Product Proposal for achieving your Life Goals

Bajaj Allianz Life ACE

A Non linked, Participating, Individual
Life Insurance Savings Plan
UIN: 116N186V02

Hi Ms. Sajja MALLISWARI ,

Congratulations on taking the first step towards fulfilling your Life Goals with Bajaj Allianz Life Insurance. You
have opted for Bajaj Allianz Life ACE , a truly modular product where you are the one in charge of your financial
plan along with life cover

Key Features

Decide your Income Wide range of policy term Choice of premium Life Cover to Comprehensive Tax Benefits
amount and Income from 10 to 85 years or up payment term from 5 to secure your coverage through
start year to age 100 years 10 year or 12 years planned Life multiple riders
Goals
 Here's your illustration of Bajaj Allianz Life ACE

Age 25 36 84

(12 years)

(60 years)

You Pay You Get

Premium 1st Income Last Income
Including discounts (if any) and Guaranteed Income (A) ₹86,544 ₹3,28,647
excluding GST
(From Age 25 to 84)
First year
Cash Bonus (B) @8% ₹1,29,816 @8% ₹4,92,970
₹ 9,75,000 Yearly
(From Age 25 to 84) @4% ₹21,636 @4% ₹39,794
Second year Income Benefit (A+B) @8% ₹2,16,360 @8% ₹8,21,617
onwards (From Age 25 to 84) @4% ₹1,08,180 @4% ₹3,68,441
₹ 10,00,000 Yearly
Maturity Benefit (At age 84) @8% ₹7,05,32,932 @4% ₹1,40,05,925

Total Premium Total Benefits

₹ 1,19,75,000 @8% ₹ 11,25,66,868 @4% ₹ 3,29,89,253

Life Cover(At Inception)

1,10,00,000

Additional Coverages ( signifies Opted | signifies Not-opted )

Accidental death Benefit Accidental Permanent Total/Partial Family Income Benefit

Disability Benefit

Critical Illness Benefit Waiver of Premium benefit

2
Above Additonal Coverages Premiums are excluding GST
^Premiums are payable at the beginning of year; ^^Benefits to be received at the end of year. Product features mentioned above are dependent on benefit chosen.The assumed rate of returns indicated
at 4% and 8% are illustrative and not guaranteed and do not indicate the upper or lower limits of returns under the policy.The guaranteed benefits are dependent on the Policy terms, Premium payment
terms availed along with other variable factors.The above benefits/returns shown in the document are for illustrative purpose only & must be read in conjunction with the Benefit Illustration. For more
details on risk factors, terms and conditions please read sales brochure & policy document (available on www.bajajallianzlife.com) carefully before concluding a sale.Tax benefits as per prevailing Income
tax laws shall apply. Please check with your tax consultant for eligibility. Product features mentioned above are dependent on benefit chosen
 Why Bajaj Allianz Life

Total Asset Under Net Worth Number of Lives

Managment (AUM) Covered

Individual Claim Get 1 day claim As against IRDAI

settlement Ratio approval mandated 150%

* All figures as on 31 March 2023

For more details please refer to Company Factsheet
https://www.bajajallianzlife.com/content/dam/balic/pdf/financialinformation/Factsheet/none/Q1/Factsheet-FY-2022-2023.pdf

3
Bajaj A llianz L ife Insurance Co.L td., CIN : U66010P N 2001P L C015959 | IRDA I Reg.N o. 116 BEW ARE OF SPURIOUS PHONE CALLS AND FICTITIOUS /
Mail us: customercare@bajajallianz.co.in | Call on: T oll free no. 1800 209 7272 FRADULENT OFFERS -
Registered O ffice A ddress: Bajaj A llianz House, A irport Road, Yerawada, P une - 411006, IRDAI is not involved in activities like selling insurance policies,
Maharashtra announcing bonus or investment of premiums. Public
T he L ogo of Bajaj A llianz L ife Insurance Co. L td. is provided on the basis of license given receiving such phone calls are requested to lodge a police
by Bajaj Finserv L td.to use its "Bajaj" L ogo and A llianz SE to use its "A llianz" logo. complaint.
Quotation No : 60059691614

Bajaj Allianz Life ACE

A Non linked, Participating, Individual Life Insurance Savings Plan

Name of the Prospect/ Policyholder: Sajja MALLISWARI Name of the Product: Bajaj Allianz Life ACE
Age: 25 Gender: Female Tag Line: A Non linked, Participating, Individual Life
Name of the Life Assured: Sajja MALLISWARI Insurance Savings Plan
Age: 25 Gender: Female Unique Identification Number: 116N186V02
Premium Payment Term: 12 GST Rate(First Year): 4.50%
Policy Term: Maturity Age 85 GST Rate(2nd Year onwards): 2.25%
Deferment Period: 0
Amount of Instalment Premium: 10,18,875
Mode of Payment of Premium: Annual
How to read and understand this benefit illustration?
This benefit illustration is intented to show year-wise premiums payable and benefits under the policy, at two assumed rates of interest i.e., 8% p.a. and
4% p.a.

