefit proceeds (i.e. maturity, surrender etc) , as applicable, which are considered as taxable under the Income Tax Laws.
Tax laws are subject to change from time to time. Please consult your tax advisor for further details.
Name of your IA/Facilitator:BHAWANA DHARMENDRA KUMAR DIXIT (IA/CIF Code 990920207 ) , Phone +91-8765487955
Call our toll free Customer Service helpline at 1800 267 9090 or,
Email us at info@sbilife.co.in or visit us at www.sbilife.co.in
The Consolidated Revenue stamp duty paid vide Letter of Authorisation No. CSD/34/2020/1465/2020 dated 22 Jun, 2020 issued by Pradhan
Mudrank Karyalay.

Authorized Signatory

Page 3 of 72 PolicyNo. 1C796830502 49/766

Page 4 of 72 PolicyNo. 1C796830502 49/766
 KEY FEATURE DOCUMENT
Congratulations on your purchase. SBI Life Smart Power Insurance (UIN: 111L090V02) offers you the benefit of insurance cover as well as the option
to earn market linked returns.

1 Aim of policy An Individual, Unit Linked, Non-Participating Life Insurance Product, which provides the option of increasing
cover, along with the choice of 2 fund options - Trigger Fund and Smart Funds.
2 Benefits of the policy • Death Benefit: Higher of the
A. Fund Value as on the date of death intimation or
B. Sum Assured less Applicable Partial Withdrawals (APW#) or
C. 105% of the total premiums received upto the date of death less Applicable Partial Withdrawals
(APW#), if any.
#
APW equals partial withdrawals, if any, in the last 2 years immediately preceding the death of the Life
Assured.
Nominee or beneficiary has the option to receive the Death Benefit as Lump Sum or in Installments over 2 to 5
years under ‘Settlement’ Option.

• Maturity Benefit: Fund Value is paid as maturity benefit on the Date of Maturity.

• Accelerated Total & Permanent Disability (TPD) Benefit: In case of TPD due to Accident or Sickness,

Page 5 of 72
applicable Death benefit will be paid and thereafter the policy would terminate.

3 Risk undertaken by In this Policy, the investment risk in investment portfolio is borne by the Policyholder. The Premium paid in
policyholder unit linked insurance policies are subject to investment risks associated with capital markets and NAVs of the
units may go up or down based on the performance of the fund and factors influencing the capital markets and
the Policyholder is responsible for his / her decisions.

4 Investment of money Two Fund Options to choose from,: Trigger Fund and Smart Funds
5 Policy flexibilities- a. 2 free switches in a policy year are allowed, only under Smart Funds Option and during the settlement
a. Switching period.
b. Premium Redirection b. 1 free Premium redirection is allowed from 2nd policy year onwards, only under Smart Funds Option.
c. Portfolio Transfer c. Option to change the selected fund option – Trigger Fund or Smart Funds, at any policy anniversary
date. It can be exercised up to 2 times in the entire policy term and will be free of charge.
d. Surrender
d. You may Surrender Value your policy during the term of the policy and Surrender value will be
e. Partial Withdrawal payable after the completion of 5th policy year.
e. Four partial withdrawals are allowed in a policy year, of which the first two will be free. Partial

PolicyNo. 1C796830502
withdrawals are available from the 6th policy year onwards. Minimum partial withdrawal amount
allowed is Rs 2,000 (in multiples of Rs 1,000). Maximum partial withdrawal allowed is upto 15% of
the then available Fund Value, as on the withdrawal request date.
6 Loans on the Policy Currently no loan facility is available under the product.

7 Exclusions Suicide: In case of death of the life assured due to suicide within 12 months from the date of commencement
of the policy or from the date of revival of the policy, as applicable, the nominee or the beneficiary of the

49/766
 policyholder shall be entitled to the fund value, as available on the date of intimation of death.
Exclusions for Accelerated TPD Benefit, as per policy document shall also apply.
8 Grace period 15 days for Monthly premium frequency & for all other modes it is 30 days, from the due date.

9 Discontinuance of policy & On discontinuance of premium, you can either opt to

Revival 1. Revive the Policy within a period of 3 years from the date of first unpaid premium
2. Complete withdrawal from the policy

If policy is discontinued during the first 5 policy years, then the lock-in condition applies. Your Fund Value
after deduction of applicable discontinuance charge (if any), will be transferred to the ‘Discontinued Policy
Fund’ at the end of grace period. For complete terms and conditions, you can refer the ‘Discontinuance of
Policy’ & ‘Revival’ section in the Policy Document.

If policy is discontinued after the first 5 policy years then at the end of grace period, the policy gets
converted into paid up status with reduced sum assured. For complete terms and conditions, you can refer the
‘Discontinuance of Policy’ & ‘Revival’ section in the Policy Document.

10 Policy Charges Various charges such as ‘Premium Allocation Charge’, ‘Policy Administration Charge’, ‘Fund Management
Charge’, ‘Accelerated TPD Benefit Charge’ etc. are deducted. For the complete list of charges and their
workings, you can refer to the ‘Charges’ section of the Policy Document.

Page 6 of 72
11 Free
look provision You can review the terms and conditions of the policy, within 15 days, from the date of receipt of the policy
document, for policies sourced through any channel other than Distance Marketing and electronic policies and
30 days, from the date of receipt of the policy document, for policies sourced through Distance Marketing and
electronic policies, where you disagree with any of those terms and conditions; you have the option to return
the policy along with a letter stating the reasons for your objection.

12 Tax Payable – You are liable to pay applicable Taxes and/or any other statutory levy/duty/ surcharge, at the rate
notified by the State Government or Central Government of India from time to time, as per the applicable tax
laws on all the applicable charges. as per the product feature.

Benefit –Income tax benefit/deduction is available under section (u/s) 80C of the Income Tax Act, 1961 ("Act)
on the premiums paid for Life Cover as well as Section 10(10D) benefit on the maturity amount, subject to
conditions.
Tax benefits, are as per the provisions of the Income Tax laws & are subject to change from time to time.
Please consult your tax advisor for details.

PolicyNo. 1C796830502
13 Claim Details are mentioned in the Policy Document. Contact the Company or your advisor/facilitator or bank branch,
for further details.

Note: This document contains brief information about the key features of the Product. The same shall not be construed as terms and conditions of the
Policy or part thereof. For detailed terms and conditions governing the Policy, please read all parts of the Policy document. In case of any conflict
between the information given in the Key Features document and the terms and conditions of the policy document, the terms and conditions of the
Policy document shall prevail.

49/766
 SBI Life Insurance Company Limited
Registration Number: 111 Regulated by IRDAI

POLICY DOCUMENT

SBI LIFE – SMART POWER INSURANCE

UIN: 111L090V02
(AN INDIVIUAL, UNIT-LINKED, NON-PARTICIPATING LIFE
INSURANCE PRODUCT)

IN THIS POLICY, THE INVESTMENT RISK IN INVESTMENT

PORTFOLIO IS BORNE BY THE POLICYHOLDER.

Registered & Corporate Office: SBI Life Insurance Co. Ltd, “Natraj”, M.V. Road & Western Express Highway
Junction, Andheri (East), Mumbai - 400 069.

Website: www.sbilife.co.in | Email: info@sbilife.co.in | CIN: L99999MH2000PLC129113

Toll Free: 1800 267 9090 (Between 9.00 am & 9.00 pm)

Page 7 of 72 PolicyNo. 1C796830502 49/766

PART A SBI Life - Smart Power Insurance Policy Document (UIN: 111L090V02)
An Individual, Unit Linked, Non Participating Life Insurance Product

Policy Preamble

Welcome to your SBI Life – Smart Power Insurance policy and thank you for preferring SBI Life Insurance Company Limited to provide you
with insurance solutions. The UIN allotted by IRDAI for this product is 111L090V02.

The information you have given in your proposal form, personal statement together with any reports or other documents and declarations submitted
by you form part of this contract of insurance with us. Your policy document, comprising this policy schedule along with the policy booklet and any
endorsements, is evidence of the contract. You should read this document carefully to make sure you are satisfied. Please keep them in a safe place.

SBI Life - Smart Power Insurance provides an insurance-cum-investment solution. The value of the units allocated under your policy, after
deducting the applicable charges, will be dependent on the investment performance of the funds of SBI Life, as chosen by you. Your policy does not
share in the profits or surplus of the Company.

In return for your premiums, we will provide benefits as described in the following pages of the policy document. The benefits available under this
policy are subject to the payment of premiums as and when due.

The benefits will be paid to the persons entitled as set out in the policy document, on proof to our satisfaction, of such benefits having become
payable and of the title of the persons claiming the payments.

Please communicate any change in your mailing address or any other communication details as soon as possible.

If you require further information, please contact us or the Insurance Advisor/ Facilitator mentioned below.
Insurance Advisor/Facilitator Details : BHAWANA DHARMENDRA KUMAR
DIXIT (IA/CIF Code 990920207 ) , Phone +91-8765487955
Policy Schedule
Identification

1. Policy Number 1C796830502

2. Proposal No 1CNC099828

3. Proposal Date 18/08/2020

4. Customer ID 607817127

Personal Information

5. Name of the Life Assured Mr. Mathabattula Ramesh

6. Name of Proposer / Policyholder Mr. Mathabattula Ramesh

Life Assured Policyholder

7. Date of Birth
05/02/1984 05/02/1984

Life Assured Policyholder

8. Age at Entry
36 36

Life Assured Policyholder

9. Gender
Male Male

MATHABATTULA RAMESH
1-103 18-2
10. Mailing Address SHALOM VILLA SIDARTHA NAGARA
BANTWAL
KARNATAKA-574143,India

11. Telephone Number with STD Code N.A.

12. Mobile Number 9849416957

13. E-Mail ID of the Policyholder MATHABATTULARAMESH@GMAIL.COM

Page 8 of 72 PolicyNo. 1C796830502 49/766

Form 532
PART A SBI Life - Smart Power Insurance Policy Document (UIN: 111L090V02)
An Individual, Unit Linked, Non Participating Life Insurance Product

Nomination

14. Name of the Nominee(s) Relationship with the life assured Age % Share

Mrs. M JYOTHI . Wife 28 100%

15. Name of the Appointee(s) Relationship with the Nominee Age

N.A. N.A. N.A.

Important Dates

16. Date of Commencement of Policy 19/08/2020

17. Date of Commencement of Risk 19/08/2020

18. Policy Anniversary Date 19/08

19. Premium Due Dates 19/08 of every year

20. Date of Maturity of Policy 19/08/2030

Basic Policy Information

21. Premium Frequency Annual

22. Installment Premium (Rs.) 25000.00

23. Basic Sum Assured (Rs.) 250000.00

24. Plan Option Increasing Cover

25. Fund Option Smart Fund Option

Page 9 of 72 PolicyNo. 1C796830502 49/766

Form 532
PART A SBI Life - Smart Power Insurance Policy Document (UIN: 111L090V02)
An Individual, Unit Linked, Non Participating Life Insurance Product

Base Policy

Annual
Sum Assured Premium Payment Due Date of Last
Benefit Policy Term (Years) Installment
(Rs.) Term (Years) Premium
Premium (Rs.)

Base Policy 250000.00 10 10 25000.00 19/08/2029

Inbuilt Benefit

Accelerated TPD
Benefit charges
will be deducted by
Accelerated Total &
Not way of Not
Permanent Disability 250000.00 10 19/08/2030
Applicable cancellation of units on Applicable
(TPD) Benefit
monthly
basis, from the unit
fund.

Total Installment Premium (Rs.) 25000.00

Applicable rate of Tax* 18.00%

* includes Applicable Taxes and/ or any other statutory levy/ duty/ surcharge, as notified by the Central and/or State Government from time to
time as per the provisions of the prevalent tax laws.

Fund Options

Fund Name Fund Allocation for Premium in %

Equity Fund (SFIN: ULIF001100105EQUITY-FND111): 70.0000

Equity Optimiser Fund (SFIN: ULIF010210108EQTYOPTFND111): N.A.

Growth Fund (SFIN: ULIF003241105GROWTH-FND111): N.A.

Balanced Fund (SFIN: ULIF004051205BALANCDFND111): 30.0000

Bond Fund (SFIN: ULIF002100105BONDULPFND111): N.A.

Money Market Fund (SFIN: ULIF005010206MONYMKTFND111): N.A.

Top 300 Fund (SFIN: ULIF016070110TOP300-FND111): N.A.

Bond Optimiser Fund (SFIN: ULIF032290618BONDOPTFND111): N.A.

Pure Fund (SFIN: ULIF030290915PUREULPFND111): N.A.

Corporate Bond Fund (SFIN: ULIF033290618CORBONDFND111): N.A.

Total 100%

In the above table,"N.A." stands for Not Applicable.

Page 10 of 72 PolicyNo. 1C796830502 49/766

Form 532
PART A SBI Life - Smart Power Insurance Policy Document (UIN: 111L090V02)
An Individual, Unit Linked, Non Participating Life Insurance Product

Applicable Clauses

N.A.

Increasing Cover Option Table

Sum Assured for the Increasing Cover option is as follows:

Policy Years (In Years) Sum Assured (In Rs.)

01 to 05 250000.00
06 to 10 275000.00

SBI Life - Shubh Nivesh Policy Document

Signed for and
In the above table,on“N.A.”
behalfstands
of SBI LifeApplicable.
for Not Insurance Company Limited,
Authorised
Signed Signatory
for and on behalf of SBI Life Insurance Company Limited,

Authorised Signatory
Name N Parameshwar
Name Pradeep Gautam
Designation Head - New Business Processing
Designation Associate Vice President - New Business Processing
Date
Date 14/09/2015
August 19, 2020 Place
Place Mumbai
Mumbai
The stamp duty of Rs 20.00/- (Rupees Twenty Only) paid by pay order, vide GRASS DEFACE No.0001609719201516 dated 29th Jul
The stamp duty of Rs 75.00/- (Rupees Seventy Five Only) paid vide Letter of Authorisation No. CSD/38/2020/1468/2020 dated 22 Jun 2020 issued by
2015.Government Notification Revenue and Forest Department No. Mudrank 2004/4125/CR690/M-1, dated 31/12/2004.
Pradhan Mudrank Karyalay.

(Signature)
Proper Officer
Signature
(Proper Officer)
We request you to read this policy schedule along with the policy booklet.If you find any errors, please return your Policy document for
effecting corrections.
****************************************** *End of Policy Schedule *********************************************************

***********************************************End of Policy Schedule***********************************************

Page 11 of 72 PolicyNo. 1C796830502 49/766

Form 532
 Page 12 of 72 PolicyNo. 1C796830502 49/766
Form 532
Part A SBI Life – Smart Power Insurance Policy Document (UIN: 111L090V02)
An Individual, Unit Linked, Non Participating Life Insurance Product

Policy Booklet

Table of Contents

Part B 16
Your Policy Booklet .................................................................................................................................................................. 16
1 Definitions ................................................................................................................................................................... 16
2 Abbreviations .............................................................................................................................................................. 20
Part C 21
3 Base Policy Benefits .................................................................................................................................................... 21
3.1 Death Benefit ............................................................................................................................................................... 21
3.2 Accelerated TPD Benefit ............................................................................................................................................. 21
3.3 Maturity Benefit .......................................................................................................................................................... 21
4 Premiums ..................................................................................................................................................................... 22
5 Grace Period ................................................................................................................................................................ 22
Part D 23
6 Settlement Option ........................................................................................................................................................ 23
7 Partial Withdrawal ....................................................................................................................................................... 23
8 Surrender ..................................................................................................................................................................... 24
9 Discontinuance of policy ............................................................................................................................................. 24
10 Revival ......................................................................................................................................................................... 25
11 Premium Re-direction.................................................................................................................................................. 25
12 Switching ..................................................................................................................................................................... 26
13 Portfolio Transfer Option ............................................................................................................................................ 26
14 Termination ................................................................................................................................................................. 26
14.1 Termination of Life Cover and in-built Accelerated TPD Benefit under your policy ................................................. 26
14.2 Termination of your policy .......................................................................................................................................... 26
15 General Terms ............................................................................................................................................................. 27
15.1 Free-look Period .......................................................................................................................................................... 27
15.2 Suicide exclusion ......................................................................................................................................................... 27
15.3 Policy loan ................................................................................................................................................................... 27
15.4 Accelerated TPD exclusions ........................................................................................................................................ 27
Part E 29
16 Funds ........................................................................................................................................................................... 29
16.1 The Fund ...................................................................................................................................................................... 29
16.2 Fund Options ............................................................................................................................................................... 29
16.3 Fund description .......................................................................................................................................................... 29
16.4 Introduction of New Fund Options .............................................................................................................................. 32
16.5 Fund Closure ............................................................................................................................................................... 32
16.6 Standard Force Majeure Provisions ............................................................................................................................. 32
Form No. 532

Page 13 of 72 PolicyNo. 1C796830502 49/766

Part A SBI Life – Smart Power Insurance Policy Document (UIN: 111L090V02)
An Individual, Unit Linked, Non Participating Life Insurance Product

17 Units ............................................................................................................................................................................ 33
17.1 Creation of Account..................................................................................................................................................... 33
17.2 Allocation of Units ...................................................................................................................................................... 33
17.3 Redemption of Units .................................................................................................................................................... 33
17.4 Calculation of NAV ..................................................................................................................................................... 33
17.5 Date of NAV for Allocation, Redemption and Cancellation of Units ......................................................................... 33
18 Charges ........................................................................................................................................................................ 34
18.1 Premium Allocation Charges ....................................................................................................................................... 34
18.2 Policy Administration Charges .................................................................................................................................... 34
18.3 Fund Management Charges ......................................................................................................................................... 34
18.4 Discontinuance Charges ............................................................................................................................................. 35
18.5 Switching Charges ....................................................................................................................................................... 35
18.6 Partial Withdrawal Charges ......................................................................................................................................... 35
18.7 Premium Re-direction charges .................................................................................................................................... 35
18.8 Mortality Charges ........................................................................................................................................................ 35
18.9 Accelerated TPD Benefit Charge: ............................................................................................................................... 36
18.10 New services and revision of charges .......................................................................................................................... 36
Part F 37
19 General Terms - Miscellaneous ................................................................................................................................... 37
19.2 Accelerated Total and Permanent Disability claim: ................................................................................................... 37
19.3 Maturity Claim ............................................................................................................................................................ 37
19.4 Surrender ..................................................................................................................................................................... 37
19.5 Nomination .................................................................................................................................................................. 37
19.6 Assignment .................................................................................................................................................................. 38
19.7 Non–disclosure ............................................................................................................................................................ 38
19.8 Misstatement of age ..................................................................................................................................................... 38
19.9 Participation in profits ................................................................................................................................................. 38
19.10 Taxation ....................................................................................................................................................................... 39
19.11 Date formats ................................................................................................................................................................ 39
19.12 Electronic transactions ................................................................................................................................................. 39
19.13 Communications .......................................................................................................................................................... 39
Part G 40
20 Complaints ................................................................................................................................................................... 40
20.1 Grievance redressal procedure ..................................................................................................................................... 40
21 Relevant Statutes ......................................................................................................................................................... 40
21.1 Governing laws and jurisdiction .................................................................................................................................. 40
21.2 Section 41 of the Insurance Act 1938, as amended from time to time ........................................................................ 41
21.3 Section 45 of the Insurance Act 1938, as amended from time to time ........................................................................ 41
21.4 Rule 13 of Ombudsman Rules, 2017 ........................................................................................................................... 41
21.5 Rule 14 of Ombudsman Rules, 2017 ........................................................................................................................... 41

Form No. 532

Page 14 of 72 PolicyNo. 1C796830502 49/766

Part A SBI Life – Smart Power Insurance Policy Document (UIN: 111L090V02)
An Individual, Unit Linked, Non Participating Life Insurance Product

21.6 Protection of Policyholders’ Interest ........................................................................................................................... 42

Annexure I ................................................................................................................................................................................. 43
Annexure II ................................................................................................................................................................................ 45
Annexure III............................................................................................................................................................................... 47

Form No. 532

Page 15 of 72 PolicyNo. 1C796830502 49/766

Part B SBI Life – Smart Power Insurance Policy Document (UIN: 111L090V02)
An Individual, Unit Linked, Non Participating Life Insurance Product

Part B

Your Policy Booklet

This is your policy booklet containing the various terms and conditions governing your policy. This policy booklet should be read
along with the policy schedule and other related documents of your policy.