Some benefits are guaranteed and some benefits are variable with returns based on the future performance of your insurer carrying on life insurance
business. If your policy offers guaranteed benefits then these will be clearly marked "guaranteed" in the illustration table on this page. If your policy
offers variable benefits then the illustrations on this page will show two different rates of assumed future investment returns, of 8% p.a. and 4% p.a.
These assumed rates of return are not guaranteed and they are not the upper or lower limits of what you might get back, as the value of your policy is
dependent on a number of factors including future investment performance.

Policy Details
Deferred Early Income Wealth Income Benefit Annually
Income Frequency

Premium Allocation 48% 45% 7% Goal Protection No

Benefit

Benefit Sum Assured* 60,52,569 21,63,605 20,50,344 Accumulate Income No

Benefits
Income Period 48 60 NA
Bonus Type Cash Bonus, Simple Revisionary Bonus and
Sum Assured on Death (at 1,10,00,000 Terminal Bonus
inception of policy)

*Benefit Sum Assured will be used for calculating Guaranteed Income and declaring Bonuses, and will not be payable on Maturity or Death.

Premium Summary
Base Plan Riders Total Installment Premium
Installment Premium without GST (including 2.50% 9,75,000 0 9,75,000
discount in 1st year)
Installment Premium without GST(2nd year) 10,00,000 0 10,00,000
Instalment Premium with First Year GST 10,18,875 0 10,18,875
Installment Premium with GST 2nd year Onwards 10,22,500 0 10,22,500
(Amount in Rupees )
Benefit Summary
Guaranteed Benefits Non Guaranteed Benefit @ 4% p.a. Non Guaranteed Benefit @ 8% p.a. Total Benefits including Guarantee and Non-Guaranteed Benefits
Annualized Accrued Guaranteed Special Accrued Guaranteed Special Survival and Survival and Death Benefit Death Benefit
Policy Premium Survival Death Benefit Maturity Simple Cash Surrender Surrender Simple Cash Surrender Surrender Surrender Surrender Maturity Maturity incl TB (if any) incl TB (if any)
Year Benefit Benefit Reversionary Bonus Value (GSV) Value (SSV) Reversionary Bonus Value (GSV) Value (SSV) Value @4% Value @8% Benefit incl TB Benefit incl TB @4% @8%
(Excl of GST) Bonus Bonus (if any) @4% (if any) @8%
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
1 9,75,000 86,544 1,10,00,000 0 18,453 21,636 0 2,56,890 46,133 1,29,816 0 2,59,366 2,56,890 2,59,366 1,08,180 2,16,360 1,10,00,000 1,10,00,000
2 10,00,000 86,544 1,10,00,000 0 36,906 21,636 3,85,368 5,37,277 92,265 1,29,816 3,34,321 5,42,526 5,65,306 5,67,898 1,08,180 2,16,360 1,10,18,453 1,10,46,133
3 10,00,000 86,544 1,10,00,000 0 55,359 21,636 7,28,250 8,43,661 1,38,398 1,29,816 5,84,477 8,52,002 9,25,741 9,29,928 1,08,180 2,16,360 1,10,36,906 1,10,92,265
4 10,00,000 86,544 1,10,00,000 0 73,812 21,636 15,71,284 11,78,763 1,84,531 1,29,816 11,44,570 11,90,542 15,71,284 15,77,158 1,08,180 2,16,360 1,10,55,359 1,11,38,398
5 10,00,000 86,544 1,10,00,000 0 92,265 21,636 19,64,484 15,45,550 2,30,664 1,29,816 14,31,660 15,61,139 19,72,978 19,81,056 1,08,180 2,16,360 1,10,73,812 1,11,84,531
6 10,00,000 86,544 1,10,00,000 0 1,10,719 21,636 23,57,866 19,47,239 2,76,796 1,29,816 17,19,206 25,70,271 23,79,028 25,80,213 1,08,180 2,16,360 1,10,92,265 1,12,30,664
7 10,00,000 86,544 1,10,00,000 0 1,29,172 21,636 27,51,446 23,87,317 3,22,929 1,29,816 20,07,246 33,86,916 27,89,598 33,86,916 1,08,180 2,16,360 1,11,10,719 1,12,76,796
8 10,00,000 86,544 1,10,00,000 0 1,47,625 21,636 31,45,240 28,69,561 3,69,062 1,29,816 22,95,820 43,95,348 32,04,973 43,95,348 1,08,180 2,16,360 1,11,29,172 1,13,22,929
9 10,00,000 86,544 1,10,00,000 0 1,66,078 21,636 36,29,260 33,98,090 4,15,195 1,29,816 26,74,962 55,81,357 36,74,922 55,81,357 1,08,180 2,16,360 1,11,47,625 1,13,69,062
10 10,00,000 86,544 1,10,00,000 0 1,84,531 21,636 41,33,522 39,77,394 4,61,327 1,29,816 30,74,707 69,60,171 42,33,732 69,60,171 1,08,180 2,16,360 1,11,66,078 1,14,15,195
11 10,00,000 86,544 1,10,00,000 0 2,02,984 21,636 46,58,038 46,12,400 5,07,460 1,29,816 34,95,086 85,50,665 48,95,912 85,50,665 1,08,180 2,16,360 1,16,96,031 1,20,04,084
12 10,00,000 86,544 1,10,00,000 0 2,21,437 21,636 50,82,820 55,69,282 5,53,593 1,29,816 38,16,130 1,04,52,784 58,71,641 1,04,52,784 1,08,180 2,16,360 1,26,90,984 1,37,32,925
13 0 3,28,647 1,10,00,000 0 2,39,890 39,794 48,37,620 58,71,728 5,99,726 4,92,970 31,22,615 1,15,27,736 61,74,022 1,15,27,736 3,68,441 8,21,617 1,27,09,437 1,45,90,888
14 0 3,28,647 1,10,00,000 0 2,58,343 39,794 45,92,712 59,34,127 6,45,858 4,92,970 24,88,877 1,16,46,621 62,36,066 1,16,46,621 3,68,441 8,21,617 1,27,27,890 1,46,57,678