1 Definitions

These definitions apply throughout your policy document.

The definitions are listed alphabetically

Expressions Meanings
1. Accelerated Total & Permanent is an accelerated death benefit payout, made on total and permanent disability
Disability (TPD) Benefit due to an Accident or Sickness of the life assured.
2. Accelerated Total & Permanent a charge based on sum assured chosen, which is applied at the beginning of
Disability (TPD) Charge each policy month by cancelling units for equivalent amount.
An accident is a sudden, unforeseen and involuntary event, caused by external
3. Accident
and visible means.
is the fund value of the discontinued policy fund. This will however be subject
4. Accumulated Value of to a minimum guaranteed interest rate of 4% per annum or as prescribed in
Discontinued Policy Fund the prevailing regulation. This rate may change as per the relevant
Regulations as amended from time to time.
5. Age is the age last Birthday i.e. the age is in completed years.
6. Age at Entry is the age last Birthday on the Date of Commencement.
7. Allocation Charge
is the percentage of Premium that would not be utilised to purchase units.
or Premium Allocation Charge
8. Allocation Percentage is the percentage of Premium that will be invested in the chosen funds.
9. Annualised Premium is the Premium amount payable in a Year excluding applicable taxes
10. Applicable Partial Withdrawal is equal to partial withdrawals, if any, during the last 2 years immediately
(APW) preceding the death of the Life assured
is the person who is so named in the proposal form or subsequently changed
by an Endorsement, who has the right to give a valid discharge to the policy
11. Appointee
monies in case of the death of the Life assured before the maturity of the
policy while the Nominee is a Minor.
the person to whom the rights and benefits are transferred by virtue of
12. Assignee assignment under Section 38 of the Insurance Act, as amended from time to
time.
is the part of the Policy which also includes the in-built Accelerated Total &
13. Base Policy
Permanent Disability (TPD) benefit.
is the conventional Birthday. If it is on 29th February, it will be considered as
14. Birthday
falling on the last day of February.
15. Business Day is our working day.
16. Complete Withdrawal is same as surrender
are the fund types opted for, by the policyholder out of the available fund
17. Chosen Funds
options
is the date on which the Premium net of Premium Allocation Charges is
18. Date of Allocation
invested in the Fund Options.
19. Date of Commencement of Policy is the start date of the policy.
20. Date of Commencement of Risk is the date from which the insurance cover under the policy commences
is the date on which we receive a communication from you requesting for
21. Date of Discontinuance surrender of the policy or the end of grace period due to non-payment of
contractual premium, whichever is earlier
Form No. 532

Page 16 of 72 PolicyNo. 1C796830502 49/766

Part B SBI Life – Smart Power Insurance Policy Document (UIN: 111L090V02)
An Individual, Unit Linked, Non Participating Life Insurance Product

Expressions Meanings
is the date on which the benefits under the policy terminate on expiry of the
22. Date of Maturity
Policy Term
is the date on which the policy benefits are restored at the conclusion of the
23. Date of Revival
revival process.
24. Death Benefit is the amount payable on death as stated in the policy document
- is the state of a policy that could arise on account of surrender of the policy
25. Discontinuance or non-payment of the contractual premium due before the expiry of the
grace period.
- is a charge levied when a policy is Discontinued or Surrendered.
- is either
- a percentage of one Annualised Premium or
26. Discontinuance Charges
- a percentage of Fund Value as on the Date of Discontinuance /
surrender or
- a fixed amount.
is the segregated fund we set aside and is constituted by the Fund Value as
applicable, of all the policies discontinued during lock-in period, determined in
27. Discontinued Policy Fund
accordance with Insurance Regulatory and Development Authority of India
(Unit Linked Insurance Products) Regulations, 2019.
is a change in any of the terms and conditions of the policy, agreed to or issued
28. Endorsement
by us, in writing.
is the period commencing from 1st April of any year to 31st March of the
29. Financial Year
following year or such period as may be notified by the Government
30. First Year Premium is the total of premiums due and payable in first Policy Year.
is the period during which the you have the option to return the policy and
31. Free-look Period
cancel the contract.
is the deduction made from the fund at a stated percentage before the
32. Fund Management Charges
computation of the NAV of the fund.
33. Fund Options are the different funds available for investment.
is the total value of the units at a point of time in a segregated fund i.e. total
34. Fund Value number of units under a policy multiplied by the Net Asset Value (NAV) per
unit of that fund
is a time of 30 days for Annual, Half Yearly and quarterly premium mode and
15 days for monthly modes granted from the due date for the payment of
35. Grace Period premium, without any penalty or late fee, during which time the policy is
considered to be in-force with the risk cover without any interruption, as per
the terms and conditions of the policy.
is the plan option, wherein the sum assured, shall enhance by a simple rate of
10% of the Sum Assured chosen at inception, starting from 6th policy year and
after every 5 years thereafter.
Sum Assured at any point of time under Increasing Cover Option, shall not
36. Increasing Cover Option exceed Rs 50,00,000. If under the Increasing Cover Option, the Sum Assured
is going above Rs. 50,00,000, as a result of an enhancement, it shall be capped
at Rs. 50,00,000 and no further future increases would be allowed.
Increasing Cover Option once chosen at policy inception cannot be changed
during the Policy Term.
is the status of the policy when all the due premiums have been paid or the
37. In-force
policy is not in a state of discontinuance.
38. Installment Premium is the same as ‘Premium’.
39. Instrument cheque, demand draft, pay order etc.
is the plan option, wherein the sum assured chosen at inception, remains the
same throughout the policy term
40. Level Cover Option
Level Cover Option once chosen at policy inception, cannot be changed during
the Policy Term.
41. Life Assured Is the person in relation to whose life, insurance and other benefits are granted.
Is the period of five consecutive completed years from the date of
commencement of the policy, during which period the proceeds of the
42. Lock-in Period
discontinued policies cannot be paid to the policyholder or to the insured, as
the case may be, except in the case of death or upon the happening of any other

Form No. 532

Page 17 of 72 PolicyNo. 1C796830502 49/766

Part B SBI Life – Smart Power Insurance Policy Document (UIN: 111L090V02)
An Individual, Unit Linked, Non Participating Life Insurance Product

Expressions Meanings
contingency covered under the policy
43. Maturity Benefit is the benefit which is payable on maturity, as stated in the policy document
44. Minor is a person who has not completed 18 years of age.
45. Mortality Charges are the charges recovered for providing life insurance cover.
is the person who is named as the nominee in the proposal form or
subsequently changed by an endorsement, as per section 39 of the Insurance
46. Nominee Act, 1938 as amended from time to time, who has the right to give a valid
discharge to the policy monies in case of the death of the life assured during
the term of the policy if such nomination is not disputed.
47. Non-participating does not have a share in our profits
SBI Life Insurance Company Limited or its successors (hereinafter referred to
as “Company”).
48. Our, Us, We
We are regulated by the Insurance Regulatory and Development Authority of
India(IRDAI). The registration number allotted by the IRDA is 111.
is the status of policy at the end of the grace period, on account of non-
payment of premium after lock-in period, and the insurance cover continues
49. Paid-up
with reduced sum assured called as Paid-up sum assured during the revival
period
is equal to the sum assured multiplied by the ratio of total number of premiums
50. Paid-up sum assured paid to the original number of premiums payable as per the terms and
conditions of the policy.
Is any part of fund that is encashed/ withdrawn by the policyholder during the
51. Partial Withdrawals
period of contract.
a charge which is applied at the beginning of each policy month by cancelling
52. Policy Administration Charges
units for equivalent amount.
is the same date each year during the Policy Term as the Date of
Commencement of Policy.
53. Policy Anniversary
If the Date of Commencement of Policy is on 29th of February, the Policy
Anniversary will be taken as the last date of February.
means the policy schedule, policy booklet, endorsements (if any), option
document (if any), rider documents (if any), other written agreements (if any)
mutually agreed by you and us during the time your policy also form part of
54. Policy Document
the Policy document.
It consists of Parts A, B, C, D, E, F and G and subsequent endorsements, if
any, after the issue of the policy.
is the period from the Date of Commencement, to the date prior to the
corresponding date in the following calendar month or similar periods
thereafter beginning from the dates in any calendar month corresponding to the
55. Policy Month
Date of Commencement.
If the said corresponding date is not available in a calendar month, then the last
day of the calendar month will be taken for this purpose.
is the period, during which the contractual benefits are payable. The Settlement
56. Policy Term
benefits, if chosen, are payable after the Policy Term.
57. Policy Year is the period between two consecutive Policy Anniversaries.
is the owner of the policy and is referred to as the proposer in the proposal
58. Policyholder form. The Policyholder need not necessarily be the same person as the Life
Assured.
is the period between two consecutive premium due dates for Limited
59. Premium Frequency premium policy and regular premium policy; the premium frequency available
under the plan is Yearly, Half-yearly, Quarterly or Monthly
60. Premium Payment Term is the period, in years, over which premiums are payable.
is the contractual amount payable by the Policyholder to secure the benefits
61. Premium
under the contract.
is the Instalment Premium payable over the Premium Payment Term, equal to
62. Regular Premium
the Policy term, at the chosen Premium Frequency
is restoration of the policy, which was discontinued due to the non-payment of
premium, with all the benefits mentioned in the policy document, upon the
63. Revival
receipt of all the premiums due and other charges or late fee, if any, as per the
terms and conditions of the policy, upon being satisfied as to the continued
Form No. 532

Page 18 of 72 PolicyNo. 1C796830502 49/766

Part B SBI Life – Smart Power Insurance Policy Document (UIN: 111L090V02)
An Individual, Unit Linked, Non Participating Life Insurance Product

Expressions Meanings
insurability of the insured or policyholder on the basis of the information,
documents and reports furnished by the policyholder, in accordance with
Board approved Underwriting policy
Is the period of three consecutive complete years from the date of first unpaid
64. Revival Period premium during which period the policyholder is entitled to revive the policy
which was discontinued due to the non-payment of premium
is an option which allows you to modify the allocation of amount of renewal
65. Premium Re-direction
premium to various segregated funds
66. Settlement installment is the amount of each installment receivable during the Settlement Period
a facility made available to receive the death proceeds in instalments in
67. Settlement Option
accordance with the terms and conditions of the contract
is the chosen period over which the death benefit is payable on exercising of
68. Settlement Period
the Settlement Option
the guaranteed amount payable under the Base Policy, upon the happening of
insured events.
For Level Cover Option, the sum assured chosen at inception, remains the
same throughout the policy term
69. Sum Assured
For Increasing Cover Option, the sum assured, shall automatically enhance by
a simple rate of 10% of the Sum Assured chosen at inception, starting from 6th
policy year and after every 5 years thereafter. However, it will never exceed
Rs50,00,000.
is the voluntary termination of the contract by the Policyholder before the
70. Surrender
expiry of the policy term..
is the amount of benefit payable to the Policyholder upon request for Surrender
71. Surrender Value
of the policy.
72. Survival Benefit is the benefit that depends on survival of the Life Assured.
is the process of changing the allocation percentage of the existing fund value
by moving from one fund (either wholly or in part) to the other amongst the
73. Switching
funds allowed under the policy during the policy term and also during the
settlement period
74. Switching Charge is the charge applicable on Switching
75. Term is same as “Policy Term”.
is the event where, the Life Assured becomes totally and irreversibly
disabled as a result of accidental bodily injury sickness or disease. The life
assured must be totally incapable of being employed or engaged in any
work or any occupation whatsoever for remuneration or profit. The above
disability must have lasted without interruption for at least 180 days and
must be deemed permanent by an appropriate medical practitioner appointed
by the company. The benefit becomes due if the life assured becomes totally
76. Total & Permanent Disability and permanently disabled due to an accident or sickness and as a result, not
able to earn income from any work, occupation or profession for the rest of
his/her life.
Total and permanent disability also includes the loss of both arms, or both legs,
or one arm and one leg, or of both eyes. Loss of arms or legs means
dismemberment by amputation of the entire hand or foot. Loss of eyes means
entire and irrecoverable loss of sight.
is applicable only under Trigger Fund Option. Any 15% or more, upward or
downward movement in the NAV of Equity Fund, leads to the occurrence of
77. Trigger Event
‘trigger’, wherein funds are re-balanced amongst Equity Fund & Bond Fund in
the ratio of 80:20
is the process of classification of lives into appropriate homogeneous groups
78. Underwriting based on the risks covered. based on underwriting, a decision on acceptance of
cover as well as an appropriate charges/premium is taken.
in a Unit-linked policy, the value of units in Chosen Funds will vary based on
79. Unit-linked market price of the underlying assets and the investment risk is borne by the
Policyholder.

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Part B SBI Life – Smart Power Insurance Policy Document (UIN: 111L090V02)
An Individual, Unit Linked, Non Participating Life Insurance Product

Expressions Meanings
a specific portion or part of the underlying segregated Unit Linked fund which
80. Units
is representative of the policyholder’s entitlement in such funds
81. Valuation Date is the Date of calculation of NAV.
82. You is the person named as the Policyholder.

The above definitions are provided only for the purpose of proper comprehension of the terms & phrases used in the policy
document. The actual benefits under the policy are payable strictly as per the terms and conditions of the policy only.

2 Abbreviations

Abbreviation Stands for

APW Applicable Partial Withdrawal
FMC Fund Management Charges
IRDAI Insurance Regulatory and Development Authority of India
NAV Net Asset Value, per unit
Rs. Indian Rupees
TPD Total & Permanent Disability
UIN Unique Identification Number (allotted by IRDA for this product)

These abbreviations bear the meanings assigned to them elsewhere in the Policy Booklet. These abbreviations are only meant to
explain the terms used in this policy. The actual benefits payable under the policy are governed by the terms and conditions of
this policy.

Form No. 532

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Part C SBI Life – Smart Power Insurance Policy Document (UIN: 111L090V02)
An Individual, Unit Linked, Non Participating Life Insurance Product

Part C

3 Base Policy Benefits

Base Policy benefits contain the following:

3.1 Death Benefit

We will pay the following death benefits, , if the claim is found admissible and payable:
3.1.1 In case the death intimation is received while the policy is in-force, we will pay the highest of the following:
3.1.1.1 Fund Value as on the date of death intimation or
3.1.1.2 Sum Assured less Applicable Partial Withdrawals (APW) or
3.1.1.3 105% of the total premiums received upto the date of death Less Applicable Partial Withdrawals (APW),
if any.

3.1.2 In case of death of the life assured while policy is in paid-up status, we will pay the highest of the following:
3.1.2.1 Your Fund Value as on the date of death intimation or
3.1.2.2 Paid-up Sum Assured less Applicable Partial Withdrawals (APW)

3.1.3 In case of death intimation is received after the Date of Discontinuance,

3.1.3.1 If death has occurred on or before the Date of Discontinuance, we will pay the same death benefit as
stated in 3.1.1
3.1.4 If death has occurred after the Date of Discontinuance, we will pay as per the details given here under
3.1.4.1 Discontinuance of Policy during the first five policy years
3.1.4.1.1 If you had Surrendered the policy and death occurs after surrender or
3.1.4.1.2 If you had opted to revive the policy within three years but have not revived the policy
and death occurs or
3.1.4.1.3 If you had not exercised any of the option and death occurs
3.1.4.1.4 Death Benefit payable would be equal to the Fund Value of the discontinued policy fund
as on the date of receipt of intimation of death claim to the company

3.1.4.2 Discontinuance of policy after the first five policy years

3.1.4.2.1 If the you have opted to revive the policy within three years but have not revived the
policy and death occurs during the 3 years revival period: or
3.1.4.2.2 if you had not exercised any of the options and death occurs
3.1.4.2.3 The Death benefit payable is, higher of the following
3.1.4.2.3.1 Fund Value as on date of intimation of death or
3.1.4.2.3.2 Paid-up Sum Assured less Applicable Partial Withdrawal

3.1.5. Nominee / beneficiary can choose one of the following two options to receive the death benefit:
3.1.5.1 Take full amount in lump-sum
3.1.5.2. Take the amount in instalments as per the Settlement Option (Refer Section 6).

3.2 Accelerated TPD Benefit

3.2.1 In case Life assured is diagnosed with Total and Permanent Disability due to an accident or sickness, we will pay
you the applicable Death benefit.
3.2.2 Death Benefit will be payable only once, on Death or on TPD due to Accident or Sickness, whichever occurs
earlier.

3.3 Maturity Benefit

3.3.1 We will pay your Fund Value , as Maturity benefit on the Date of Maturity.

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Part C SBI Life – Smart Power Insurance Policy Document (UIN: 111L090V02)
An Individual, Unit Linked, Non Participating Life Insurance Product

4 Premiums

4.1 You are required to pay the Premiums in full always on or before the Premium due dates.
4.2 You are required to pay unpaid Premium, if any, on or before expiry of Grace Period.
4.3 If we receive any Premium in advance, units will be allocated only on the Premium due date. We will not pay any interest
on Premium received in advance.
4.4 You are required to pay the Premiums even if you do not receive Premium notice or any other communication from us.
There is no contractual obligation on our part to send you premium notices.
4.5 You will be liable to pay all applicable taxes or levies etc as levied by the Government and other Statutory Authorities from
time to time.
4.6 If we receive any amount in excess of the required Premium, we will refund the excess premium without any interest.
4.7 If we receive any amount less than the Required Premium, we will not adjust the amount towards premium till you pay the
balance of premium. We will not pay any interest on the partial premium paid by you.
4.8 You can change the premium frequency, at any policy anniversary.
4.9 The change in premium frequency shall be allowed, only if the instalment premium after the change meets the minimum
premium prescribed for that frequency.
4.10 Top up premiums are not allowed under your policy.

5 Grace Period

5.1 You can pay your Premiums within a Grace Period of 30 days from the due dates, for yearly, half-yearly and quarterly
premium frequencies.
5.2 You have a Grace Period of 15 days for monthly premium frequency
5.3 Your policy will be treated as in-force during the grace period.