O.X.X.A.X
Quotation No : 60059691614

Benefit Summary
Guaranteed Benefits Non Guaranteed Benefit @ 4% p.a. Non Guaranteed Benefit @ 8% p.a. Total Benefits including Guarantee and Non-Guaranteed Benefits
Annualized Accrued Guaranteed Special Accrued Guaranteed Special Survival and Survival and Death Benefit Death Benefit
Policy Premium Survival Death Benefit Maturity Simple Cash Surrender Surrender Simple Cash Surrender Surrender Surrender Surrender Maturity Maturity incl TB (if any) incl TB (if any)
Year Benefit Benefit Reversionary Bonus Value (GSV) Value (SSV) Reversionary Bonus Value (GSV) Value (SSV) Value @4% Value @8% Benefit incl TB Benefit incl TB @4% @8%
(Excl of GST) Bonus Bonus (if any) @4% (if any) @8%
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
15 0 3,28,647 1,10,00,000 0 2,76,796 39,794 43,48,114 59,98,645 6,91,991 4,92,970 19,59,226 1,17,66,022 62,99,933 1,17,66,022 3,68,441 8,21,617 1,27,46,343 1,47,20,143
16 0 3,28,647 1,10,00,000 0 2,95,250 39,794 39,83,844 60,65,389 7,38,124 4,92,970 13,64,397 1,18,96,368 63,57,320 1,18,96,368 3,68,441 8,21,617 1,27,64,796 1,47,85,571
17 0 3,28,647 1,10,00,000 0 3,13,703 39,794 37,39,927 61,34,535 7,84,257 4,92,970 8,36,450 1,20,38,021 64,25,186 1,20,38,021 3,68,441 8,21,617 1,27,83,250 1,48,50,983
18 0 3,28,647 1,10,00,000 0 3,32,156 39,794 34,96,391 62,06,288 8,30,389 4,92,970 6,00,194 1,21,92,467 64,95,318 1,21,92,467 3,68,441 8,21,617 1,28,01,703 1,49,21,882
19 0 3,28,647 1,10,00,000 0 3,50,609 39,794 32,53,267 62,80,866 8,76,522 4,92,970 6,21,885 1,23,55,430 65,67,913 1,23,55,430 3,68,441 8,21,617 1,28,20,156 1,50,18,776
20 0 3,28,647 1,10,00,000 0 3,69,062 39,794 28,90,592 63,58,499 9,22,655 4,92,970 6,36,299 1,25,32,927 66,34,783 1,25,32,927 3,68,441 8,21,617 1,28,38,609 1,51,73,470
21 0 3,28,647 1,10,00,000 0 3,87,515 39,794 26,48,404 64,39,435 9,68,788 4,92,970 6,60,331 1,27,35,105 67,12,954 1,27,35,105 3,68,441 8,21,617 1,28,57,062 1,53,48,660
22 0 3,28,647 1,10,00,000 0 4,05,968 39,794 24,06,746 65,23,861 10,14,920 4,92,970 6,85,689 1,29,36,504 67,94,205 1,29,36,504 3,68,441 8,21,617 1,28,75,515 1,55,27,017
23 0 3,28,647 1,10,00,000 0 4,24,421 39,794 21,65,659 66,11,955 10,61,053 4,92,970 7,12,474 1,31,58,554 68,78,704 1,31,58,554 3,68,441 8,21,617 1,28,93,968 1,57,19,935
24 0 3,28,647 1,10,00,000 0 4,42,874 39,794 18,05,187 67,03,855 11,07,186 4,92,970 7,32,395 1,33,85,557 69,58,187 1,33,85,557 3,68,441 8,21,617 1,29,12,421 1,59,20,745
25 0 3,28,647 1,10,00,000 0 4,61,327 39,794 15,65,370 67,99,604 11,53,319 4,92,970 7,62,354 1,36,55,616 70,49,505 1,36,55,616 3,68,441 8,21,617 1,29,30,874 1,61,56,719
26 0 3,28,647 1,10,00,000 0 4,79,781 39,794 13,26,248 68,99,273 11,99,451 4,92,970 7,94,050 1,39,32,281 71,44,337 1,39,32,281 3,68,441 8,21,617 1,29,49,327 1,64,01,342