Form No. 532

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Part D SBI Life – Smart Power Insurance Policy Document (UIN: 111L090V02)
An Individual, Unit Linked, Non Participating Life Insurance Product

Part D

6 Settlement Option

6.1 Settlement option available to nominee / beneficiary on death of the life assured provided the death claim is found
admissible & payable
6.1.1 On Death of the life assured, the nominee / beneficiary may choose to get the death benefit payable in instalments
during the settlement period and the Fund option would be converted to Smart Funds.
6.1.2 This option will be available only if the policy status as on date of death is ‘inforce’ or ‘paid-up’.
6.1.3 The death benefit payable shall be invested in the same proportion of the funds as it was maintained at the time of
death. During the settlement period, the investment risk in the investment portfolio is borne by the beneficiary.
6.1.4 We will then pay the death benefit in instalments over a period of 2, 3, 4 or 5 years from the date of death, as
opted.
6.1.5 Settlement payouts can be taken in yearly, half-yearly, quarterly or monthly instalments as required.
6.1.6 The first instalment payment under settlement option shall fall due on the date of death and further instalments
will fall due on the first day of each subsequent year, half year, quarter or month depending on the chosen
settlement frequency.
6.1.7 The first instalment shall be paid as on the date of death claim acceptance.
6.1.8 The instalments due between the date of death and date of death claim acceptance, if any, shall also be paid along
with the first instalment without any interest. Subsequent instalments shall be paid as and when they fall due.
6.1.9 We will calculate each settlement instalment as the then available Fund Value divided by number of outstanding
instalments.
6.1.10 Last instalment will be the then available fund value.
6.1.11 The redemption of units from each fund will be based on the percentage of that fund to the total fund value as on
the date of payment
6.1.12 The nominee / beneficiary can ask for complete withdrawal, in which case remaining Fund Value will be paid
without deduction of any discontinuance charges.
6.1.13 Switching facility will be available during the settlement period.
6.1.14 We will not deduct any charges except FMC (Fund Management Charges) and Switching Charge, if any.
6.1.15 Partial withdrawal facility will not be available during the settlement period.
6.1.16 In case of death of the beneficiary, the Fund Value would be payable to the legal heir of the Beneficiary.

7 Partial Withdrawal

You can withdraw your fund partially during the policy term. Such withdrawals will be subject to all of the following:
7.1 You can withdraw from the 6th Policy Year.
7.2 We will allow maximum four partial withdrawals in one policy year of which first two will be free.
7.3 You cannot carry forward unused free partial withdrawals to subsequent Policy Years
7.4 We will charge of Rs. 100 per withdrawal in excess of free partial withdrawal.
7.5 We will deduct the partial withdrawal charges by way of cancellation of units.
7.6 During entire Policy Term, we will allow,
7.6.1 ten partial withdrawals if your Policy Term is 10 years
7.6.2 fifteen partial withdrawals if your Policy Term is 11 years and above
7.7 The partial withdrawals are expressed as a percentage of the Fund Value at the time of the partial withdrawal
7.8 You can withdraw
7.8.1 a minimum amount of Rs. 2,000.
7.8.2 only in multiples of Rs. 1,000.
7.8.3 a maximum amount of 15% of the available Fund Value as on withdrawal request date.
7.9 We will not allow Partial withdrawals if fund value, as consequence of this withdrawal is reduced to less than 50% of the
total premiums paid.
7.10 You cannot make partial withdrawals during the Settlement Period.

Form No. 532

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Part D SBI Life – Smart Power Insurance Policy Document (UIN: 111L090V02)
An Individual, Unit Linked, Non Participating Life Insurance Product

8 Surrender

You may surrender your policy during the term of the policy. Such Surrenders will be subject to all of the following:
8.1 In case we receive your surrender request on or before the expiry of the Lock-in Period,
8.1.1 We will disinvest your units in all funds as on date of surrender request.
8.1.2 The resultant amount after deduction of applicable Discontinuance Charges will be credited to the Discontinued
Policy Fund
8.1.3 We will pay you the Surrender Value on the first business day of 6th policy year.
8.1.4 Surrender Value is the accumulated value of your Discontinued Policy Fund.
8.2 In case we receive your Surrender request after the expiry of the Lock-in Period,
8.2.1 We will disinvest your units in all funds, as on surrender request accepted by the company.
8.2.2 We will pay you the Surrender Value.
8.2.3 Surrender Value is your Fund Value.
8.3 All the rights and benefits under the policy will automatically come to an end on payment of surrender value and the policy
will terminate.

9 Discontinuance of policy

9.1 Discontinuance of policy during lock-in period

9.1.1 Upon expiry of grace period, in case of discontinuance of policy due to non-payment of premium, your policy
will be disinvested and the fund value after deducting the applicable discontinuance charges, would be credited
to the discontinued policy fund. The risk cover shall cease.
9.1.2 We will communicate the status of the policy, within three months from the date of first unpaid premium. Non-
receipt of the communication however, will not be construed as a breach of any contractual obligation on our
part.
9.1.3 In the communication, we would state the current status of the policy and provide an option to revive the policy
within the revival period of three years from the date of first unpaid premium,
9.1.4 If you opt to revive the policy within revival period, then the revival procedure as stated in the Section on
“Revival” would be applicable.
9.1.5 In case you opt to revive but do not revive the policy during the revival period, the proceeds of the discontinued
policy fund shall be paid to you at the end of the revival period or at the end of the lock-in period whichever is
later. In respect of revival period ending after lock-in period, the policy will remain in discontinuance fund till
the end of revival period. The Fund management charges of discontinued fund will be applicable during this
period and no other charges will be applied.
9.1.6 You can opt to completely withdraw the policy anytime, then proceeds of the discontinued policy shall be
payable at the end of lock-in period or date of surrender whichever is later
9.1.7 In case you do not exercise the options as set out above, the policy shall continue without any risk cover and the
policy fund shall remain invested in the discontinuance fund. At the end of the lock-in period, the proceeds of
the discontinuance fund shall be paid to you and the policy shall terminate.
9.1.8 If life assured dies before the payment of discontinued policy value, then the same is paid to the beneficiary
immediately.

9.2 Discontinuance of policy after lock-in period

9.2.1 Upon expiry of the grace period, in case of discontinuance of policy due to non-payment of premium after lock-
in period, your policy shall be converted into a reduced paid up policy with the paid-up sum assured i.e. original
sum assured multiplied by the total number of premiums paid to the original number of premiums payable as per
the terms and conditions of the policy.
9.2.2 The policy shall continue to be in reduced paid-up status.
9.2.3 All charges as per terms and conditions of the policy shall be deducted during the revival period. However, the
mortality charges and Accelerated TPD Benefit charges shall be deducted based on the reduced paid up sum
assured only.
9.2.4 We will communicate the status of the policy within three months from the date of first unpaid premium. Non-
receipt of the communication however, will not be construed as a breach of any contractual obligation on our
part.
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Part D SBI Life – Smart Power Insurance Policy Document (UIN: 111L090V02)
An Individual, Unit Linked, Non Participating Life Insurance Product

9.2.5 In the communication we would state the current status of the policy and provide the following options to you
upon discontinuation of the policy:
9.2.5.1 Revive the policy within the revival period of three years from the date of first unpaid premium, or
9.2.5.2 Complete Withdrawal / surrender of the policy.
9.2.6 If you opt to revive but do not revive the policy during the revival period, the Fund Value shall be paid to you at
the end of the revival period.
9.2.7 If you opt to completely withdraw from the policy, then policy Fund value as on the date of receipt of surrender
request would be payable.
9.2.8 In case you do not exercise any option as set out above, the policy shall continue to be in reduced paid up status.
At the end of the revival period, the proceeds of the policy fund shall be paid to you and your policy shall
terminate.
9.2.9 However, if the date of maturity falls during the revival period, then the Fund Value would be paid on the date
of maturity.
9.2.10 You can opt to completely withdraw the policy anytime, then policy Fund value as on the date of receipt of
surrender request would be payable

10 Revival

10.1 You may opt to revive your policy within three years from the date of first unpaid premium.
10.2 You should write to us on your decision to revive the policy during the Revival Period.
10.3 You are required to pay all the due premiums without any interest or fee.
10.4 You have to submit Good Health Declaration and satisfy other underwriting requirements, if any.
10.5 We may accept or reject your revival request. We will inform you the same. Revival will not be effective until the
acceptance of revival is communicated.
10.6 You cannot revive after the expiry of the Revival Period.
10.7 If premium is discontinued during lock-in period
10.7.1 If you revive the policy during the revival period, then the Discontinued Policy Fund will be dis-invested and the
discontinuance charge, previously deducted, would be added back to this dis-invested fund amount.
10.7.2 We will automatically shift the resultant fund to your chosen funds, in the same proportion as per the fund
options originally chosen or as requested during revival process or as chosen in the last premium redirection
request, whichever is the latest
10.7.3 We will allocate the units based on the NAV as on the date of such revival.
10.7.4 We will deduct premium allocation charges and policy administration charges as applicable during the
discontinuance period.
10.7.5 We will restore the risk cover and deduct all applicable charges from the date of revival of the policy.

10.8 If premium is discontinued after lock-in period

10.8.1 If you revive the policy within 3 years time from the date of first unpaid premium, we will invest due premiums
paid by you, net of charges in the same proportion as per the fund options originally chosen or as requested
during revival process or as chosen in the last premium redirection, whichever is the latest.
10.8.2 We will allocate the units based on the NAV as on the date of such revival.
10.8.3 We will deduct premium allocation charges as applicable during the discontinuance period.
10.8.4 We will restore the original risk cover from the date of revival of the policy.
10.8.5 We will deduct all applicable charges, from the date of revival of the policy.
10.9 You will bear the cost of medical examination, if any, up to an amount of Rs. 3,000.

11 Premium Re-direction

11.1 You can Re-direct your Premiums subject to all of the following:
11.1.1 We will allow you Premium Re-direction from the beginning of the second Policy Year.
11.1.2 You can request for Re-direction only among the then available 10 funds present under the Smart Funds Option.

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Part D SBI Life – Smart Power Insurance Policy Document (UIN: 111L090V02)
An Individual, Unit Linked, Non Participating Life Insurance Product

11.1.3 Your Re-direction request will be applicable only on your future Premiums. This will have no effect on your
existing funds.
11.1.4 You can re-direct only in multiples of 1% of premiums.
11.1.5 We will not charge for the first re-direction in a policy year.
11.1.6 We will charge you Rs. 100/- per re-direction request from the second re-direction in the same policy year.
11.1.7 We will deduct the charges by cancelling your units as per the NAV on the date of receipt of request.
11.1.8 We will cancel units from all your funds in proportion of their sizes.
11.1.9 We will Re-direct your Premiums if you have applied at least 14 days prior to the due date of premium on which
Re-direction is to be applied.

12 Switching

12.1 You can Switch your funds during the Policy Term and also during the settlement period, subject to all of the following:
12.1.1 You can Switch only among the then available funds present under the Smart Funds Option.
12.1.2 We will not charge for the first two switches in a Policy Year.
12.1.3 We will charge you Rs. 100 per switch from the third Switch onwards in the same Policy Year.
12.1.4 You cannot carry forward free unused Switches to subsequent Policy Years.
12.1.5 We will deduct the Switching Charges from the amount to be switched.
12.1.6 You can ask for a Switch in terms of amount or in percentage.
12.1.7 You can Switch a minimum amount of Rs. 2,000.
12.1.8 You can Switch only in multiples of 1% of each fund.
12.1.9 You can Switch only once in a day.

13 Portfolio Transfer Option

13.1 You can opt to change the selected Fund Option – Trigger Fund or Smart Funds, at any policy anniversary date.
13.2 We will carry out the portfolio transfer, if you have applied at least 2 months prior to the policy anniversary.
13.3 You can opt for portfolio transfer, only 2 times in the entire Policy Term
13.4 We will not deduct any charges for exercising this option.
13.5 We will carry out, switching of funds & premium re-direction simultaneously. The total existing funds would be transferred
from one fund option to the other fund option, so chosen by you.
13.6 All your future premiums would also be redirected to the new fund option, in the proportion, so opted.
13.7 At any point of time, your fund(s) would be present in only one Fund Option.

14 Termination

14.1 Termination of Life Cover and in-built Accelerated TPD Benefit under your policy
All the covers under the Base Policy and in-built Acceleration TPD Benefit will end at the earliest of the following:
14.1.1 The date on which we receive free-look cancellation request or
14.1.2 The date on which we receive your Surrender request for the Policy or
14.1.3 Date of Discontinuance of policy, if it is during first five years of the policy or
14.1.4 The date on which your policy terminates as per the terms of the policy

14.2 Termination of your policy

Your policy will terminate on the earliest of the following:
14.2.1 The date of payment of the refund amount on free look cancellation or
14.2.2 The Date on which the policy Matures or .
14.2.3 The date of payment of Surrender Value or Accumulated Value of your Discontinued Policy Fund or
14.2.4 If the policy is discontinued after the first five policy years and is in a paid up status and the fund value at the
beginning of any policy month falls below the amount of one annualized premium, the fund value available then
would be paid to you or.

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Part D SBI Life – Smart Power Insurance Policy Document (UIN: 111L090V02)
An Individual, Unit Linked, Non Participating Life Insurance Product

14.2.5 On cancellation/ termination of the Policy by Us on grounds of misrepresentation, fraud or nondisclosure

established.

15 General Terms

15.1 Free-look Period

15.1.1 If you have purchased the policy through distance marketing and electronic policy, you have 30 days from the date
of the receipt of this policy document to review its terms and conditions. If you are not satisfied, you can return the
policy stating the reasons for objection .
15.1.2 If you have not purchased the policy through distance marketing and electronic policy, you have 15 days from the
date of the receipt of this policy document to review its terms and conditions. If you are not satisfied, you can
return the policy stating the reasons for objection, in writing.
15.1.3 We shall refund you the amount arrived as per the following formula:

Fund Value as on the date of receipt of a valid request Plus the following which are already deducted
(Premium Allocation Charges
Plus Policy Administration Charges
Plus Accelerated TPD Benefit Charges
Plus Mortality charges
Plus Corresponding applicable Taxes)

Minus the following:

(Mortality Charges and Accelerated TPD Benefit Charges along with the corresponding applicable taxes, proportionate to
the period you were covered
Plus Cost of Stamp Duty
Plus Medical Expenses, if any)
15.1.4 You cannot revive or restore your policy once you have returned your policy.
15.1.5 The amount will be paid in lumpsum.

15.2 Suicide exclusion

15.2.1 If the Life Assured commits suicide, within 12 months, we will not pay the death benefit.
15.2.2 We will calculate 12 months from the Date of Commencement of Policy or from the Date of Revival of the Policy,
as applicable.
15.2.3 We will pay your Fund Value as on the date of intimation of death of life assured and the contract would cease.
15.2.4 Any charges other than Fund Management Charges (FMC) recovered subsequent to the date of death shall be
added back to the fund value as available on the date of intimation of death.

15.3 Policy loan

Your policy will not be eligible for any loans.

15.4 Accelerated TPD exclusions

15.4.1 Intentional self-inflicted injury, attempted suicide, insanity or immorality or whilst the life assured is under the
influence of intoxicating liquor, drug or narcotic substances.
15.4.2 Criminal acts: Life assured involvement in Criminal and/or unlawful acts with Criminal/Unlawful intent
15.4.3 War and Civil Commotion: War, invasion, hostilities, (whether war is declared or not), civil war, rebellion,
revolution or taking part in a riot or civil commotion.
15.4.4 Nuclear Contamination: The radioactive, explosive or hazardous nature of nuclear fuel materials or property
contaminated by nuclear fuel materials or accident arising from such nature.
15.4.5 Aviation: Life assured participation in any flying activity, other than as a passenger in a commercially licensed
aircraft.
15.4.6 Hazardous sports and pass times: Taking part or practicing for any hazardous hobby, pursuit or any race not
previously declared and accepted by the Company.
15.4.7 Any pre-existing diseases.

Form No. 532

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Part D SBI Life – Smart Power Insurance Policy Document (UIN: 111L090V02)
An Individual, Unit Linked, Non Participating Life Insurance Product

Pre-existing disease means any condition, ailment, injury or disease:

a) That is/are diagnosed by a physician within 48 months prior to the effective date of the policy issued by the
insurer or its revival or
b) For which medical advice or treatment was recommended by, or received from, a
physician within 48 months prior to the effective date of the policy or its revival.
c) A condition for which any symptoms and or signs if presented and have resulted
within three months of the issuance of the policy or its revival in a diagnostic illness or medical condition.
15.4.8 Drug Abuse: Life assured under the influence of Alcohol or solvent abuse or use of drug or narcotic substances
except under the direction of a registered medical practitioner.
15.4.9 Arising from employment of the Life Assured in the armed forces or military service of any country at war
(whether war be declared or not) or from being engaged in duties of any para-military, security, naval or police
organisation.

Form No. 532

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Part E SBI Life – Smart Power Insurance Policy Document (UIN: 111L090V02)
An Individual, Unit Linked, Non Participating Life Insurance Product

Part E

16 Funds

16.1 The Fund

16.1.1 You bear the investment risk in investment portfolio.
16.1.2 We will invest the fund in accordance with the guidelines issued by the IRDAI from time to time. We will select
the investments, including derivatives and units of mutual funds, for each fund. The investments will be within
the limits as mentioned in “Fund Options”.
16.1.3 The investments in the units are subject to market and other risks. We do not assure that the objective of the
product will be achieved.
16.1.4 The NAV of the units will depend on the equity markets and general level of interest rates from time to time.
16.1.5 The past performance of the funds is not indicative of the future performance of any of the funds available under
this policy.
16.1.6 We will apply a minimum guaranteed rate of return of 4% p.a. or as prescribed in the regulations from time to
time, to the Discontinued Policy Fund.

16.2 Fund Options

16.2.1 We will invest your Premium (net of Allocation Charges) as per the fund option chosen.
16.2.2 Under Trigger Fund Option
16.2.2.1 We will invest 80% of the Premium received (net of Allocation Charges) in the Equity Fund and the
remaining 20% in the Bond Fund
16.2.2.2 At any point of time, if the NAV of Equity Fund increases/decreases by 15% or more, then such
excess/shortage value in the Equity Fund automatically gets re-distributed amongst the 2 funds –
Equity & Bond, in the ratio of 80:20, without any charges.
16.2.2.3 The Equity Fund NAV so got after the ‘trigger’ event, shall become the new base on which the upward
or downward 15% or more ‘trigger’ movement would be calculated.
16.2.2.4 This process shall be followed throughout the policy term.
16.2.3 Under Smart Funds Option
16.2.3.1 There are ten funds, which have different risk-return profiles.
16.2.3.2 You may choose to invest contributions in any one or more, of the ten funds, in multiples of 1%.
16.2.3.3 We will allocate your base policy premiums paid at the proposal stage, in the proportion mentioned in
your proposal form.
16.2.3.4 We will continue to allocate in the same proportion until you ask us to re-direct. After you re-direct, the
future premiums will follow the new proportion.
16.3 Fund description
16.3.1 Equity Fund (SFIN: ULIF001100105EQUITY-FND111)
16.3.1.1 Objective
The objective of this fund is to provide high equity exposure targeting higher returns in the long term.
16.3.1.2 Asset Mix
Assets Minimum Maximum
Equity & Equity related instruments 80% 100%
Debt Instruments Nil 20%
Money Market Instruments Nil 20%
16.3.1.3 Risk Profile: High

16.3.2 Equity Optimiser Fund (SFIN: ULIF010210108EQTYOPTFND111)

16.3.2.1 Objective
The objective of this fund is to provide equity exposure targeting higher returns through long term capital gains.
16.3.2.2 Asset mix
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Part E SBI Life – Smart Power Insurance Policy Document (UIN: 111L090V02)
An Individual, Unit Linked, Non Participating Life Insurance Product

Assets Minimum Maximum

Equity & Equity related instruments 60% 100%
Debt Instruments Nil 40%
Money Market Instruments Nil 40%
16.3.2.3 Risk Profile: High

16.3.3 Growth Fund (SFIN: ULIF003241105GROWTH-FND111)

16.3.3.1 Objective
To provide long term capital appreciation through investments primarily in equity and equity related instruments
with a small part invested in debt and money market for diversification and risk reduction.
16.3.3.2 Asset mix
Assets Minimum Maximum
Equity & Equity related instruments 40% 90%
Debt Instruments 10% 60%
Money Market Instruments Nil 40%
16.3.3.3 Risk Profile: Medium to High

16.3.4 Balanced Fund (SFIN: ULIF004051205BALANCDFND111)

16.3.4.1 Objective
To provide accumulation of income through investment in both equities and fixed income securities with an
attempt to maintain a suitable balance between return and safety.