27 0 3,28,647 1,10,00,000 0 4,98,234 39,794 12,47,765 70,02,844 12,45,584 4,92,970 8,27,578 1,42,22,068 72,42,683 1,42,22,068 3,68,441 8,21,617 1,29,67,781 1,66,61,155
28 0 3,28,647 1,10,00,000 0 5,16,687 39,794 11,50,403 71,10,249 12,91,717 4,92,970 8,54,622 1,45,50,353 73,36,100 1,45,50,353 3,68,441 8,21,617 1,29,86,234 1,69,49,468
29 0 3,28,647 1,10,00,000 0 5,35,140 39,794 11,16,239 72,21,384 13,37,850 4,92,970 8,92,064 1,49,08,851 74,41,313 1,49,08,851 3,68,441 8,21,617 1,30,04,687 1,72,69,316
30 0 3,28,647 1,10,00,000 0 5,53,593 39,794 10,82,903 73,36,155 13,83,982 4,92,970 9,31,573 1,52,76,226 75,49,856 1,52,76,226 3,68,441 8,21,617 1,30,23,140 1,75,99,433
31 0 3,28,647 1,10,00,000 0 5,72,046 39,794 10,50,419 74,54,415 14,30,115 4,92,970 9,73,215 1,56,78,429 76,61,617 1,56,78,429 3,68,441 8,21,617 1,30,41,593 1,79,59,154
32 0 3,28,647 1,10,00,000 0 5,90,499 39,794 9,56,411 75,76,007 14,76,248 4,92,970 10,08,645 1,61,12,146 77,68,073 1,61,12,146 3,68,441 8,21,617 1,30,60,046 1,83,44,615
33 0 3,28,647 1,10,00,000 0 6,08,952 39,794 9,25,696 77,00,727 15,22,381 4,92,970 10,54,708 1,65,78,969 78,85,859 1,65,78,969 3,68,441 8,21,617 1,30,78,499 1,87,64,019
34 0 3,28,647 1,10,00,000 0 6,27,405 39,794 8,95,890 78,28,397 15,68,513 4,92,970 11,03,045 1,70,95,476 80,06,436 1,70,95,476 3,68,441 8,21,617 1,30,96,952 1,92,26,699
35 0 3,28,647 1,10,00,000 0 6,45,858 39,794 8,67,005 79,58,810 16,14,646 4,92,970 11,53,682 1,76,43,567 81,29,634 1,76,43,567 3,68,441 8,21,617 1,31,15,405 1,97,21,599
36 0 3,28,647 1,10,00,000 0 6,64,312 39,794 8,37,135 80,91,751 16,60,779 4,92,970 11,98,236 1,82,25,267 82,46,878 1,82,25,267 3,68,441 8,21,617 1,31,33,858 2,02,43,082
37 0 3,28,647 1,10,00,000 0 6,82,765 39,794 8,64,287 82,26,996 17,06,912 4,92,970 12,53,517 1,88,78,995 83,74,780 1,88,78,995 3,68,441 8,21,617 1,31,52,312 2,08,37,053
38 0 3,28,647 1,10,00,000 0 7,01,218 39,794 8,92,367 83,64,332 17,53,044 4,92,970 13,11,119 1,95,56,388 85,04,764 1,95,56,388 3,68,441 8,21,617 1,31,70,765 2,14,47,054
39 0 3,28,647 1,10,00,000 0 7,19,671 39,794 9,21,370 85,03,550 17,99,177 4,92,970 13,71,026 2,02,97,101 86,36,649 2,02,97,101 3,68,441 8,21,617 1,31,89,218 2,21,12,215
40 0 3,28,647 1,10,00,000 0 7,38,124 39,794 9,42,885 86,44,409 18,45,310 4,92,970 14,24,814 2,11,12,299 87,61,830 2,11,12,299 3,68,441 8,21,617 1,32,07,671 2,28,51,843
41 0 3,28,647 1,10,00,000 0 7,56,577 39,794 9,73,696 87,86,759 18,91,443 4,92,970 14,89,241 2,19,81,722 88,96,972 2,19,81,722 3,68,441 8,21,617 1,32,26,124 2,36,36,906
42 0 3,28,647 1,10,00,000 0 7,75,030 39,794 10,05,386 89,30,424 19,37,575 4,92,970 15,55,865 2,29,33,066 90,33,520 2,29,33,066 3,68,441 8,21,617 1,32,44,577 2,44,94,561
43 0 3,28,647 1,10,00,000 0 7,93,483 39,794 10,37,932 90,75,285 19,83,708 4,92,970 16,24,629 2,39,53,267 91,71,358 2,39,53,267 3,68,441 8,21,617 1,32,63,030 2,54,11,177