16.3.4.2 Asset mix

Assets Minimum Maximum
Equity & Equity related instruments 40% 60%

Debt Instruments 20% 60%

Money Market Instruments Nil 40%

16.3.4.3 Risk Profile: Medium

16.3.5 Bond Fund (SFIN: ULIF002100105BONDULPFND111)

16.3.5.1 Objective
To provide relatively safe and less volatile investment option mainly through debt instruments and accumulation
of income through investment in fixed income securities.
16.3.5.2 Asset mix
Assets Minimum Maximum
Debt Instruments 60% 100%
Money Market instruments Nil 40%
16.3.5.3 Risk Profile: Low to Medium

16.3.6 Money Market Fund (SFIN: ULIF005010206MONYMKTFND111)

16.3.6.1 Objective
To deploy the funds in liquid and safe instruments so as to avoid market risk on a temporary basis.

16.3.6.2 Asset mix

Assets Minimum Maximum
Debt instruments 0% 20%
Money Market Instruments 80% 100%
16.3.6.3 Risk Profile: Low
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Part E SBI Life – Smart Power Insurance Policy Document (UIN: 111L090V02)
An Individual, Unit Linked, Non Participating Life Insurance Product

16.3.7 Top 300 Fund (SFIN: ULIF016070110TOP300-FND111)

16.3.7.1 Objective
To provide long term capital appreciation by investing in stocks of top 300 companies in terms of market
capitalization on the National Stock Exchange (NSE).
16.3.7.2 Asset mix
Assets Minimum Maximum
Equity 60% 100%
Money Market Instruments and Cash 0% 40%
16.3.7.3 Risk Profile: High

16.3.8 Bond Optimiser Fund: (SFIN: ULIF032290618BONDOPTFND111)

16.3.8.1 Objective
To earn returns higher than a pure fixed income fund by investing in a mix of Government Securities, Corporate
Bonds, Money Market Instruments & up to 25% in Equity Instruments.
16.3.8.2 Asset mix

Assets Minimum Maximum

Equity and Equity related 0% 25%
instruments
Debt instruments 75% 100%
Money Market Instruments 0% 25%

16.3.8.1 Risk Profile: Low to Medium

16.3.9 Pure Fund: (SFIN: ULIF030290915PUREULPFND111)

16.3.9.1 Objective
The objective of this fund is to provide high equity exposure targeting higher returns in the long term. The Fund
invests in Equities of sectors other than -
a. Banks, Financial institutions and non-banking financial companies,
b. Breweries, distilleries, alcohol based chemicals, cigarettes, tobacco,
c. Entertainment (Films, TV etc.), Hotels, Gambling, Lotteries, Contests,
d. Leather, Animal Produce, sugar and hatcheries.

16.3.9.2 Asset mix

Assets Minimum Maximum

Equity and Equity related 80% 100%
instruments
Money Market Instruments 0% 20%

16.3.9.3 Risk Profile: High

16.3.10 Corporate Bond Fund: (SFIN: ULIF033290618CORBONDFND111)

16.3.10.1 Objective
To earn steady income for policy holders by investing in debt instruments and optimize returns for the portfolio
by predominantly investing in Corporate Bonds of medium term maturities.

16.3.10.2 Asset mix

Assets Minimum Maximum

Corporate Bond 70% 100%
Government Securities 0% 30%
Money Market Instruments & Mutual 0% 30%
Funds

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Part E SBI Life – Smart Power Insurance Policy Document (UIN: 111L090V02)
An Individual, Unit Linked, Non Participating Life Insurance Product

16.3.10.3 Risk Profile: Low to Medium

16.3.11 Discontinued Policy Fund (SFIN : ULIF024110411DISCOPOFND111)

16.3.11.1 This fund is built to invest the amounts after deduction of applicable Discontinuance Charges, from the
disinvested units of the policies Discontinued or Surrendered during the Lock-in Period in the
Company’s portfolio and to provide the Discontinuance Value or Surrender Value as applicable, as the
case may be, to the Policyholders at the end of the Lock-in Period or at the end of the revival period or
date of surrender whichever is later..
16.3.11.2 The objective of the fund is to achieve relatively less volatile investment return mainly through debt
instruments and liquid assets and also accumulation of income through investment in fixed income
securities and liquid assets.
16.3.11.3 This is a segregated fund of the Company and created as required by the IRDA.
16.3.11.4 We do not offer you this fund as an investment option. We provide a minimum investment return
guarantee equal to 4% per annum or as prescribed in the prevailing regulation, on this fund.
16.3.11.5 The Discontinued Policy Fund will have the following asset mix

Assets Minimum Maximum

Government Securities 60% 100%
Money Market Instruments and Cash 0% 40%

16.3.11.6 The income earned on this fund net of applicable FMC, will be apportioned to this fund and will be
entirely available to you, as applicable.

16.4 Introduction of New Fund Options

We may establish new Fund Options with prior approval from IRDAI and we will notify you of the same.

16.5 Fund Closure

16.5.1 We may close existing funds with prior approval from the IRDAI. We will notify you in writing 3 months prior to
the closure of the fund.
16.5.2 If you do not switch in this period, we will switch your units to Money Market Fund
16.5.3 No fee will be charged for switching in the event of such closure of Funds.

16.6 Standard Force Majeure Provisions

16.6.1 The Insurer shall value the Funds (SFIN) on each day for which the financial markets are open. However, the
Insurer may value the SFIN less frequently in extreme circumstances external to the Insurer i.e. in force majeure
events, where the value of the assets is too uncertain. In such circumstances, the Insurer may defer the valuation
of assets for up to 30 days until the Insurer is certain that the valuation of SFIN can be resumed.
16.6.2 The Insurer shall inform IRDAI of such deferment in the valuation of assets. During the continuance of the force
majeure events, all request for servicing the policy including policy related payment shall be kept in abeyance.
16.6.3 The Insurer shall continue to invest as per the fund mandates submitted. However, the Insurer shall reserve its
right to change the exposure of all or any part of the Fund to Money Market Instruments [as defined under
Regulations 2(j) of IRDAI (Investment) Regulations, 2016] in circumstances mentioned under points
16.6.1 and 16.6.2) above. The exposure to the fund as per the fund mandates submitted shall be reinstated within
reasonable timelines once the force majeure situation ends.
16.6.4 Few examples of circumstances as mentioned [in point 16.6 (16.6.1 & 16.6.2) above] are:
16.6.4.1 when one or more stock exchanges which provide a basis for valuation of the assets of the fund are
closed otherwise than for ordinary holidays.
16.6.4.2 when, as a result of political, economic, monetary or any circumstances which are not in the control of
the insurer, the disposal of the assets of the fund would be detrimental to the interests of the
continuing Policyholders.
16.6.4.3 in the event of natural calamities, strikes, war, civil unrest, riots and bandhs.
16.6.4.4 in the event of any force majeure or disaster that affects the normal functioning of the Insurer.
16.6.5 In such an event, an intimation of such force majeure event shall be uploaded on the Insurer's website for
information.

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An Individual, Unit Linked, Non Participating Life Insurance Product

16.7 We will send on half-yearly basis a statement of account giving various details pertaining to your policy, e.g. total
premium paid by you, status of policy, total Fund Value etc. These statements are sent by Ordinary post and non-receipt
of Fund Statements shall not be deemed to be a breach of terms and conditions of the policy.

17 Units

17.1 Creation of Account

We will invest your Premium (net of Allocation Charges) in your chosen fund option.

17.2 Allocation of Units

17.2.1 We will allocate units based on the NAVs prevailing on the Date of Allocation.
17.2.2 We will calculate the NAVs up to 4 decimal places. We may change the number of decimal places in future.

17.3 Redemption of Units

17.3.1 We will redeem the units based on the NAVs on the Date of Redemption.

17.4 Calculation of NAV

17.4.1 Valuation of funds
17.4.1.1 We will value the assets underlying the units on all business days if either equity or debt market is
open.
17.4.1.2 In case of market uncertainties where it is difficult to value the assets the valuation shall be done
on a less frequent basis.
17.4.1.3 Based on the valuation of the assets, we will compute the unit price.
17.4.1.4 We shall compute the NAV as per the below given formula
[Market value of investment held by the fund
+ the value of any current assets
- the value of any current liabilities & provisions, if any]
divided by
[Number of units existing on valuation date, (before creation/redemption of units)]

17.5 Date of NAV for Allocation, Redemption and Cancellation of Units

We give below the allocation and redemption of units for various transactions and the applicable NAV dates.

Type of transaction Applicable event date

Date of realization or date of underwriting acceptance,
First Premium
whichever is later
Renewal Premium through demand draft or local Date of receipt of instrument or due date of premium,
cheque payable at par whichever is later
Renewal Premium through outstation cheque or Date of realization or due date of premium, whichever is
demand draft later
Partial withdrawal, Switch or Free-look
Date of receipt of a valid request
cancellation
Rebalancing on the happening of ‘Trigger’ event Date of trigger
Death Benefit claim Date of receipt of death claim intimation
Revival processed without any fresh evidence of
health and premium through demand draft or local Date of receipt of instrument
cheque payable at par
Revival processed without any fresh evidence of
health and premium through outstation demand Date of realization
draft or cheque
Termination Date of termination
Maturity Benefit Date of Maturity
Surrender Date of receipt of valid Surrender request
Discontinuance Date of Discontinuance
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Part E SBI Life – Smart Power Insurance Policy Document (UIN: 111L090V02)
An Individual, Unit Linked, Non Participating Life Insurance Product

Settlement Option Date of payment under Settlement Option

Revival processed after submission of fresh Date of realization of instrument or date of underwriting
evidence of health acceptance, whichever is later

17.5.1 In case of transactions through electronic transfer or other approved modes, we will consider closing NAV of
transaction realisation date.
17.5.2 If the above applicable event occurs by the cut-off time, we will apply the closing NAV of the same day.
17.5.3 If the above applicable event occurs after the cut-off time, we will apply the closing NAV of the next day.
17.5.4 The current cut-off time is 3.00 p.m. This cut-off time may change as per IRDA’s prevailing guidelines.
17.5.5 If we change this cut-off time, we will notify you.

18 Charges

18.1 Premium Allocation Charges

18.1.1 We will recover premium Allocation Charges as a percentage of Premium as per the following table:
Policy Year Premium Allocation Charge
(% of premium)
1 5.75%
2-5 4.00%
6-7 3.50%
8 2.50%
9 2.00%
10 onwards 1.50%

18.1.2 We will allocate your Premiums to the funds after deducting these charges.

18.2 Policy Administration Charges

18.2.1 We will deduct policy administration charge equal to Rs 33.33 per month
18.2.2 We will recover these charges on the first Business Day of every Policy Month by cancelling units from funds in
proportion to their sizes
18.2.3 The Policy administration charge would be subject to a cap of Rs.500 per month. However, revision of charges
would be subject to prior approval of IRDAI

18.3 Fund Management Charges

18.3.1 We will recover Fund Management Charge (FMC) on a daily basis, as a percentage of the Fund Value which will
be reflected in the NAV of the funds.
18.3.2 The annual FMC for the funds will be as follows:
Fund Options FMC
Equity Fund 1.35%
Equity Optimiser Fund 1.35%
Growth Fund 1.35%
Balanced Fund 1.25%
Bond Fund 1.00%
Money Market Fund 0.25%
Top 300 Fund 1.35%
Pure Fund 1.35%
Bond Optimiser Fund 1.15%
Corporate Bond Fund 1.15%
Discontinued Policy Fund 0.50%
18.3.3 The FMC for all Funds except Discontinued Policy Fund, would be subject to a cap of 1.35% p.a. However,
revision of charges would be subject to prior approval of IRDAI

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Part E SBI Life – Smart Power Insurance Policy Document (UIN: 111L090V02)
An Individual, Unit Linked, Non Participating Life Insurance Product

18.4 Discontinuance Charges

18.4.1 We will recover Discontinuance Charges from the Fund Value.
18.4.2 The Discontinuance Charges will be as per the following table:
Discontinuance Charges for Discontinuance Charges for policies
Year of
policies having annualised having annualised
Discontinuance
premium up to Rs 50,000 premium above Rs 50,000
Lower of 20% × (Annualised Lower of 6% × (Annualised Premium
1 Premium or Fund Value) subject to or Fund Value) subject to maximum of
maximum of Rs. 3,000 Rs. 6,000
Lower of 15% × (Annualised Lower of 4% × (Annualised Premium
2 Premium or Fund Value) subject to or Fund Value) subject to maximum of
maximum of Rs. 2,000 Rs. 5,000
Lower of 10% × (Annualised Lower of 3% × (Annualised Premium
3 Premium or Fund Value) subject to or Fund Value) subject to maximum of
maximum of Rs.1,500 Rs.4,000
Lower of 5% × (Annualised Lower of 2% × (Annualised Premium
4 Premium or Fund Value) subject to or Fund Value) subject to maximum of
maximum of Rs.1,000 Rs.2,000
5 onwards Nil Nil

18.4.3 The year of Discontinuance is the Policy Year in which the Date of Discontinuance falls.

18.5 Switching Charges

18.5.1 We will charge you Rs.100 per Switch from third Switch onwards in the same Policy Year during the policy year
and settlement period.
18.5.2 The Switching charge would be subject to a cap of Rs.500 per switch. However, revision of charges would be
subject to prior approval of IRDAI
18.6 Partial Withdrawal Charges
18.6.1 We will charge Rs.100 for the third withdrawal in any Policy Year.
18.6.2 We will recover the charge by way of cancellation of units.
18.6.3 The Partial withdrawal charge would be subject to a cap of Rs.500 per transaction. However, revision of charges
would be subject to prior approval of IRDAI.
18.7 Premium Re-direction charges
18.7.1 We will charge Rs. 100 per re-direction from the second re-direction in the same policy year.
18.7.2 We will deduct the charges by cancelling units from all your funds in proportion to their sizes.
18.7.3 The Premium redirection charge would be subject to a cap of Rs.500 per transaction. However, revision of charges
would be subject to prior approval of IRDAI
18.8 Mortality Charges
18.8.1 We will calculate Mortality Charges based on the Age of the Life Assured.
18.8.2 We will charge the same on the first Business Day of every policy month by cancelling units in proportion to their
sizes.
18.8.3 Monthly Mortality Charges = Sum-at-risk × ( Annual Mortality Charge / 12 )
18.8.4 The Annual Mortality Charge will be as per the following table:
Annual Mortality Charge per Rs. 1,000 sum-at-risk
Age of Annual Age of Annual Age of Annual
the Life Mortality the Life Mortality the Life Mortality
Assured Charge Assured Charge Assured Charge
18 0.99 36 1.68 54 9.09
19 1.04 37 1.80 55 9.86
20 1.08 38 1.93 56 10.66
21 1.12 39 2.08 57 11.50
22 1.14 40 2.26 58 12.39

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Part E SBI Life – Smart Power Insurance Policy Document (UIN: 111L090V02)
An Individual, Unit Linked, Non Participating Life Insurance Product

23 1.16 41 2.46 59 13.35

24 1.17 42 2.69 60 14.38
25 1.19 43 2.97 61 15.51
26 1.20 44 3.28 62 16.75
27 1.21 45 3.64 63 18.11
28 1.23 46 4.06 64 19.62
29 1.25 47 4.53 65 21.28
30 1.28 48 5.06
31 1.32 49 5.63
32 1.37 50 6.26
33 1.43 51 6.92
34 1.50 52 7.62
35 1.58 53 8.34
18.8.5 Sum-at-risk for in-force policies is the higher of the following two amounts:
18.8.5.1 Sum Assured at inception or the enhanced Sum Assured, based on the Plan Option chosen, less
Applicable Partial Withdrawals (APW) less your Fund Value as on the date of calculation.
18.8.5.2 105% of the total premiums received upto date of calculation less Applicable Partial Withdrawals
(APW) less your Fund Value as on the date of calculation.
18.8.6 Sum-at-risk for paid-up policies is equal to Paid-up Sum Assured less Applicable Partial Withdrawals (APW)
minus the Fund Value as on that date.
18.8.7 Applicable Partial Withdrawal (APW) for sum-at-risk calculation:
The partial withdrawals made in the last 2 years immediately preceding the date of calculation

18.8.8 We will consider Sum-at-risk as zero if it is less than zero.

18.9 Accelerated TPD Benefit Charge:

18.9.1 Charges are recovered on a monthly basis, on the 1st working day of each policy month by the way of cancellation
of appropriate number of units.
18.9.2 Monthly Charges = Sum at risk * (Annual rate / 12)
18.9.3 Annual rate is Rs 0.40 per 1000 Sum at risk.
18.9.4 Sum-at-risk for calculation of Acceleration TPD charges will be equal to the mortality charges Sum-at-risk

18.10 New services and revision of charges

18.10.1 Except for Premium Allocation Charges, Mortality Charges and Accelerated TPD Benefit Charge, all the other
charges are subject to revision with prior approval of IRDAI. Premium Allocation Charges, Mortality Charges
and Accelerated TPD Benefit Charge are guaranteed for the entire policy term.
18.10.2 We may introduce new services and the corresponding charges, with prior approval by the IRDAI.
18.10.3 We will notify the new services, charges and change in charges for existing services through our website.

Form No. 532

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Part F SBI Life – Smart Power Insurance Policy Document (UIN: 111L090V02)
An Individual, Unit Linked, Non Participating Life Insurance Product

Part F

19 General Terms - Miscellaneous

19.1 Death Claim: The Procedure for payment of death claim shall be as follows provided the claim is found admissible
and payable.
19.1.1 The Policyholder, Nominee or the legal heir, as the case may be, should intimate the death of the Life Assured in
writing, stating at least the policy number, cause of death and date of death.
19.1.2 We will require the following documents:
- Original policy document
- Original death certificate from municipal / local authorities
- Claimant’s statement and claim forms in prescribed formats
- Any other documents including post-mortem report, first information report where applicable
19.1.3 Claim under the policy should be filed with us within 90 days of date of death. However, without prejudice, in
case of delay in intimation or submission of claim documents beyond the stipulated period in the policy document
or in the Statutes, We, , may condone such delay and examine the admissibility or otherwise of the claim, if such
delay is proved to be for reasons beyond the control of the nominee/claimant.
19.1.4 If the policy is assigned, we will pay the claim to the Assignee.
19.1.5 If the policy is not assigned, and
19.1.5.1 you are not the Life Assured, we will pay you or your legal heir
19.1.5.2 you are the Life Assured, we will pay
19.1.5.2.1 the Nominee, if the Nominee is not a Minor and if the nomination/appointee is not disputed.
19.1.5.2.2 the Appointee, if the Nominee is a Minor
19.1.5.2.3 your legal heir, if nomination is not valid

19.2 Accelerated Total and Permanent Disability claim:

19.2.1 We will require proof of accident and disability including, first information report, hospital records etc. We may
ask for additional records.
19.2.2 You should intimate to us the occurrence, nature and date of disability
19.2.3 We will pay the claim to the assignee if the policy is assigned.
19.2.4 If the policy is not assigned, we will pay you or your legal heir

19.3 Maturity Claim

19.3.1 You are required to submit the original policy document and the discharge form at any of our offices.
19.3.2 If the policy is assigned, the request has to be submitted by the Assignee and you, jointly and we will pay the
claim to the Assignee.
19.3.3 If the policy is not assigned, we will pay the claim to you.

19.4 Surrender
19.4.1 We will require the original policy document and discharge form.
19.4.2 If the policy is assigned, we will pay the Surrender Value to the Assignee.
19.4.3 If the policy is not assigned, we will pay the Surrender Value to
19.4.3.1 you
19.4.3.2 your legal heir, in case of death of Policyholder is subsequent to date of Surrender request but before
date of payment.
19.5 Nomination
19.5.1 If you are the policyholder and the life insurance cover is on your own life, you may, when affecting the policy or
at any time before the policy matures for payment, nominate person or persons to whom the money secured by the
policy shall be paid in the event of the death of the life assured.
19.5.2 If the nominee is a minor, you may appoint a person, competent to contract, as an appointee in the manner laid
down by us, to receive the money secured by the policy in the event of death of the life assured during the
minority of the nominee.
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Part F SBI Life – Smart Power Insurance Policy Document (UIN: 111L090V02)
An Individual, Unit Linked, Non Participating Life Insurance Product

19.5.3 You may cancel or change the existing nomination.

19.5.4 An assignment or transfer of your policy under Section 38 of the Insurance Act, 1938, as amended from time to
time, shall cancel the nomination except under certain circumstances.
19.5.5 Your nomination should be registered in our records so as to make it binding on us.
19.5.6 For complete details about the nomination, please refer to Section 39 of the Insurance Act, 1938, as amended from
time to time.
[A leaflet containing the simplified version of the provisions of Section 39 is enclosed as Annexure – II for your reference].

19.6 Assignment
19.6.1 You may assign the policy subject to the provisions of Section 38 of the Insurance Act, 1938, as amended from
time to time.
19.6.2 We may decline to act upon any endorsement or deed of assignment if we have sufficient reasons and we will let
you know in writing the reasons for such refusal.
19.6.3 You may refer a claim to the Insurance Regulatory and Development Authority of India within 30 days of receipt
of our communication intimating you about our declining to act upon the transfer or assignment of your policy.
19.6.4 You may assign your policy wholly or in part.
19.6.5 You may assign your policy either absolutely or conditionally, and at any point of time there can be only one
assignment under your policy.
19.6.6 The assignment or reassignment of your policy should be registered with us so as to make it binding on us.
19.6.7 For complete details about the Assignment or transfer of the policy, please refer to Section 38 of the Insurance
Act, 1938, as amended from time to time.
[A leaflet containing the simplified version of the provisions of Section 38 is enclosed as Annexure – I for your reference].

19.7 Non–disclosure
19.7.1 We have issued your policy based on your statements in your proposal or in your electronically given web based
proposal form, personal statement, medical reports and any other documents that are submitted to us.
19.7.2 If we find that any of this information is inaccurate or false or you have withheld any material information or in
case of fraud, we will have a right to repudiate all the claims under your policy and / or cancel your policy as
applicable subject to the provisions of section 45 of the InsuranceAct, 1938 as amended from time to time and no
benefit under the policy is payable.
19.7.3 If we repudiate the claim under your policy / and or cancel your policy on the grounds of fraud, we would forfeit
the premiums received under your policy and we shall not entertain any claim under your policy.
19.7.4 If we repudiate death claim / and or cancel your policy on any grounds other than fraud, we may pay such amounts
as are payable under the policy subject to the provisions of Section 45 of the Insurance Act 1938, as amended from
time to time.
[A leaflet containing the simplified version of the provisions of Section 45 is enclosed in Annexure – III for reference.]

19.8 Misstatement of age

If we find that the correct age of the Life Assured is different from that mentioned in the proposal form, we will check the
eligibility for the life cover under the Base Policy, as on the Date of Commencement of Policy.
19.8.1 If eligible,
19.8.1.1 If the correct age is found to be higher, we will recover the difference in Mortality Charges along with
interest by cancelling units from all your funds in proportion to their sizes. We may require medical
reports depending on your correct age and assess the risk afresh. We may charge an extra premium or
even decline your proposal and refund your fund value in case we cannot offer you the risk cover for
the revised age.
19.8.1.2 If the correct age is found to be lower, we will allocate additional units for the difference in Mortality
Charges to all your funds in proportion to their sizes.
19.8.1.3 We will terminate your policy, if your Fund Value is not sufficient to cover the difference in charges
and applicable interest.

19.8.2 If not eligible,

19.8.2.1 We will terminate your policy.
19.8.2.2 We will pay you the Fund Value as on the date of decision after deducting applicable Discontinuance
Charges.

19.9 Participation in profits

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Part F SBI Life – Smart Power Insurance Policy Document (UIN: 111L090V02)
An Individual, Unit Linked, Non Participating Life Insurance Product

Your policy does not participate in our profits.

19.10 Taxation
19.10.1 You are liable to pay the Applicable Taxes and/or any other statutory levy/duty/ surcharge, at the rate notified by
the State Government or Central Government of India from time to time, as per the applicable tax laws on all the
applicable charges, as per the product feature. Taxes will be collected over and above the charges deducted under
your policy.
19.10.2 You may be eligible for Income Tax benefits/exemptions as per the applicable income tax laws in India, which
are subject to change from time to time. You may visit our website for further details. Please consult your tax
advisor for details.

19.11 Date formats

Unless otherwise stated, all dates described and used in the Policy Schedule are in dd/mm/yyyy formats.
19.12 Electronic transactions
We shall accept Premiums and pay benefits through any approved modes including electronic transfers.

19.13 Communications
19.13.1 We will communicate to you in writing and deliver the correspondence by hand, post, facsimile, e-mail or any
other approved mode.
19.13.2 We will send correspondence to the mailing address , email ID or mobile number you have provided in the
proposal form or to the address subsequently changed and registered by you with us.
19.13.3 You should also communicate in writing and deliver the correspondence by hand, post, facsimile, e-mail or any
other approved mode.
19.13.4 Your correspondence can be addressed to any of SBI Life branch offices or to its Central Processing Centre at the
address below:
SBI Life Insurance Company Limited,
Central Processing Centre,
7th Level (D Wing) & 8th Level,
Seawoods Grand Central
Tower 2, Plot No R-1,Sector-40,
Seawoods, Nerul Node, Dist. Thane,
Navi Mumbai-400 706
Telephone No.: + 91 - 22 - 6645 6785
E-mail: info@sbilife.co.in
19.13.5 It is important that you keep us informed of your change in address and any other communication details to
ensure that you receive all communications.

Form No. 532

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Part G SBI Life – Smart Power Insurance Policy Document (UIN: 111L090V02)
An Individual, Unit Linked, Non Participating Life Insurance Product

Part G

20 Complaints

20.1 Grievance redressal procedure

20.1.1 If you have any query, complaint or grievance, you may approach any of our offices.
20.1.2 You can also call us on our toll-free number: 1800 267 9090 (9a.m. to 9p.m.) and these timings are subject to
change.
20.1.3 If you are not satisfied with our decision or have not received any response within 10 business days, you may
write to us at:
Head – Client Relationship,
SBI Life Insurance Company Limited
Central Processing Centre,
7th Level (D Wing) & 8th Level,
Seawoods Grand Central
Tower 2, Plot No R-1, Sector-40,
Seawoods, Nerul Node, Dist. Thane,
Navi Mumbai-400 706
Telephone No.: +91 - 22 – 6645 6785
E-mail Id: info@sbilife.co.in
20.1.4 In case you are not satisfied with our decision and the issue pertains to Rule 13 of Insurance Ombudsman Rules,
2017, you may approach the Insurance Ombudsman. You can make the complaint to the Ombudsman as per
provision 13 of the said rules. The relevant provisions have been mentioned in the section “Relevant Statutes”.
20.1.5 The address of the Insurance Ombudsman and the Insurance Ombudsman Rules, 2017, are, available on the
website of IRDAI, http://www.irdai.gov.in and in our website http://www.sbilife.co.in. The address of the
ombudsman at Mumbai is:
Office of the Insurance Ombudsman
3rd Floor, Jeevan Seva Annexe,
S.V. Road, Santa Cruz (W),
Mumbai – 400 054.
Telephone No.: +91 – 22 – 2610 6552 / 26106960
Fax No.: +91 – 22 – 2610 6052
E-mail: bimalokpal.mumbai@ecoi.co.in
20.1.6 We have also enclosed a list of addresses of insurance ombudsmen.
20.1.7 If you are not satisfied with the response or do not receive a response from us within 15 days of lodging the
complaint through our Grievance Redressal Mechanism; you may escalate the complaint to IRDAI through the
Integrated Grievance Management System (IGMS) website: http://www.igms.irda.gov.in or contact IRDAI
Grievance Call Centre on toll-free number : 155255/ 1800 4254 732. or alternatively you may send an email on
complaints@irda.gov.in
20.1.8 The postal address of IRDAI for communication for complaints by paper is as follows: Consumer Affairs
Department, Insurance Regulatory and Development Authority of India, SY No 115/1, Financial district,
Nanakramguda, Gachibowli,, Hyderabad – 500 032.

21 Relevant Statutes

21.1 Governing laws and jurisdiction

This is subject to prevailing Indian Laws. Any dispute that may arise in connection with this shall be subject to the jurisdiction of
the competent Courts of Mumbai.

Form No. 532

Page 40 of 72 PolicyNo. 1C796830502 49/766

Part G SBI Life – Smart Power Insurance Policy Document (UIN: 111L090V02)
An Individual, Unit Linked, Non Participating Life Insurance Product

21.2 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 prospectus or tables of the insurer:

Provided that acceptance by an insurance agent of commission in connection with a policy of life insurance taken out
by himself on his own life shall not be deemed to be acceptance of a rebate of premium within the meaning of this
sub-section if at the time of such acceptance the insurance agent satisfies the prescribed conditions establishing that
he is a bona fide insurance agent employed by 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.

21.3 Section 45 of the Insurance Act 1938, as amended from time to time
[A leaflet containing the simplified version of the provisions of Section 45 is enclosed in Annexure – III for reference]

21.4 Rule 13 of Ombudsman Rules, 2017

1. The Ombudsman may receive and consider complaints or disputes relating to:
a) delay in settlement of claims, beyond the time specified in the regulations, framed under the
InsuranceRegulatory and Development Authority of India Act, 1999;
b) any partial or total repudiation of claims by the life insurer, General insurer or the health insurer;
c) disputes over premium paid or payable in terms of insurance policy;
d) misrepresentation of policy terms and conditions at any time in the policy document or policy contract;
e) legal construction of insurance policies in so far as the dispute relates to claim;
f) policy servicing related grievances against insurers and their agents and intermediaries;
g) issuance of life insurance policy, general insurance policy including health insurance policy which is not
inconformity with the proposal form submitted by the proposer;
h) non-issuance of insurance policy after receipt of premium in life insurance and general insurance including
health insurance; and
i) any other matter resulting from the violation of provisions of the Insurance Act, 1938 or the
regulations,circulars, guidelines or instructions issued by the IRDAI from time to time or the terms and
conditions of the policy contract, in so far as they relate to issues mentioned at clauses (a) to (f) .
2. The Ombudsman shall act as counsellor and mediator relating to matters specified in sub-rule (1) provided there is
written consent of the parties to the dispute.
3. The Ombudsman shall be precluded from handling any matter if he is an interested party or having conflictof
interest.
4. The Central Government or as the case may be, the IRDAI may, at any time refer any complaint or dispute relating
to insurance matters specified in sub-rule (1), to the Insurance Ombudsman and such complaint ordispute shall be
entertained by the Insurance Ombudsman and be dealt with as if it is a complaint made under Rule 14.

21.5 Rule 14 of Ombudsman Rules, 2017

(1) Any person who has a grievance against an insurer, may himself or through his legal heirs, nominee or assignee, make
a complaint in writing to the Insurance Ombudsman within whose territorial jurisdiction the branch or office of the
insurer complained against or the residential address or place of residence of the complainant is located.

(2) The complaint shall be in writing, duly signed by the complainant or through his legal heirs, nominee or assignee and
shall state clearly the name and address of the complainant, the name of the branch or office of the insurer against
whom the complaint is made, the facts giving rise to complaint, supported by documents, the nature and extent of the
loss caused to the complainant and the relief sought from the Insurance Ombudsman.
(3) No complaint to the Ombudsman shall lie unless –
a) The complainant makes a written representation to the insurer named in the complaint and
a. Either the insurer had rejected the complaint; or
b. the complainant had not received any reply within a period of one month after the insurer received
hisrepresentation; or
c. the complainant is not satisfied with the reply given to him by the insurer
b) the complaint is made within one year
Form No. 532

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Part G SBI Life – Smart Power Insurance Policy Document (UIN: 111L090V02)
An Individual, Unit Linked, Non Participating Life Insurance Product

a. after the order of the insurer rejecting the representation is received; or

b. after receipt of decision of the insurer which is not to the satisfaction of the complainant;
c. after expiry of a period of one month from the date of sending the written representation to the insurer
if the insurer named fails to furnish reply to the complainant
(4) The Ombudsman shall be empowered to condone the delay in such cases as he may consider necessary, after calling
for objections of the insurer against the proposed condonation and after recording reasons for condoning the delay and
in case the delay is condoned, the date of condonation of delay shall be deemed to bethe date of filing of the
complaint, for further proceedings under these rules.
(5) No complaint before the Insurance Ombudsman shall be maintainable on the same subject matter on which
proceedings are pending before or disposed of by any court or consumer forum or arbitrator.

21.6 Protection of Policyholders’ Interest

The IRDAI (Protection of Policyholders’ Interests) Regulations, 2017 provide for protection of the interest of the policyholders.
The provisions of this regulation will be applicable and subject to the prevailing law, as amended from time to time.

We request you to read this Policy Booklet along with the Policy Schedule. If you find any errors, please return the policy for
effecting corrections.

****************************************** End of Policy Booklet *****************************************

Form No. 532

Page 42 of 72 PolicyNo. 1C796830502 49/766

 Annexure I

Section 38 - Assignment and Transfer of Insurance Policies

Assignment or transfer of a policy should be in accordance with Section 38 of the Insurance Act, 1938 as amended by
Insurance Laws (Amendment) Act, 2015 dated 23.03.2015. The extant provisions in this regard are as follows:

01. This policy may be transferred/assigned, wholly or in part, with or without consideration.

02. An Assignment may be effected in a policy by an endorsement upon the policy itself or by a separate instrument
under notice to the Insurer.

03. The instrument of assignment should indicate the fact of transfer or assignment and the reasons for the assignment
or transfer, antecedents of the assignee and terms on which assignment is made.

04. The assignment must be signed by the transferor or assignor or duly authorized agent and attested by at least one
witness.

05. The transfer of assignment shall not be operative as against an insurer until a notice in writing of the transfer or
assignment and either the said endorsement or instrument itself or copy there of certified to be correct by both
transferor and transferee or their duly authorised agents have been delivered to the insurer.

06. Fee to be paid for assignment or transfer can be specified by the Authority through Regulations.

07. On receipt of notice with fee, the insurer should Grant a written acknowledgement of receipt of notice. Such notice
shall be conclusive evidence against the insurer of duly receiving the notice.

08. If the insurer maintains one or more places of business, such notices shall be delivered only at the place where the
policy is being serviced.

09. The insurer may accept or decline to act upon any transfer or assignment or endorsement, if it has sufficient
reasons to believe that it is
a. not bonafide or
b. not in the interest of the policyholder or
c. not in public interest or
d. is for the purpose of trading of the insurance policy.

10. Before refusing to act upon endorsement, the Insurer should record the reasons in writing and communicate the
same in writing to Policyholder within 30 days from the date of policyholder giving a notice of transfer or assignment.

11. In case of refusal to act upon the endorsement by the Insurer, any person aggrieved by the refusal may prefer a
claim to IRDAI within 30 days of receipt of the refusal letter from the Insurer.

12. The priority of claims of persons interested in an insurance policy would depend on the date on which the notices
of assignment or transfer is delivered to the insurer; where there are more than one instruments of transfer or
assignment, the priority will depend on dates of delivery of such notices. Any dispute in this regard as to priority
should be referred to Authority.

Page 43 of 72 PolicyNo. 1C796830502 49/766

13. Every assignment or transfer shall be deemed to be absolute assignment or transfer and the assignee or transferee
shall be deemed to be absolute assignee or transferee, except
a. where assignment or transfer is subject to terms and conditions of transfer or assignment OR
b. where the transfer or assignment is made upon condition that
i. the proceeds under the policy shall become payable to policyholder or nominee(s) in the event of assignee or
transferee dying before the insured OR
ii. the insured surviving the term of the policy
Such conditional assignee will not be entitled to obtain a loan on policy or surrender the policy. This provision will
prevail notwithstanding any law or custom having force of law which is contrary to the above position.

14. In other cases, the insurer shall, subject to terms and conditions of assignment, recognize the transferee or assignee
named in the notice as the absolute transferee or assignee and such person
a. shall be subject to all liabilities and equities to which the transferor or assignor was subject to at the date of transfer
or assignment and
b. may institute any proceedings in relation to the policy
c. obtain loan under the policy or surrender the policy without obtaining the consent of the transferor or assignor or
making him a party to the proceedings

15. Any rights and remedies of an assignee or transferee of a life insurance policy under an assignment or transfer
effected before commencement of the Insurance Laws (Amendment) Act, 2015 shall not be affected by this section.

[Disclaimer: This is not a comprehensive list of amendments of Insurance Laws (Amendment) Act, 2015 and
only a simplified version prepared for general information. Policy Holders are advised to refer to Original
Gazette Notification for complete and accurate details.]

Page 44 of 72 PolicyNo. 1C796830502 49/766

 Annexure II

Section 39 - Nomination by policyholder

Nomination of a life insurance Policy is as below in accordance with Section 39 of the Insurance Act, 1938 as
amended by Insurance Laws (Amendment) Act, 2015 dated 23.03.2015. The extant provisions in this regard are as
follows:

01. The policyholder of a life insurance on his own life may nominate a person or persons to whom money secured by
the policy shall be paid in the event of his death.

02. Where the nominee is a minor, the policyholder may appoint any person to receive the money secured by the
policy in the event of policyholder’s death during the minority of the nominee. The manner of appointment to be laid
down by the insurer.

03. Nomination can be made at any time before the maturity of the policy.

04. Nomination may be incorporated in the text of the policy itself or may be endorsed on the policy communicated to
the insurer and can be registered by the insurer in the records relating to the policy.

05. Nomination can be cancelled or changed at any time before policy matures, by an endorsement or a further
endorsement or a will as the case may be.

06. A notice in writing of Change or Cancellation of nomination must be delivered to the insurer for the insurer to be
liable to such nominee. Otherwise, insurer will not be liable if a bonafide payment is made to the person named in the
text of the policy or in the registered records of the insurer.