44 0 3,28,647 1,10,00,000 0 8,11,936 39,794 10,62,909 92,21,280 20,29,841 4,92,970 16,87,073 2,50,62,438 93,02,019 2,50,62,438 3,68,441 8,21,617 1,32,81,483 2,64,15,798
45 0 3,28,647 1,10,00,000 0 8,30,389 39,794 10,97,096 93,68,492 20,75,974 4,92,970 17,59,940 2,62,56,626 94,42,355 2,62,56,626 3,68,441 8,21,617 1,32,99,936 2,74,94,733
46 0 3,28,647 1,10,00,000 0 8,48,843 39,794 11,32,072 95,17,077 21,22,106 4,92,970 18,34,780 2,75,95,879 95,84,079 2,75,95,879 3,68,441 8,21,617 1,33,18,389 2,86,97,389
47 0 3,28,647 1,10,00,000 0 8,67,296 39,794 11,67,824 96,67,430 21,68,239 4,92,970 19,11,561 2,89,82,277 97,27,498 2,89,82,277 3,68,441 8,21,617 1,33,36,843 2,99,44,750
48 0 3,28,647 1,10,00,000 0 8,85,749 39,794 11,95,955 98,20,165 22,14,372 4,92,970 19,81,887 3,05,05,246 98,64,712 3,05,05,246 3,68,441 8,21,617 1,33,55,296 3,13,15,623
49 0 3,28,647 1,10,00,000 0 9,04,202 39,794 12,33,286 99,76,356 22,60,505 4,92,970 20,62,615 3,22,12,297 1,00,13,402 3,22,12,297 3,68,441 8,21,617 1,33,73,749 3,28,45,842
50 0 3,28,647 1,10,00,000 0 9,22,655 39,794 12,71,481 1,01,37,601 23,06,637 4,92,970 21,45,501 3,40,22,929 1,01,66,501 3,40,22,929 3,68,441 8,21,617 1,33,92,202 3,44,52,955
51 0 3,28,647 1,10,00,000 0 9,41,108 39,794 13,10,655 1,03,06,281 23,52,770 4,92,970 22,30,837 3,60,34,848 1,03,26,005 3,60,34,848 3,68,441 8,21,617 1,34,10,655 3,62,43,427
52 0 3,28,647 1,10,00,000 0 9,59,561 39,794 13,42,617 1,04,86,047 23,98,903 4,92,970 23,10,743 3,81,97,585 1,04,86,603 3,81,97,585 3,68,441 8,21,617 1,34,29,108 3,81,97,585
53 0 3,28,647 1,10,00,000 0 9,78,014 39,794 13,84,517 1,06,82,269 24,45,036 4,92,970 24,02,892 4,05,64,787 1,06,82,269 4,05,64,787 3,68,441 8,21,617 1,34,47,561 4,05,64,787
54 0 3,28,647 1,10,00,000 0 9,96,467 39,794 14,28,526 1,09,03,151 24,91,168 4,92,970 25,00,315 4,31,97,035 1,09,03,151 4,31,97,035 3,68,441 8,21,617 1,34,66,014 4,31,97,035
55 0 3,28,647 1,10,00,000 0 10,14,920 39,794 14,75,574 1,11,61,092 25,37,301 4,92,970 26,05,336 4,60,39,091 1,11,61,092 4,60,39,091 3,68,441 8,21,617 1,34,84,467 4,60,39,091
56 0 3,28,647 1,10,00,000 0 10,33,373 39,794 15,18,777 1,14,75,284 25,83,434 4,92,970 27,13,341 4,96,45,878 1,14,75,284 4,96,45,878 3,68,441 8,21,617 1,35,02,920 4,96,45,878
57 0 3,28,647 1,10,00,000 0 10,51,827 39,794 15,77,420 1,18,75,849 26,29,566 4,92,970 28,47,351 5,36,03,155 1,18,75,849 5,36,03,155 3,68,441 8,21,617 1,35,21,373 5,36,03,155
58 0 3,28,647 1,10,00,000 0 10,70,280 39,794 16,47,249 1,24,10,892 26,75,699 4,92,970 30,09,322 5,79,84,295 1,24,10,892 5,79,84,295 3,68,441 8,21,617 1,35,59,089 5,79,84,295
59 0 3,28,647 1,10,00,000 0 10,88,733 39,794 17,43,672 1,31,58,862 27,21,832 4,92,970 32,25,181 6,28,10,498 1,31,58,862 6,28,10,498 3,68,441 8,21,617 1,37,37,433 6,28,10,498
60 0 3,28,647 1,10,00,000 1,28,98,739 11,07,186 39,794 0 0 27,67,965 4,92,970 0 0 0 0 1,43,74,366 7,13,54,549 1,40,05,925 7,05,32,932