07. Fee to be paid to the insurer for registering change or cancellation of a nomination can be specified by the
Authority through Regulations.

08. On receipt of notice with fee, the insurer should grant a written acknowledgement to the policyholder of having
registered a nomination or cancellation or change thereof.

09. A transfer or assignment made in accordance with Section 38 shall automatically cancel the nomination except in
case of assignment to the insurer or other transferee or assignee for purpose of loan or against security or its
reassignment after repayment. In such case, the nomination will not get cancelled to the extent of insurer’s or
transferee’s or assignee’s interest in the policy. The nomination will get revived on repayment of the loan.

10. The right of any creditor to be paid out of the proceeds of any policy of life insurance shall not be affected by the
nomination.

11. In case of nomination by policyholder whose life is insured, if the nominees die before the policyholder, the
proceeds are payable to policyholder or his heirs or legal representatives or holder of succession certificate.

12. In case nominee(s) survive the person whose life is insured, the amount secured by the policy shall be paid to such
survivor(s).

13. Where the policyholder whose life is insured nominates his

a. parents or

Page 45 of 72 PolicyNo. 1C796830502 49/766

b. spouse or
c. children or
d. spouse and children
e. or any of them

the nominees are beneficially entitled to the amount payable by the insurer to the policyholder unless it is proved that
policyholder could not have conferred such beneficial title on the nominee having regard to the nature of his title.

14. If nominee(s) die after the policyholder but before his share of the amount secured under the policy is paid, the
share of the expired nominee(s) shall be payable to the heirs or legal representative of the nominee or holder of
succession certificate of such nominee(s).

15. The provisions of sub-section 7 and 8 (13 and 14 above) shall apply to all life insurance policies maturing for
payment after the commencement of Insurance Laws (Amendment) Act, 2015.

16. If policyholder dies after maturity but the proceeds and benefit of the policy has not been paid to him because of
his death, his nominee(s) shall be entitled to the proceeds and benefit of the policy.

17. The provisions of Section 39 are not applicable to any life insurance policy to which Section 6 of Married
Women’s Property Act, 1874 applies or has at any time applied except where before or after Insurance Laws
(Amendment) Act, 2015, a nomination is made in favour of spouse or children or spouse and children whether or not
on the face of the policy it is mentioned that it is made under Section 39. Where nomination is intended to be made to
spouse or children or spouse and children under Section 6 of MWP Act, it should be specifically mentioned on the
policy. In such a case only, the provisions of Section 39 will not apply.

[Disclaimer: This is not a comprehensive list of amendments of Insurance Laws (Amendment) Act, 2015 and
only a simplified version prepared for general information. Policy Holders are advised to refer to Original
Gazette Notification for complete and accurate details.]

Page 46 of 72 PolicyNo. 1C796830502 49/766

 Annexure III

Section 45 – Policy shall not be called in question on the ground of mis-statement after three years

Provisions regarding policy not being called into question in terms of Section 45 of the Insurance Act, 1938, as
amended by Insurance Laws (Amendment) Act, 2015 dated 23.03.2015 are as follows:

01. No Policy of Life Insurance shall be called in question on any ground whatsoever after expiry of 3 yrs from
a. the date of issuance of policy or
b. the date of commencement of risk or
c. the date of revival of policy or
d. the date of rider to the policy

whichever is later.

02. On the ground of fraud, a policy of Life Insurance may be called in question within 3 years from
a. the date of issuance of policy or
b. the date of commencement of risk or
c. the date of revival of policy or
d. the date of rider to the policy

whichever is later.
For this, the insurer should communicate in writing to the insured or legal representative or nominee or assignees of
insured, as applicable, mentioning the ground and materials on which such decision is based.

03. Fraud means any of the following acts committed by insured or by his agent, with the intent to deceive the insurer
or to induce the insurer to issue a life insurance policy:
a. The suggestion, as a fact of that which is not true and which the insured does not believe to be true;
b. The active concealment of a fact by the insured having knowledge or belief of the fact;
c. Any other act fitted to deceive; and
d. Any such act or omission as the law specifically declares to be fraudulent.

04. Mere silence is not fraud unless, depending on circumstances of the case, it is the duty of the insured or his agent
keeping silence to speak or silence is in itself equivalent to speak.

05. No Insurer shall repudiate a life insurance Policy on the ground of Fraud, if the Insured / beneficiary can prove that
the misstatement was true to the best of his knowledge and there was no deliberate intention to suppress the fact or
that such mis-statement of or suppression of material fact are within the knowledge of the insurer. Onus of disproving
is upon the policyholder, if alive, or beneficiaries.

06. Life insurance Policy can be called in question within 3 years on the ground that any statement of or suppression
of a fact material to expectancy of life of the insured was incorrectly made in the proposal or other document basis
which policy was issued or revived or rider issued. For this, the insurer should communicate in writing to the insured
or legal representative or nominee or assignees of insured, as applicable, mentioning the ground and materials on
which decision to repudiate the policy of life insurance is based.

Page 47 of 72 PolicyNo. 1C796830502 49/766

07. In case repudiation is on ground of mis-statement and not on fraud, the premium collected on policy till the date of
repudiation shall be paid to the insured or legal representative or nominee or assignees of insured, within a period of
90 days from the date of repudiation.

08. Fact shall not be considered material unless it has a direct bearing on the risk undertaken by the insurer. The onus
is on insurer to show that if the insurer had been aware of the said fact, no life insurance policy would have been
issued to the insured.

09. The insurer can call for proof of age at any time if he is entitled to do so and no policy shall be deemed to be called
in question merely because the terms of the policy are adjusted on subsequent proof of age of life insured. So, this
Section will not be applicable for questioning age or adjustment based on proof of age submitted subsequently.

[Disclaimer: This is not a comprehensive list of amendments of Insurance Laws (Amendment) Act, 2015 and
only a simplified version prepared for general information. Policy Holders are advised to refer to Original
Gazette Notification for complete and accurate details]

Page 48 of 72 PolicyNo. 1C796830502 49/766

 ADDRESSES OF OMBUDSMAN CENTRES
Office of the Contact Details Jurisdiction of Office
Ombudsman Union Territory, District)
Office of the Insurance Ombudsman,
Jeevan Prakash Building, 6th floor,
Gujarat,
Tilak Marg, Relief Road,
AHMEDABAD Dadra & Nagar Haveli,
Ahmedabad – 380 001.
Daman and Diu.
Tel.: 079 - 25501201/02/05/06
Email: bimalokpal.ahmedabad@ecoi.co.in
Office of the Insurance Ombudsman,
Jeevan Soudha Building,PID No. 57-27-N-
19
Ground Floor, 19/19, 24th Main Road,
BENGALURU Karnataka.
JP Nagar, Ist Phase,
Bengaluru – 560 078.
Tel.: 080 - 26652048 / 26652049
Email: bimalokpal.bengaluru@ecoi.co.in
Office of the Insurance Ombudsman,
Janak Vihar Complex, 2nd Floor,
6, Malviya Nagar, Opp. Airtel Office,
BHOPAL Near New Market, Madhya Pradesh
Bhopal – 462 003. Chattisgarh.
Tel.: 0755 - 2769201 / 2769202
Fax: 0755 - 2769203
Email: bimalokpal.bhopal@ecoi.co.in
Office of the Insurance Ombudsman,
62, Forest park,
Bhubneshwar – 751 009.
BHUBANESHWAR Orissa.
Tel.: 0674 - 2596461 /2596455
Fax: 0674 - 2596429
Email: bimalokpal.bhubaneswar@ecoi.co.in
Office of the Insurance Ombudsman,
S.C.O. No. 101, 102 & 103, 2nd Floor, Punjab,
Batra Building, Sector 17 – D, Haryana,
CHANDIGARH Chandigarh – 160 017. Himachal Pradesh,
Tel.: 0172 - 2706196 / 2706468 Jammu & Kashmir,
Fax: 0172 - 2708274 Chandigarh.
Email: bimalokpal.chandigarh@ecoi.co.in
Office of the Insurance Ombudsman,
Fatima Akhtar Court, 4th Floor, 453,
Tamil Nadu,
Anna Salai, Teynampet,
Pondicherry Town and
CHENNAI CHENNAI – 600 018.
Karaikal (which are part of
Tel.: 044 - 24333668 / 24335284
Pondicherry).
Fax: 044 - 24333664
Email: bimalokpal.chennai@ecoi.co.in
Office of the Insurance Ombudsman,
2/2 A, Universal Insurance Building,
Asaf Ali Road,
DELHI New Delhi – 110 002. Delhi.
Tel.: 011 - 23232481/23213504
Email: bimalokpal.delhi@ecoi.co.in

Office of the Insurance Ombudsman, Assam,

Jeevan Nivesh, 5th Floor, Meghalaya,
Nr. Panbazar over bridge, S.S. Road, Manipur,
GUWAHATI
Guwahati – 781001(ASSAM). Mizoram,
Tel.: 0361 - 2632204 / 2602205 Arunachal Pradesh,
Email: bimalokpal.guwahati@ecoi.co.in Nagaland and Tripura.

Page 49 of 72 PolicyNo. 1C796830502 49/766

 Office of the Insurance Ombudsman,
6-2-46, 1st floor, "Moin Court",
Lane Opp. Saleem Function Palace, Andhra Pradesh,
A. C. Guards, Lakdi-Ka-Pool, Telangana,
HYDERABAD
Hyderabad - 500 004. Yanam and
Tel.: 040 - 67504123 / 23312122 part of Territory of Pondicherry.
Fax: 040 - 23376599
Email: bimalokpal.hyderabad@ecoi.co.in
Office of the Insurance Ombudsman,
Jeevan Nidhi – II Bldg., Gr. Floor,
Bhawani Singh Marg,
JAIPUR Rajasthan.
Jaipur - 302 005.
Tel.: 0141 - 2740363
Email: Bimalokpal.jaipur@ecoi.co.in
Office of the Insurance Ombudsman,
2nd Floor, Pulinat Bldg.,
Opp. Cochin Shipyard, M. G. Road, Kerala,
ERNAKULAM Ernakulam - 682 015. Lakshadweep,
Tel.: 0484 - 2358759 / 2359338 Mahe-a part of Pondicherry.
Fax: 0484 - 2359336
Email: bimalokpal.ernakulam@ecoi.co.in
Office of the Insurance Ombudsman,
Hindustan Bldg. Annexe, 4th Floor,
4, C.R. Avenue, West Bengal,
KOLKATA KOLKATA - 700 072. Sikkim,
Tel.: 033 - 22124339 / 22124340 Andaman & Nicobar Islands.
Fax : 033 - 22124341
Email: bimalokpal.kolkata@ecoi.co.in
Office of the Insurance Ombudsman, Districts of Uttar Pradesh :
6th Floor, Jeevan Bhawan, Phase-II, Laitpur, Jhansi, Mahoba,
Nawal Kishore Road, Hazratganj, Hamirpur, Banda, Chitrakoot,
Lucknow - 226 001. Allahabad, Mirzapur, Sonbhabdra,
Tel.: 0522 - 2231330 / 2231331 Fatehpur, Pratapgarh,
Fax: 0522 - 2231310 Jaunpur,Varanasi, Gazipur, Jalaun,
Email: bimalokpal.lucknow@ecoi.co.in Kanpur, Lucknow, Unnao, Sitapur,
Lakhimpur, Bahraich, Barabanki,
LUCKNOW
Raebareli, Sravasti, Gonda,
Faizabad, Amethi, Kaushambi,
Balrampur, Basti, Ambedkarnagar,
Sultanpur, Maharajgang,
Santkabirnagar, Azamgarh,
Kushinagar, Gorkhpur, Deoria,
Mau, Ghazipur, Chandauli, Ballia,
Sidharathnagar.
Office of the Insurance Ombudsman,
3rd Floor, Jeevan Seva Annexe,
S. V. Road, Santacruz (W),
Goa,
Mumbai - 400 054.
MUMBAI Mumbai Metropolitan Region
Tel.: 022 - 26106552 / 26106960
excluding Navi Mumbai & Thane.
Fax: 022 - 26106052
Email: bimalokpal.mumbai@ecoi.co.in

Office of the Insurance Ombudsman, State of Uttaranchal and the

Bhagwan Sahai Palace following Districts of Uttar
4th Floor, Main Road, Pradesh:
NOIDA Naya Bans, Sector 15, Agra, Aligarh, Bagpat, Bareilly,
Distt: Gautam Buddh Nagar, Bijnor, Budaun, Bulandshehar,
U.P-201301. Etah, Kanooj, Mainpuri, Mathura,
Tel.: 0120-2514250 / 2514252 / 2514253 Meerut, Moradabad,

Page 50 of 72 PolicyNo. 1C796830502 49/766

 Email: bimalokpal.noida@ecoi.co.in Muzaffarnagar, Oraiyya, Pilibhit,
Etawah, Farrukhabad, Firozbad,
Gautambodhanagar, Ghaziabad,
Hardoi, Shahjahanpur, Hapur,
Shamli, Rampur, Kashganj,
Sambhal, Amroha, Hathras,
Kanshiramnagar, Saharanpur.
Office of the Insurance Ombudsman,
1st Floor,Kalpana Arcade Building,,
Bazar Samiti Road,
Bihar,
PATNA Bahadurpur,
Jharkhand.
Patna 800 006.
Tel.: 0612-2680952
Email: bimalokpal.patna@ecoi.co.in
Office of the Insurance Ombudsman,
Jeevan Darshan Bldg., 3rd Floor,
Maharashtra,
C.T.S. No.s. 195 to 198,
Area of Navi Mumbai and Thane
PUNE N.C. Kelkar Road, Narayan Peth,
excluding Mumbai Metropolitan
Pune – 411 030.
Region.
Tel.: 020-41312555
Email: bimalokpal.pune@ecoi.co.in

Page 51 of 72 PolicyNo. 1C796830502 49/766

Page 52 of 72 PolicyNo. 1C796830502 49/766
 KEY PERSONAL INFORMATION

Policy Number : 1C796830502

Customer ID : 607817127

Dear Policyholder,

Given herein is information critical for us to service your policy. You are requested to kindly note this information. In case of errors,
you are requested to bring the same to our notice immediately by contacting any SBI Life branch office for effecting corrections.

1 C-KYC Number N.A

2 PAN Number BRXPM1655C
3 PEP* Status None
4 Resident Status India
5 Proof of Document Received
a Age Proof Aadhar card with complete DOB
b Identity Proof Aadhar Card
c Address Proof Aadhar Card
Bank Account Information
6 (Any credits such as refund of premium or payment of maturity benefits will be remitted to this account. In case you wish to
update this information at a later date, please contact us.)
a Accountholder Name MR MATHABATTULA RAMESH
b Account Number 32061532391
c IFSC Code SBIN0017852
eInsurance Account Information
7 (Dematerialized Policy Document will be credited to this account. Please contact us in case you require a physical copy of the
same.)
a eInsurance Account Number N.A
b Repository Name N.A
FATCA/ CRS Declaration
(Based on authorization given by you, we may be required to report all or part of this information to tax authorities. Please
8 update us in case of any changes.)
Tax Residency Status (Countries other than India)
N.A
9 Other Document Received (Yes/No)
a Benefit Illustration Yes
b Revised Benefit Illustration (if any) No
c Need Analysis Yes

*Politically Exposed Person

In the above table, “N.A.” stands for Not Available.
Note: In case there is a change of status or information; please notify us immediately.

Regards,

New Business Processing

SBI Life Insurance Co. Ltd.

Page 53 of 72 PolicyNo. 1C796830502 49/766

Page 54 of 72 PolicyNo. 1C796830502 49/766
 Proposal Number 1CNC099828

Product Code 1C Proposal Number 1CNC099828

Product Name SBI Life - Smart Power Plan Option Increasing cover option - Smart
Insurance Funds

SBI LIFE INSURANCE COMPANY LTD.

COMMON ULIP PROPOSAL FORM
Registered & Corporate Office: Natraj, M. V. Road, & Western Express Highway Junction, Andheri (East), Mumbai - 400 069.
IRDAI Registration No. 111
Toll Free: 1800 267 9090(Between 9:00 AM & 9:00 PM) | Email: info@sbilife.co.in | Website: www.sbilife.co.in | CIN:
L99999MH2000PLC129113
"IN CASE OF UNIT LINKED LIFE INSURANCE POLICIES THE INVESTMENT RISK IN INVESTMENT PORTFOLIO IS BORNE BY
THE POLICYHOLDER"

Channel Name Corporate Agency(SBG)

1. Channel Details(This section is filled by Sales Representative)

CIF Code 990920207 CIF Name BHAWANA DHARMENDRA
KUMAR DIXIT

Bank/Broker/CA/IMF Code 00 Bank/Broker/CA/IMF Name STATE BANK OF INDIA

Sourcing Branch Code 17852 Sourcing Branch Name BAJPE BRANCH

For Institutional Alliances / Corporate Agency(SBG) only

Code 1 NA Code 2 NA Code 3 NA

2. Are You an Existing SBI Life Customer?(If Yes, provide Customer ID/ Policy No) No

3. Whether Proposal is Under : (If any option is selected, please submit relevant NA
Questionnaire/annexure/supporting documents along with the Proposal form as applicable)

4. Are you applying for Simultaneous NA NA NA

Proposals(if Any)-No

5.Do you want to assign this policy on Issuance? (If yes, please submit relevant No
documents/annexure with the Proposal form)

6. Preferred Language For Communication Hindi

7. Details of Proposer(if different from life to be Assured)/Life to be Assured

First Name Mr. Mathabattula

Middle Name NA

Last Name Ramesh

Gender Male Date of Birth 05-02-1984 (DOB is not

matching with Aadhar database)

Marital Status Married

Maiden Name (For Female Lives only) NA

Mother’s Name Gangabhavani M

Father's Name Ramesh

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Spouse’s Name NA

Mobile Number 9849416957 Email Id mathabattularamesh@gmail.co

m

Telephone Home NA Telephone Office NA

Alternate Email ID NA Alternate Mobile No NA

Nationality Indian Current Country of Residence India

Domicile Urban

Residential Status Resident Indian

C-KYC number NA

PAN BRXPM1655C

7 a. Qualification Graduate

7 b. Age Proof Aadhar card with complete DOB 7 c. Identity Proof Aadhar Card

Identification No BRXPM1655C Expiry Date 08-06-2081

7 d. Address

Communication Address C/O, Mathabattula Ramesh , 1-103 18-2 , shalom villa sidartha
nagara-BANTWAL, 574143, KARNATAKA India

GSTIN of policyholder NA

Address Proof Aadhar Card

Permanent Address (For NRI, Indian Permanent address to be provided) S/O, gollaprolu mandalam 7-122 bc colony Tatip arthi EAST
GODAVARI DISTRICT-EAST GODAVARI DISTRICT, 533445,
ANDHRA PRADESH, India

Address Proof Aadhar Card

7 e. Occupation Details

Occupation CISF

Designation Sub inspector

Current place of posting(City/District and State) Bajpe Manglore

For Defence personnel- Are you currently engaged or trained for future SPECIAL SERVICES GROUP
involvement in any of the following?

Name and Address of Employer/Business Organisation/Work Place Bajpe Airport Manglore

Specify the Exact Nature of your Duties Sub inspector

Force Name CISF

7 f. Are you exposed to any special hazard No If Yes, please provide details NA
associated with your occupation(e.g chemical
factory, mines, explosives, corrosives,
combative duties, oil exploration, high sea
voyage etc.) which may render you susceptible
to injuries or illnesses?