There are mul ple product op ons in the product. I understand that returns vary under each op on. I have made choice of inves ng in more than one product
option considering my need and understanding the benefit under each option.
Notes: Annualized Premium excludes underwri ng extra premium, frequency loadings on premiums, the premiums paid towards the riders, if any, and Goods &
Service Tax. Refer Sales literature for explanation of terms used in this illustration.
1. The above benefit illustration demonstrates premium paid at the beginning of the year and all the benefits are paid out at the end of year.
2. The Survival Benefits are payable during the policy year when they are due as per the frequency. Upon payment at Maturity (Last Payout), the policy terminates,
and no further benefits become payable. The Maturity benefit will be the sum of Sum Assured on Maturity plus Accumulated Income benefits, if not paid earlier,
plus Terminal Bonus (if declared).
3. The surrender value payable will be higher of Guaranteed Surrender Value or Special Surrender Value (including any Terminal Bonus payable, if declared) and is
illustrated under 'Total Surrender Benefit' columns.
4. Surrender value illustrated above is end of the policy year value. The Special Surrender Value (SSV) displayed above are not guaranteed and only indica ve. The
Company shall comply with prevailing guidelines w.r.t SSV issued by IRDAI from me to me. Upon payment of surrender benefit, the policy terminates, and no
further benefit becomes payable.
5. The death benefits shown above are at the end of the year. Upon payment of death benefit the policy terminates and no further benefit is payable. Not
Applicable for Policies with Goal Protection Benefit.
6. Income Tax benefits would be available as per the prevailing income tax laws.
7. For more details on risk factors, terms and conditions please read sales brochure carefully before concluding a sale.
8. RB - Reversionary Bonus, TB - Terminal Bonus
9. On payment at Maturity (Last Payout), the policy terminates and no further benefits become payable.

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

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

O.X.X.A.X
Quotation No : 60059691614

Bajaj Allianz Life Insurance Co. Ltd.

Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006. Reg No.: 116.
Tel: (020) 66026777.
Email: customercare@bajajallianz.co.in
www.bajajallianzlife.com

O.X.X.A.X
 CUSTOMER INFORMATION SHEET / KNOW Y OUR POLICY.

This document provides key information about your policy. You are also advised to go through your policy
document.
We request you to kindly review the CIS and acknowledge the same through a link shared to you on your
registered mobile number/Email ID/WhatsApp.

Policy
Sr. Description in Simple Words
Title Clause
No. (Please refer to applicable Policy Clause Number in next column)
Number
Name of the
Insurance
Product and Bajaj Allianz Life ACE Policy
1
Unique (UIN - 116N186V02) Schedule
Identification
Number (UIN)
Quotation Policy
2 60059691614
number Schedule
Type of
Policy
3 Insurance Non-Linked other than pure risk and pension
Schedule
Policy
Installment Premium for Year 1 (Rs): 9,75,000
Installment Premium Year 2 onwards (Rs): 10,00,000
Mode of Premium Payment: Annual
Basic Policy Policy
4 Sum Assured on Death (Rs): 1,10,00,000
Details Schedule
Sum Assured on Maturity (Rs): 1,28,98,739
Premium Payment Term (Years): 12
Policy Term (Years): 60
Benefits payable on maturity-
Part C
On maturity of the Policy, sum assured on maturity, accumulated income
Section 4
benefits (if any) and bonuses, if declared will be paid.
Benefits payable on death-
Part C
On death of Life assured during the policy term, sum assured on death,
105% of accumulated income benefits (if any) and bonuses, if declared will Section 4
be paid.
 Survival Benefits excluding that payable on maturity -

i.) Option 1- Deferred Income: Guaranteed Income plus cash bonuses, if

declared will be paid in arrears after the end of the Premium Payment Term
and Deferment period and is payable till the end of policy term.

ii.) Option 2- Early Income: Guaranteed Income plus cash bonuses, if

declared will be paid in arrears after the end of Deferment period and is
payable for the end of policy term. Part C
Policy iii.) Option 3- Increasing Income: Guaranteed Income plus cash bonuses, if Section 4
5 Coverage/ben declared will be paid in arrears after the end of the Premium Payment Term
efits payable and Deferment period and is payable till the end of policy term. These
incomes will be declared as a percentage of the Benefit Sum Assured.
Benefit Sum Assured is guaranteed to increase at 5% p.a. (on compounding
basis) every year. The increased Benefit Sum Assured will be used for
calculation of respective years Guaranteed Incomes and Cash bonuses.

iv.) Option 4- Wealth: No Survival benefit is paid.

Surrender Benefits

The policyholder will have the option to surrender the policy. The
surrender value payable will be the higher of the guaranteed surrender
value (GSV) or the special surrender value (SSV). Part D
The policy will acquire a GSV provided two (2) full years' premiums
Section 8
have been paid. SSV shall become payable after completion of first
(1st) policy year provided at least one (1) full years' premium has been
received.
A product option alone in a policy cannot be surrendered.
Options to policyholders for availing benefits, if any, covered under
the policy -
Part D
You can avail the policy survival benefits in yearly/ monthly instalments
Section
or accumulate within the policy. The accumulated amount can be
10
withdrawn anytime during the policy term
Option to take Death/ Maturity Benefit in Installments
Other benefits/options payable, specific to the policy, if any:

No other benefit payable other than survival, maturity, surrender and death -
benefit
Lock-in period for Linked Insurance products:
-
Not Applicable
Options
available (in Not
6 case of Linked Not Applicable Applicabl
Insurance e
Products)
 Option
available(in Not
7 case of Not Applicable Applicabl
Annuity e
product)
Riders Opted if Policy
8 Not Opted
Any Schedule
Suicide Exclusions: In case of death of Life Assured due to suicide within
Exclusions
twelve (12) months from the Date of Commencement of Risk or the date of
(events where Part F
latest revival of the Policy, whichever is later, then, the Claimant shall be
insurance
9 entitled to receive the higher of 80% of the total premiums received till the Section
coverage is
date of death of the Life Assured or the Surrender Value, if any, available as 12
not payable), if
on the date of death, provided the Policy is in-force and the Policy will be
any
terminated. There are no other exclusions in the Policy.
Not
Waiting /lien
10 Not Applicable Applicabl
Period, if any
e