7 g. Please indicate No Self :PF/Pension NA Spouse :PF/Pension NA

whether you or your Index/ Employee No Index/ Employee No
spouse is working /
retired from State
Bank Group

7 h. Are you a “Politically Exposed Person” No If Yes, please provide details NA

(PEP) or a close relative of PEP? (PEPs are
individuals who are or have been entrusted with
prominent public functions, i.e. heads /
ministers of central / state govt., senior
politicians, senior govt, judicial or military
officials, senior executives of govt. companies,
important political party officials, immediate

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family member of above persons (would

include spouse, parents, siblings, children,
spouse’s parents or siblings and close associates
of PEPs.) If No, In case your PEP status
changes in future you shall inform SBI Life
Insurance Co Ltd. of such a change.

Has any FIR or Criminal complaint ever been No If Yes,please provide details NA
registered or lodged against you?

Have there been any Criminal proceedings No If Yes,please provide details NA

initiated against you either in the past or in the
present?

Do you have any history of conviction under No If Yes,please provide details NA

any criminal proceedings in India or abroad?

8. Income Details for the Proposer

Income Proof Salary Slip

Annual Income Rs. 690000 Document Submitted Copy of PAN

9. DETAILS OF LIFE TO BE ASSURED(Minor)/HUF Member (if different from Proposer)

Name Mr. Mathabattula Ramesh

Address C/O, Mathabattula Ramesh , 1-103 18-2 , shalom villa sidartha

nagara-BANTWAL, 574143, KARNATAKA India

Gender Male Date of Birth 05-02-1984

Relationship with Proposer Life Assured is same as Proposer Age Proof Aadhar card with complete DOB

Qualification Graduate

Nationality Indian

Current Country of Residence India

Occupation CISF

Name and Address of Employer/Business Organisation/Work Place Bajpe Airport Manglore

Specify the Exact Nature of your Duties Sub inspector

10.NOMINEE DETAILS(Not applicable for Minor Life Assured / HUF Member)

Name Mrs.M Jyothi .

Address C/O, Mathabattula Ramesh , 1-103 18-2 , shalom villa sidartha

nagara-BANTWAL, 574143, KARNATAKA ,India

Gender Female Date of Birth 21-03-1992

Relationship with Proposer Wife

Percentage Share 100%

In case of more than one nominee please attach an extra sheet & percentage of entitlement should total to 100%
11. APPOINTEE DETAILS (Applicable in case Nominee is Minor)

Name NA

Gender NA Date of Birth NA

Relationship with Life to be NA Relationship with the Nominee NA

Assured

12. MEDICAL AND OTHER DETAILS OF THE LIFE TO BE ASSURED

I. a) Height 170.18 Cms I. b) Weight 70 Kgs

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II. a) In the last 5 years, have you No If yes, please give details(full NA
Undergone hospitalization for 3 or details, of the illness and the
more days treatment ie conditions, dates,
duration, results, and medication
taken or being taken)

II. b) In the last 5 years, have you No If yes, please give details(full NA
Undertaken any medical treatment details, of the illness and the
or required regular monitoring for treatment ie conditions, dates,
more than 14 consecutive days on duration, results, and medication
account of any ailment/accident or taken or being taken)
injury

III) Do you have any physical No If yes, please give details NA

deformity or disability or any
congenital condition?

IV.Has a proposal for No If yes, please give details NA

life/health/accident insurance been
declined, postponed, withdrawn, or
accepted with extra premium?

V) Have you ever had symptoms of, been treated for, been advised to receive treatment or have undergone any investigations/hospitalisation for any of
the following

a. Hypertension / High Blood No b. Diabetes / High Blood Sugar No

Pressure

c. Chest pain/Heart attack/Angina/ No d. Mental disorder ( Depression, No

any other ailment pertaining to Anxiety, etc ) or Psychiatric
heart disease, Vascular problem or problems
Angiography

e. Lung/ Respiratory No f. Brain / Nervous system disorder/ No

disease(Asthma, TB, Pneumonia, Stroke/Paralysis/Epilepsy/Parkinso
Bronchitis, etc) n’s (shaking)/multiple sclerosis

g. Liver disease (Jaundice, Fatty No h. Kidney disease( Stone, Blood in No

Liver,Cirrhosis-Hepatitis B or C, urine, etc or Prostate or Urinary
etc) System disease), history of kidney
failure or Dialysis

i. Digestive disorder( Ulcer, No j. Goiter/Thyroid/Other hormone No

Gastric Bleeding, Ulcerative related disorders
colitis, Pancreatitis, Piles etc),
undergone endoscopy or
colonoscopy

k. Cancer /Tumor/ unusual growth No l. HIV infection / AIDS or Any No

or cyst of any kind, undergone Sexually Transmitted
chemotherapy/radiotherapy , Disease(STD)
FNAC or Biopsy, CT scan or
MRI scan

m. Blood Disorder like No n. Bone/ Joint/ Back Disorders/ No

Thalassemia, Anaemia, Chronic Arthritis/ Autoimmune disorder
infection or blood circulation like lupus or Rheumatoid Arthritis
disorder ( RA) etc

o. Any disorder related to Eye, ear, nose, throat No

If any of the above questions is ticked 'Yes' then provide details in the below table. Also provide all related reports

Name of the disease/ disability/ deformity/ Date of Diagnosis Since when Currently under treatment / Recovered Date of hospitalisation/surgery done or if
procedure planned

NA NA NA NA

VI. Do you take part in or have No If Yes, please give details NA

you any intention of taking part in
any hazardous sports, hobbies,
activities or pursuits? (Eg.
mountaineering, Diving, racing or
aviation other than as a fare paying
passenger) that could be dangerous
in any way?

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VII. a) Do you consume any of the following? if yes please give details
Substance consumed YES/NO Quantity Since When(Years)

Tobacco (cigs,cigar,gutkha,etc) No NA NA

Alcohol No NA NA

Any Narcotics No NA NA

VII. b) If you have quit any of the above, in the last 1 year, kindly provide details NA

VIII. Are any of your family members (include parents, brothers, sisters, spouse and No
children) suffering from/have suffered from/have died of heart disease, high blood
pressure, diabetes, stroke, cancer, kidney disease or any other hereditary/familial
disorder, before 55 years of age? If yes, please share details in the table below
Particulars,including date of diagnosis.if not
Relation Alive/Not Alive Present Age/Age at Death Nature of Disorder*** (Have any alive,specify cause of death (Have any of your
of your parents, brothers or parents, brothers or sisters died or suffered from
sisters died or suffered from any any of the diseases / disorders specified below? ***)
of the diseases / disorders
specified below? ***)

NA NA NA NA NA

NA NA NA NA NA

NA NA NA NA NA

NA NA NA NA NA

NA NA NA NA NA

NA NA NA NA NA

NA NA NA NA NA

*** Heart disease, hypertension, high blood pressure, Diabetes,Stroke,Cancer, Kidney disease , any hereditary disease, if any other disease,pls. specify.
IX. FOR FEMALE LIVES

1) Are you presently pregnant? NA If Yes, then provide NA months

2) Have you ever suffered from or have No If Yes, (please share details) NA
undergone any investigations or treatment for
any gynacological problems related to cervix,
uterus, ovaries, breast, breast lump/cyst etc or
undergone surgical procedure like
hysterectomy?

IX a. Husband’s Details For Female Lives

Husband's Annual Income(Rs) NA

IX b. Husband's Insurance Details

Name of Insurance Co. Policy No. Yearly Premium(Rs) Sum Assured(Rs) Policy status
NA NA NA NA NA

13. DETAILS OF THE INSURANCE COVER PROPOSED

13 a. Basic Plan Details

Plan Type Regular Plan Option Increasing cover option - Smart

Funds

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Premium Frequency Yearly Objective of taking this Policy Both

13.b.Plan/Cover Details

Plan/Rider/option/Benefit Policy Term(Yrs) Premium Payment SAMF Sum Assured(Rs) Premium Payable(Rs)
Term(Yrs)

SBI Life-Smart Power 10 10 10.0 250000 25000

Modal Premium Payable(Rs) NA 25000

Applicable Tax 0
Amount***(Rs)

Backdating Interest 0
Total Installment Premium 25000
Payable(Rs)

***Taxes shall be applicable as mandated by Government of India from time to time

13 c. Fund Details-For SBI Life - Smart Power Insurance

Plan Name- SBI Life Smart Power Insurance Fund Options(Allocation % should total to 100%)

Fund Option Allocation %

Equity Fund 70 %

Equity Optimiser Fund 0%

Growth Fund 0%

Balanced Fund 30 %

Bond Fund 0%

Money Market Fund 0%

Top 300 Fund 0%

Pure Fund 0%

Bond Optimiser Fund 0%

Corporate Bond Fund 0%

14.BackDating(Not available for ULIPs , only available for specific products, upto a date within the same financial year in which the policy has
been taken)
Do you wish to backdate the policy ? NA If Yes, provide the Backdating Date NA

15. Details Of Premium Remittance^

Is deposit for premium under this proposal paid by you Yes

Source of premium funding Salary

^Please note that SBI Life branches and its sales team are not authorised to collect from its customers

16. Mode of Payment of Renewal Premium Auto Debit

17. Do you have any other individual life insurance policy or have applied for one No

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18. BANK ACCOUNT DETAILS OF PROPOSER/LIFE TO BE ASSURED (MANDATORY)

Account Number 32061532391 Account Type Savings

Bank Name STATE BANK OF INDIA Bank Branch Name BAJPE BRANCH

Name of Account Holder Mr Mathabattula Ramesh

MICR Code NA IFSC SBIN0017852

Please submit any one of the below listed Documents for direct credit of Copy of Bank Passbook
any refunds/payouts if any, to this account.

I declare that the information given above is true and correct. I shall not hold SBI Life responsible for non-credit/nonpayment of payments due or
refund, if any, due to any reason including but not limited to incorrect/incomplete information.I hereby authorise SBI Life to directly credit any
payment/refund,if any ,to the above mentioned account.

This document is eSigned by Mr. Mathabattula Ramesh

19. e-Insurance A/C details(As per IRDAI e-Commerece Regulations,eInsurance Account is mandatory for online proposals)

I want to receive the insurance policy and all the information related to the proposed insurance No
policy through insurance repository

e-Insurance Account Number NA Repository Name NA

20. DECLARATION BY THE PROPOSER/ HUF KARTA/ LIFE TO BE ASSURED

• I hereby declare that the above statements, answers and/or particulars given by me are true and complete in all respects to the best of my knowledge. I
understand that the information provided by me will form the basis of the insurance policy.
• I understand that, the PROPOSAL WILL NOT BE CONSIDERED UNTIL THE FULL PREMIUM INCLUDING TAXES, IS PAID BY ME.
• I also understand that I am liable to pay all the Applicable Taxes and/or any other statutory levy/duty/ surcharge, at the rate notified by the State
Government or Central Government of India from time to time, as per the applicable tax laws on premium and/or other charges (if any) as per the product
features.
• I understand and agree that risk cover and other benefits will not commence until a written acceptance of this proposal is issued by the company and
THAT THE BENEFITS UNDER THE POLICY shall be strictly as per the terms and conditions of the policy.
• I agree that the amount held in proposal/policy deposit shall not earn any interest except as may be provided in the relevant regulations.
• I understand and agree that the statements in this proposal constitute warranties. If there is any mis-statement or suppression of material information or
if any untrue statements are contained therein or in case of fraud, the said contract shall be treated as per the provisions of section 45 of the Insurance Act,
1938, as amended from time to time.
• I understand that the insurance contract will be governed by the provisions of all the applicable Statutes, as amended from time to time.
• I undertake to undergo all medical tests as may be required by the Company for the grant of insurance.
• I authorize the company to share the information contained in my proposal and the medical records of the insured/proposer with others for the sole
purpose of underwriting the proposal and/or for the purpose of settlement of claims and with any Governmental and/or Regulatory authority.
• I hereby authorize the Company to provide my details to banks, financial institutions, credit bureaus, insurance repository, third party service providers
that the Company may have tie-ups with and insurance intermediary for this proposal/resulting policy for verification of the details of this proposal and
for servicing my policies or settlement of claims.
• I hereby give my consent to receive any information relating to this proposal/resulting policy from SBI LIFE through SMS/Email/Phone /Letter and
hereby authorize SBI LIFE to send any communication pertaining to my policies through SMS/email/phone/letter . This consent shall hold good even if I
register my number with the National Customer Preference Register (NCPR).
• Notwithstanding the provision of any law, usage, custom or convention for the time being in force prohibiting any doctor, hospital and/or employer
from divulging any knowledge or information about me concerning my health, employment on the grounds of secrecy, I, my heirs, executors,
administrator or any other person or persons having interest of any kind whatsoever in the life insurance cover provided to me, hereby agree that such
authority, having such knowledge or information, shall be at any time at liberty to divulge any such knowledge or information to the Company.

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• I declare that I am presently in India and I understand that the insurance contract entered into while not in India, will not be valid..
•I am aware that SBI Life-Smart Power Insurance is a regular premium policy and I am aware that I would need to pay premium for 10 years (Premium
Payment Term).
• I agree that by submitting this application , I will be bound by all the statements/disclosures of material facts made through the electronic process in the
same manner and to the same extent, as if I have signed and submitted the written proposal for insurance to the Company. I accept and agree to affix my
signature (in electronic mode/tablet/mobile) here.
• I agree to the above declaration.
• I hereby authorize SBI Life to consider details furnished in the proposal number specified above and in this declaration for the purpose of Central KYC
Registry and to provide my details to CERSAI in the prescribed format. I further hereby consent to receiving information from CKYC Registry through
SMS/Email or registered mobile number/email address mentioned in the proposal no. specified above.
• I hereby declare that I have reviewed details in the Need Analysis,Benefit Illustration,FATCA and relevant questionaires provided. I have also
thoroughly scrutinized all pages of the proposal form . I declare that the information given above is true and correct.
• I understand and agree that by submitting this application through the tablet/mobile device, I shall be bound by such statements/disclosures of material
facts in the same manner and to the same extent, as if I have signed and submitted the written proposal for insurance to the company.
Signature of the Proposer
This document is eSigned by Mr. Mathabattula
Ramesh

Witness by (CIF code- 990920207)

Name of CIF- BHAWANA DHARMENDRA KUMAR DIXIT
Authenticated by Id & Password
Place :manglore Date :18-08-2020

21. DECLARATION WHEN THE PROPOSAL FORM IS FILLED BY A PERSON OTHER THAN THE PROPOSER/ VERNACULAR
LANGUAGE/PROPOSER IS ILLITERATE

I hereby declare that I have read out and explained the contents of this proposal form and all other documents incidental to availing the insurance
policy from SBI Life Insurance Company Ltd. to the Proposer and that he/she declared that he/she has understood the same completely.

I hereby declare that I have fully explained to the Proposer the answers to the questions that form the basis of the contract of insurance and I also
explained to the Proposer that if there is any mis-statement or suppression of material information or if any untrue statements are contained therein or
in case of fraud, the said contract shall be treated as per the provisions of Section 45 of the Insurance Act 1938 as amended from time to time.

I hereby declare that I have explained the contents of this form to the Proposer in Hindi Language.

I also declare that I have truly and correctly recorded the answers given by the Proposer and that the proposer has affixed his/her thumb impression on
the Proposal form in my presence, after fully understanding the contents thereof.

Place manglore Date 18-08-2020

Person making the Declaration (CIF code- 990920207)

Name of CIF- BHAWANA DHARMENDRA KUMAR DIXIT
Authenticated by Id & Password

Signature of Witness

I hereby state that the contents of the form and documents have been fully explained to me in the language I understand and that I have fully
understood the significance of the proposed contract.

This document is eSigned by Mr. Mathabattula Ramesh

Prohibition of Rebates : Section 41 of the Insurance Act, 1938, as amended from time to time,states
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.

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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.
Non-Disclosure : Extract of Section 45 of the Insurance Act 1938, as amended from time to time,states
1. No policy of life insurance shall be called in question on any ground whatsoever after the expiry of three years from the date of the policy. A policy of
life insurance may be called in question at anytime within three years from the date of the policy, on the ground of fraud or on the ground that any
statement of or suppression of a fact material to the expectancy of the life of the insured was incorrectly made in the proposal or other document on the
basis of which the policy was issued or revived or rider issued. The insurer shall have to communicate in writing to the insured or the legal representatives
or nominees or assignees of the insured, the grounds and materials on which such decision is based.
2. No insurer shall repudiate a life insurance policy on the ground of fraud if the insured can prove that the mis-statement or suppression of material fact
was true to the best of his knowledge and belief or that there was no deliberate intention to suppress the fact or that such mis-statement or suppression are
within the knowledge of the insurer. In case of fraud, the onus of disproving lies upon the beneficiaries, in case the policyholder is not alive.
3. In case of repudiation of the policy on the ground of misstatement or suppression of a material fact, and not on the grounds of fraud, the premiums
collected on the policy till the date of repudiation shall be paid.
4. Nothing in this section shall prevent the insurer from calling for proof of age at any time if he is entitled to do so, and no policy shall be deemed to be
called in question merely because the terms of the policy are adjusted on subsequent proof that the age of the life insured was incorrectly stated in the
proposal.
For complete details of the section and the definition of 'date of policy', please refer Section 45 of the Insurance Act 1938, as amended from time to time.

Date of Birth(DOB) on Benefit illustration is not matching with Date of Birth mentioned with Aadhar database. Kindly confirm the DOB and
submit corresponding age-proof and fresh Benefit Illustration as per the correct DOB

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 DECLARATION BY THE PROPOSER/ HUF KARTA/ LIFE TO BE ASSURED

• I hereby declare that the above statements, answers and/or particulars given by me are true and complete in all respects to the best of my knowledge. I
understand that the information provided by me will form the basis of the insurance policy.
• I understand that, the PROPOSAL WILL NOT BE CONSIDERED UNTIL THE FULL PREMIUM INCLUDING TAXES, IS PAID BY ME.
• I also understand that I am liable to pay all the Applicable Taxes and/or any other statutory levy/duty/ surcharge, at the rate notified by the State
Government or Central Government of India from time to time, as per the applicable tax laws on premium and/or other charges (if any) as per the product
features.
• I understand and agree that risk cover and other benefits will not commence until a written acceptance of this proposal is issued by the company and
THAT THE BENEFITS UNDER THE POLICY shall be strictly as per the terms and conditions of the policy.
• I agree that the amount held in proposal/policy deposit shall not earn any interest except as may be provided in the relevant regulations.
• I understand and agree that the statements in this proposal constitute warranties. If there is any mis-statement or suppression of material information or
if any untrue statements are contained therein or in case of fraud, the said contract shall be treated as per the provisions of section 45 of the Insurance Act,
1938, as amended from time to time.
• I understand that the insurance contract will be governed by the provisions of all the applicable Statutes, as amended from time to time.
• I undertake to undergo all medical tests as may be required by the Company for the grant of insurance.
• I authorize the company to share the information contained in my proposal and the medical records of the insured/proposer with others for the sole
purpose of underwriting the proposal and/or for the purpose of settlement of claims and with any Governmental and/or Regulatory authority.
• I hereby authorize the Company to provide my details to banks, financial institutions, credit bureaus and third party service providers that the Company
may have tie-ups with, for verification of the details of this proposal and for servicing my policies or settlement of claims.
• I hereby give my consent to receive any information relating to this proposal/resulting policy from SBI LIFE through SMS/Email/Phone /Letter and
hereby authorize SBI LIFE to send any communication pertaining to my policies through SMS/email/phone/letter . This consent shall hold good even if I
register my number with the National Customer Preference Register (NCPR).
• Notwithstanding the provision of any law, usage, custom or convention for the time being in force prohibiting any doctor, hospital and/or employer
from divulging any knowledge or information about me concerning my health, employment on the grounds of secrecy, I, my heirs, executors,
administrator or any other person or persons having interest of any kind whatsoever in the life insurance cover provided to me, hereby agree that such
authority, having such knowledge or information, shall be at any time at liberty to divulge any such knowledge or information to the Company.
• I declare that I am presently in India and I understand that the insurance contract entered into while not in India, will not be valid.
•I am aware that SBI Life-Smart Power Insurance is a regular premium policy and I am aware that I would need to pay premium for 10 years (Premium
Payment Term).
• I agree that by submitting this application , I will be bound by all the statements/disclosures of material facts made through the electronic process in the
same manner and to the same extent, as if I have signed and submitted the written proposal for insurance to the Company. I accept and agree to affix my
signature (in electronic mode/tablet/mobile) here.
• I agree to the above declaration.
• I hereby authorize SBI Life to consider details furnished in the proposal number specified above and in this declaration for the purpose of Central KYC
Registry and to provide my details to CERSAI in the prescribed format. I further hereby consent to receiving information from CKYC Registry through
SMS/Email or registered mobile number/email address mentioned in the proposal no. specified above.
• I hereby declare that I have reviewed details in the Need Analysis,Benefit Illustration,FATCA and relevant questionaires provided. I have also
thoroughly scrutinized all pages of the proposal form . I declare that the information given above is true and correct.
• I understand and agree that by submitting this application through the tablet/mobile device, I shall be bound by such statements/disclosures of material
facts in the same manner and to the same extent, as if I have signed and submitted the written proposal for insurance to the company.
Signature of the Proposer
This document is eSigned by Mr. Mathabattula
Ramesh

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 Witness by (CIF code- 990920207)
Name of CIF- BHAWANA DHARMENDRA KUMAR DIXIT
Authenticated by Id & Password
Place :manglore Date :18-08-2020

DECLARATION WHEN THE PROPOSAL FORM IS FILLED BY A PERSON OTHER THAN THE PROPOSER/ VERNACULAR
LANGUAGE /PROPOSER IS ILLITERATE.

I hereby declare that I have read out and explained the contents of this proposal form and all other documents incidental to availing the insurance
policy from SBI Life Insurance Company Ltd. to the Proposer and that he/she declared that he/she has understood the same completely.

I hereby declare that I have fully explained to the Proposer the answers to the questions that form the basis of the contract of insurance and I also
explained to the Proposer that if there is any mis-statement or suppression of material information or if any untrue statements are contained therein or
in case of fraud, the said contract shall be treated as per the provisions of Section 45 of the Insurance Act 1938 as amended from time to time and the
Proposer has completely understood the importance of giving complete and accurate information to every question in the proposal form and the
importance of each declaration in the proposal form.

I hereby declare that I have explained the contents of this form to the Proposer in Hindi Language; I also declare that I have truly and correctly
recorded the answers given by the Proposer and that the proposer has affixed his/her thumb impression on the Proposal form in my presence, after
fully understanding the contents thereof.

Place manglore Date 18-08-2020

(CIF code- 990920207) (CIF code- 990920207)

Name of CIF- BHAWANA DHARMENDRA KUMAR DIXIT Name of CIF- BHAWANA DHARMENDRA KUMAR DIXIT
Authenticated by Id & Password Authenticated by Id & Password

Signature of Witness

I hereby state that the contents of the form and documents have been fully explained to me in the language I understand and that I have fully
understood the significance of the proposed contract.

This document is eSigned by Mr. Mathabattula Ramesh

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.
Non-Disclosure : Extract of Section 45 of the Insurance Act 1938, as amended from time to time
1. No policy of life insurance shall be called in question on any ground whatsoever after the expiry of three years from the date of the policy. A policy of
life insurance may be called in question at anytime within three years from the date of the policy, on the ground of fraud or on the ground that any
statement of or suppression of a fact material to the expectancy of the life of the insured was incorrectly made in the proposal or other document on the
basis of which the policy was issued or revived or rider issued. The insurer shall have to communicate in writing to the insured or the legal representatives
or nominees or assignees of the insured, the grounds and materials on which such decision is based.
2. No insurer shall repudiate a life insurance policy on the ground of fraud if the insured can prove that the mis-statement or suppression of material fact
was true to the best of his knowledge and belief or that there was no deliberate intention to suppress the fact or that such mis-statement or suppression are
within the knowledge of the insurer. In case of fraud, the onus of disproving lies upon the beneficiaries, in case the policyholder is not alive.
3. In case of repudiation of the policy on the ground of misstatement or suppression of a material fact, and not on the grounds of fraud, the premiums
collected on the policy till the date of repudiation shall be paid.
4. Nothing in this section shall prevent the insurer from calling for proof of age at any time if he is entitled to do so, and no policy shall be deemed to be
called in question merely because the terms of the policy are adjusted on subsequent proof that the age of the life insured was incorrectly stated in the
proposal.
For complete details of the section and the definition of 'date of policy', please refer Section 45 of the Insurance Act 1938, as amended from time to time.

Page 65 of 72 PolicyNo. 1C796830502 49/766

 SBI Life Insurance Co. Ltd
Corporate Office: 'Natraj', M.V.Road and Western Express Highway Junction, Andheri (East), Mumbai - 400069
IRDAI Registration No. 111 | Website: www.sbilife.co.in | Email: info@sbilife.co.in | CIN: L99999MH2000PLC129113
Toll Free: 1800 267 9090 (Between 9.00 am & 9.00 pm)
Customised Benefit Illustration (CBI)
SBI Life - Smart Power Insurance (111L090V02)
An Individual, Unit-linked, Non-Participating, Life Insurance Product

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

POLICYHOLDER.

Proposal No.: Channel / Intermediary : CIF

OL1C00000092020717082020031
512

Insurance Regulatory and Development authority of India (IRDAI) requires all life insurance companies operating in India to provide official illustrations to their customers. The illustrations are based
on the investment rates of return set by the Insurance Regulatory and Development Authority of India (Unit Linked Insurance Products) Regulations, 2019 and is not intended to reflect the actual
investment returns achieved or which may be achieved in future by SBI Life Insurance Company Limited.

The main objective of the illustration is that the client is able to appreciate the features of the product and the flow of benefits in different circumstances with some level of quantification. For further
information on the product, its benefits and applicable charges please refer to the sales brochure and/or policy document. Further information will also be available on request.

Some benefits are guaranteed and some benefits are variable with returns based on the future fund performance of SBI Life Insurance Company Limited. If your policy offers guaranteed returns then
the same will be clearly marked as “guaranteed” in the illustration table. If your policy offers variable returns then the illustration will show two different rates of assumed future investment returns.
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 dependent on a number of factors including future
fund investment performance.

Proposer, Life Assured and Plan Details

Name of Proposer Mr. Mathabattula Ramesh Age of Proposer 36 Years

Name of the Life Assured Mr. Mathabattula Ramesh Life Assured Age 36 Years

Policy Term 10 Premium Payment Term Same as Policy Term

Amount of Installment Premium 25,000 Mode / Frequency of Premium Payment Yearly

Sum Assured 2,50,000

Rate of Applicable Taxes 18%

Investment Strategy Opted For Smart Funds Option

Fund Name (SFIN Name) % Allocation FMC Risk Level
Equity Fund (SFIN: ULIF001100105EQUITY-FND111) 70% 1.35% High
Equity Optimizer Fund (SFIN: ULIF010210108EQTYOPTFND111) 0% 1.35% High
Growth Fund (SFIN: ULIF003241105GROWTH-FND111) 0% 1.35% Medium to High
Balanced Fund (SFIN: ULIF004051205BALANCDFND111) 30% 1.25% Medium
Bond Fund (SFIN: ULIF002100105BONDULPFND111) 0% 1.00% Low to Medium
Money Market Fund (SFIN: ULIF005010206MONYMKTFND111) 0% 0.25% Low
Top 300 Fund (SFIN: ULIF016070110TOP300-FND111) 0% 1.35% High
Bond Optimiser Fund (SFIN : ULIF032290618BONDOPTFND111) 0% 1.15% Low to Medium
Pure Fund (SFIN : ULIF030290915PUREULPFND111) 0% 1.35% High
Corporate Bond Fund (SFIN : ULIF033290618CORBONDFND111) 0% 1.15% Low to Medium

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, underwriting extra, if any, if deducted by cancellation of units. It

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 demonstrates the impact of charges exclusive of 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, underwriting extra etc. The investment risk in this policy is borne by the policyholder, hence,
for more details on terms and conditions please read the sales literature carefully.

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.

PART A

Amount in Rupees At 4% p.a. Gross Investment return At 8% p.a. Gross Investment return

Policy year Annualized Mortality Other Charges* Applicable Fund at end of Surrender Value Death Benefit Mortality Other Charges* Applicable Fund at end of Surrender Value Death Benefit Commission
Premium charges Taxes the year charges Taxes the year payable to
intermediary
(Rs)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

1 25000.0 381 2233 471 22819 19278 250000 381 2239 472 23716 20175 250000 1250

2 25000.0 366 2098 444 46742 44381 250000 363 2123 448 49516 47155 250000 750

3 25000.0 346 2409 496 71272 69502 250000 338 2465 505 76992 75222 250000 750
4 25000.0 321 2728 549 96431 95251 250000 305 2830 565 106261 105081 250000 750

5 25000.0 291 3055 602 122239 122239 250000 263 3218 627 137448 137448 250000 750
6 25000.0 314 3277 646 148789 148789 275000 269 3518 682 170763 170763 275000 500

7 25000.0 271 3622 701 176038 176038 275000 202 3961 750 206286 206285 275000 500
8 25000.0 216 3730 710 204319 204319 275000 113 4186 774 244496 244496 275000 500

9 25000.0 145 3975 742 233528 233527 275000 5 4572 824 285433 285432 285433 375
10 25000.0 52 4232 771 263710 263710 275000 0 5008 902 329124 329124 329124 250

* 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, Mr. Mathabattula Ramesh have received the information with respect to the above and have understood the above statement before entering into a contract.

This document is eSigned by Mr. Mathabattula Ramesh

Place :manglore
Date :17-8-0

Marketing official's Signature & Company Seal

I, BHAWANA DHARMENDRA KUMAR DIXIT , have explained the premiums, charges and benefits under the policy fully to the prospect/policyholder.

(CIF code- 990920207)

Place :manglore Date :17-8-0 Name of CIF- BHAWANA DHARMENDRA KUMAR DIXIT
Authenticated by Id & Password
PART B

Amount in Rs. Gross Yield 8% pa Net Yield 5.63%

Policy Year Annualized Premium Annualized Mortality Applicable Policy Admin Acc. TPD Other charges* Additions to the Fund before FMC Fund at End of Surrender Value Death benefit
Premium (AP) Allocation Premium - charge Taxes charge Charges fund* FMC year
Charge (PAC) Premium
Allocation
Charge

1 25000.0 1438 23562 381 472 400 91 0 1807.0 24027 311 23716 20175 250000

2 25000.0 1000 24000 363 448 400 81 0 3733.0 50159 643 49516 47155 250000

3 25000.0 1000 24000 338 505 400 70 0 5784.0 77988 996 76992 75222 250000

4 25000.0 1000 24000 305 565 400 59 0 7968.0 107633 1372 106261 105081 250000

5 25000.0 1000 24000 263 627 400 47 0 10296.0 139220 1772 137448 137448 250000

6 25000.0 875 24125 269 682 400 44 0 12784.0 172963 2200 170763 170763 275000

7 25000.0 875 24125 202 750 400 30 0 15434.0 208942 2656 206286 206285 275000

8 25000.0 625 24375 113 774 400 15 0 18284.0 247643 3147 244496 244496 275000

9 25000.0 500 24500 5 824 400 1 0 21337.0 289105 3672 285433 285432 285433

10 25000.0 375 24625 0 902 400 0 0 24600.0 333357 4233 329124 329124 329124

Amount in Rs. Gross Yield 4% pa

Policy Year Annualized Premium Annualized Mortality Applicable Policy Admin Acc. TPD Other charges* Additions to the Fund before FMC Fund at End of Surrender Value Death benefit
Premium (AP) Allocation Premium - charge Taxes charge Charges fund* FMC year
Charge (PAC) Premium
Allocation
Charge

1 25000.0 1438 23562 381 471 400 91 0 903.0 23124 305 22819 19278 250000
2 25000.0 1000 24000 366 444 400 81 0 1831.0 47360 617 46742 44381 250000

3 25000.0 1000 24000 346 496 400 72 0 2782.0 72210 938 71272 69502 250000

4 25000.0 1000 24000 321 549 400 62 0 3757.0 97698 1266 96431 95251 250000

5 25000.0 1000 24000 291 602 400 52 0 4757.0 123843 1604 122239 122239 250000

6 25000.0 875 24125 314 646 400 51 0 5787.0 150740 1951 148789 148789 275000

7 25000.0 875 24125 271 701 400 40 0 6843.0 178345 2307 176038 176038 275000

8 25000.0 625 24375 216 710 400 29 0 7938.0 206996 2676 204319 204319 275000

9 25000.0 500 24500 145 742 400 18 0 9069.0 236586 3057 233528 233527 275000

10 25000.0 375 24625 52 771 400 6 0 10238.0 267162 3451 263710 263710 275000

Notes :
1). Refer the sales literature for explanation of terms used in this illustration
2) Please read this benefit illustration in conjunction with Sales Brochure and the Policy Document to understand all Terms, Conditions & Exclusions carefully.
3) Kindly note that above is only an illustration and does not in any way create any rights and/or obligations. The actual experience on the contract may be different from what is illustrated. The
non-guaranteed low and high rate mentioned above relate to assumed investment returns at different rates and may vary depending upon market conditions. For more details on risk factors, terms
and conditions please read sales brochure carefully.
4) The unit values may go up as well as down and past performance is no indication of future performance on the part of SBI Life Insurance Co. Ltd. We would request you to appreciate the
associated risk under this plan vis-à-vis the likely future returns before taking your investment decision.
5) It is assumed that the policy is in force throughout the term.
6) Fund management charge is based on the specific investment strategy / fund option(s) chosen.
7) Surrender Value equals the Fund Value at the end of the year minus Discontinuance Charges. Surrender value is available on or after 5th policy anniversary.
8) Acceptance of proposal is subject to Underwriting decision. Mortality charges are for a healthy person.

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 9) Applicable Taxes (including surcharge/cess etc), at the rate notified by the Central Government/ State Government / Union Territories of India from time to time and as per the provisions of the
prevalent tax laws will be payable on premium/ or any other charges as per the product features.
10)This policy provides guaranteed death benefit of Rs 2,50,000
11) Net Yield have been calculated after applying all the charges (except GST, mortality charges).

Definition of Various Charges:

1)Policy Administration Charges : a charge of a fixed sum which is applied at the beginning of each policy month by cancelling units for equivalent amount,
deducted for maintaining the policy.
2)Premium Allocation Charge : is the percentage of premium that would not be utilised to purchase units.
3)Mortality Charges : are the charges recovered for providing life insurance cover, deducted at the beginning of each policy month by cancelling units for
equivalent amount.
4)Fund Management Charge (FMC) : is the deduction made from the fund at a stated percentage before the computation of the NAV of the fund.

Important :

You may receive a Welcome Call from our representative to confirm your proposal details like Date of Birth, Nominee Name, Address, Email ID, Sum Assured, Premium amount, Premium Payment
Term etc.

You may have to undergo Medical tests based on our underwriting requirements.

Your SBI Life Smart Power Insurance (111L090V02) is a Regular Premium Policy and you are required to pay Yearly Premium of Rs 25000 .Your Policy Term is 10 years , Premium Payment Term is
same as policy term and Sum Assured is Rs. 250,000

I, Mr. Mathabattula Ramesh , have received the information with respect to the above and have understood the above statement before entering into a contract.

This document is eSigned by Mr. Mathabattula Ramesh

Place :manglore
Date :17-8-2020

Marketing official's Signature & Company Seal

I, BHAWANA DHARMENDRA KUMAR DIXIT , have explained the premiums, charges and benefits under the policy fully to the prospect/policyholder.
(CIF code- 990920207)
Place :manglore Date :17-8-2020 Name of CIF- BHAWANA DHARMENDRA KUMAR DIXIT
Authenticated by Id & Password

Page 68 of 72 PolicyNo. 1C796830502 49/766

 Annexure to Electronic Proposal Number 1CNC099828
Dear Customer,
Placed below is the link to down load your proposal form along with Benefit Illustration, Need Analysis, FATCA and other forms.
You are requested to download these documents and validate them by going through the process steps as given below.

Customer Declaration
I/We Mr. Mathabattula Ramesh confirm that I/We have submitted the above referred electronic proposal to buy SBI Life Smart
Power Insurance (name of product) on my/our own accord.

I/ We also confirm that BHAWANA DHARMENDRA KUMAR DIXIT (Name of Life Mitra/ CIF) bearing code no. 990920207 has
explained the product features, benefits with documentation/information to me/us in my own language. I/We have also read and
reviewed the need analysis, custom benefit illustration including health questionnaire and understood/answered the same and I/
We am/are satisfied with the product features.

Aadhaar Consent
I, Mr. Mathabattula Ramesh, hereby give my voluntary consent to SBI Life Insurance Company Limited (SBI Life) and authorise the
Company to obtain necessary details like Name, DOB, Address, Mobile Number, Email, Photograph throughthe copy of Aadhaar
card / QR code available on my Aadhaar card / XML File shared using the offline verification processof UIDAI.I understand and
agree that this information will be exclusively used by SBI Life only for the KYC purpose and for all service aspects related to my
policy/ies, wherever KYC requirements have to be complied with, right from issue of policies after acceptance of risk under my
proposals for life insurance, various payments that may have to be made under the policies, various contingencies where the KYC
information is mandatory, till the contract is terminated.

I have duly been made aware that I can also use alternative KYC documents like Passport, Voter's ID Card, Drivinglicence, NREGA
job card, letter from National Population Register, in lieu of Aadhaar for the purpose of completing myKYC formalities. I
understand and agree that the details so obtained shall be stored with SBI Life and be shared solely forthe purpose of issuing
insurance policy to me and for servicing them. I will not hold SBI Life or any of its authorized officials responsible in case of any
incorrect information provided by me. I further authorize SBI Life that it may use my mobile number for sending SMS alerts to me
regarding various servicing and other matters related to my policy/ies.

I, Mr. Mathabattula Ramesh hereby give my consent to SBI Life Insurance Company Ltd to use my Mobile Number (9849416957)
for sending One Time Password [OTP] for authentication purposes and I hereby agree and consent that the authentication through
OTP verification will be considered as my signature on the Proposal Form and that there is no need for my physical signatures on
these documents once OTP based authentication is done.SBI Life Insurance Company Ltd has informed me that this OTP would
be used only for processing my SBI Life application form for SBI Life-Smart Power Insurance.

Do You want to receive all communication through Whatsapp? true

Authorised via OTP - 15818, shared for 18-August-2020

proposal number 1CNC099828 on 18- Date
August-2020
Signature of Proposer

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