Thirty (30) days for premium payment frequencies other than monthly and Part B
11 Grace Period
fifteen (15) days for monthly frequency. Section 1

Free Look Part D

12 30 Days
Period Section 5
1) Non- payment of premium -

If at least one (1) full years premium is not paid, the policy will,
Part D
immediately & automatically, lapse at the expiry of the grace period,
and no benefit other than the Accumulated income benefit, if any, will Section
be payable under the policy. The Accumulated income benefit, if any, 6
Lapse, paid-up
in the policy will be paid out at the end of grace period.
13 and Revival of
If at least one (1) full years premium has been paid and subsequent and
the Policy
premiums are not paid, then, the policy will be, immediately &
automatically, converted to a reduced paid-up policy at the expiry of Part B
the grace period.
Section 1
2) Revival of the policy - Within five (5) years from the due date of the first
unpaid premium, before the Maturity Date.
You will have the option to take Policy loan, subject to a maximum limit of Part D
Policy Loan If 80% of the [Surrender Value less TB on surrender (if any) less any AIB] +
14 Section
Applicable 50% of TB on surrender (if any). Loan interest rate applicable for the loan
will be as decided by the company from time-to-time. 11
 1. Turn Around Time (TAT) for claims settlement and brief
procedure:
Link for Brief Procedure : https://www.bajajallianzlife.com/life-
insurance-claim-assistance.html
Link for Turn Around Time (TAT) for claims settlement:
https://www.bajajallianzlife.com/content/dam/balic/pdf/customer-
services/services-tat.pdf

2. Helpline/Call Centre Numbers:

Toll free no (24*7) : 1800 2201 02

Sr. Citizens Toll free no. : 1800 2269 70
Claims / Customer Care No: (022) 40881000 Part F
15 Claims Board No.: (022) 66867575 Section
Procedure 22
3. Contact details of the insurer:

Bajaj Allianz Life Insurance Company Limited

House, Ground Floor, Bajaj Allianz, Airport Rd, Yerawada, Pune,
Maharashtra 411006

4. Link for downloading claim form and list of documents required

including bank account details:

https://www.bajajallianzlife.com/life-insurance-claim-assistance.html

WhatsApp- 8806727272

Turn Around Time (TAT):

https://www.bajajallianzlife.com/content/dam/balic/pdf/customer-
services/services-tat.pdf

Helpline/Call Centre number: 1800 209 7272

Contact details of the insurer: In case you have any query, you may
communicate with the Company: Part G
Policy
16 1. By post at: Customer Care Desk, Bajaj Allianz Life Insurance Company Section
Servicing
Ltd., Bajaj Allianz House, 5th floor, Airport Road, Yerawada, Pune – 26
411006
2. By Email: customercare@bajajallianz.co.in

Link for downloading applicable forms and list of documents required

including bank account details:

https://bajajallianzlifeonline.co.in/online/portal/logon/serviceRequest.do?
user_name=WEBSITE&p_flag=0
 Contact details of Grievance Redressal Officer of the insurer:
Grievance Redressal Officer of the insurer - In case you do not receive a
response within 15 days or if you are not satisfied with the resolution, you
may approach Grievance Redressal Officer at gro@bajajallianz.co.in

Link for registering the grievance with the insurer’s portal:Insurance Part G
17 Grievances company grievance portal - Section
/Complaints https://webpartner.bajajallianz.com/GrvOnlineApi/indexOnlineGrv.jsp#_ga=2 26 and
.7272630.541013491.1717475077- 27
1601763320.1694668355&_gac=1.52751388.1715749803.EAIaIQobChMIy
_eqivKOhgMVdWsPAh0NFQrEEAAYASAAEgJObPD_BwE

Contact details of Ombudsman: Find your nearest Ombudsman office at

http://www.cioins.co.in/ombudsman

Declaration by the policyholder

I have read the above and confirm having noted the details
Place:
Date: (Signature of the Policy Holder)

Web-link for the product where sample policy document can be downloaded:
https://www.bajajallianzlife.com/tax-saving-investment-plans/bajaj-allianz-life-ace.html
Disclaimer:
In case of conflict in the content mentioned hereinabove, the terms and conditions mentioned in the policy
document shall prevail.