Quotation Number 70020449583 Quotation Date 18 - Oct - 2024

PNB MetLife India Insurance Co. Ltd.

PNB MetLife Grand Assured Income Plan (UIN No. 117N134V05)
An Individual, Non Linked, Non Participating, Deferred Annuity Plan
Your Personal Details
Name of the Annuitant Kjj DOB Annuitant 06 Jan 1981
Gender of the Annuitant Male
Name of the Joint Annuitant NA DOB Joint Annuitant NA
Gender of the Joint Annuitant NA
Your Proposal Details
Proposal Number NA Proposal Date NA
Date of Commencement 18 Oct 2024
Your Plan Details
Premium Payment term 5 Annuity Option Opted Life Annuity with Return of Purchase Price
Premium Payment Frequency Monthly Deferment Period 5
Premium excluding Goods and Services Tax 1,00,000 Earliest Possible Annuity Start date 18 Oct 2030
Goods and Services Tax on Premium # 4,500 Annuity Chosen date 18 Oct 2030
Premium including Goods and Services Tax # 1,04,500 Mode of Annuity Payout Annual
Due Date of Premium Payment 18 Oct 2024 Annuity Amount Payable 3,96,998
Last Date of Premium Payment 18 Oct 2028 GST Rate 4.5%
Non Guaranteed Benefits
Policy Year Single/Annualized
Premium Annuity Survival Death Benefit Min Guaranteed Special Surrender value Surrender Value
Benefits Benefits Surrender value
1 12,00,000 0 0 12,60,000 0 7,88,412 7,88,412
2 12,00,000 0 0 25,50,000 7,20,000 16,97,037 16,97,037
3 12,00,000 0 0 39,33,000 12,60,000 27,39,729 27,39,729
4 12,00,000 0 0 53,88,000 43,20,000 39,31,674 43,20,000
5 12,00,000 0 0 69,15,000 54,00,000 52,89,698 54,00,000
6 0 3,96,998 0 65,18,002 0 48,96,704 48,96,704
7 0 3,96,998 0 61,21,005 0 49,00,959 49,00,959
8 0 3,96,998 0 60,00,000 0 49,05,427 49,05,427
9 0 3,96,998 0 60,00,000 0 49,10,127 49,10,127
10 0 3,96,998 0 60,00,000 0 49,15,140 49,15,140
11 0 3,96,998 0 60,00,000 0 49,20,367 49,20,367
12 0 3,96,998 0 60,00,000 0 49,25,889 49,25,889
13 0 3,96,998 0 60,00,000 0 49,31,705 49,31,705

PNB MetLife India Ins ura nce Compa ny Limited, Regis tered office: Unit No 701,702 a nd 703, 7th Floor, Wes t Wing ,Ra heja Towers , 26/27 M G Roa d, Ba nga lore- 560001, Ka rna ta ka .
Ca ll us Toll-free a t 1-800-425-6969, Ema il: india s ervice@pnbmetlife.co.in or write to us : 1s t Floor, Techniplex -1, Techniplex Complex, Off Veer Sa va rka r Flyover,
Gorega on (Wes t), Mumba i - 400062, Ma ha ra s htra . IRDAI of India Regis tra tion Number: 117, CI No.: U66010KA2001PLC028883,
Webs ite: www.pnbmetlife.com
14 0 3,96,998 0 60,00,000 0 49,37,857 49,37,857
15 0 3,96,998 0 60,00,000 0 49,44,325 49,44,325
16 0 3,96,998 0 60,00,000 0 49,51,070 49,51,070
17 0 3,96,998 0 60,00,000 0 49,58,172 49,58,172
18 0 3,96,998 0 60,00,000 0 49,65,672 49,65,672
19 0 3,96,998 0 60,00,000 0 49,73,470 49,73,470
20 0 3,96,998 0 60,00,000 0 49,81,648 49,81,648
21 0 3,96,998 0 60,00,000 0 49,90,284 49,90,284
22 0 3,96,998 0 60,00,000 0 49,99,240 49,99,240
23 0 3,96,998 0 60,00,000 0 50,08,597 50,08,597
24 0 3,96,998 0 60,00,000 0 50,18,374 50,18,374
25 0 3,96,998 0 60,00,000 0 50,28,571 50,28,571
26 0 3,96,998 0 60,00,000 0 50,39,109 50,39,109
27 0 3,96,998 0 60,00,000 0 50,50,088 50,50,088
28 0 3,96,998 0 60,00,000 0 50,61,508 50,61,508
29 0 3,96,998 0 60,00,000 0 50,73,288 50,73,288
30 0 3,96,998 0 60,00,000 0 50,85,469 50,85,469
31 0 3,96,998 0 60,00,000 0 50,98,029 50,98,029
32 0 3,96,998 0 60,00,000 0 51,11,007 51,11,007
33 0 3,96,998 0 60,00,000 0 51,24,285 51,24,285
34 0 3,96,998 0 60,00,000 0 51,37,979 51,37,979
35 0 3,96,998 0 60,00,000 0 51,51,929 51,51,929
36 0 3,96,998 0 60,00,000 0 51,66,194 51,66,194
37 0 3,96,998 0 60,00,000 0 51,80,692 51,80,692
38 0 3,96,998 0 60,00,000 0 51,95,361 51,95,361
39 0 3,96,998 0 60,00,000 0 52,10,280 52,10,280
40 0 3,96,998 0 60,00,000 0 52,25,325 52,25,325
41 0 3,96,998 0 60,00,000 0 52,40,476 52,40,476
42 0 3,96,998 0 60,00,000 0 52,55,669 52,55,669
43 0 3,96,998 0 60,00,000 0 52,70,842 52,70,842
44 0 3,96,998 0 60,00,000 0 52,86,012 52,86,012
45 0 3,96,998 0 60,00,000 0 53,01,036 53,01,036
46 0 3,96,998 0 60,00,000 0 53,15,872 53,15,872
47 0 3,96,998 0 60,00,000 0 53,30,498 53,30,498
48 0 3,96,998 0 60,00,000 0 53,44,889 53,44,889
PNB MetLife India Ins ura nce Compa ny Limited, Regis tered office: Unit No 701,702 a nd 703, 7th Floor, Wes t Wing ,Ra heja Towers , 26/27 M G Roa d, Ba nga lore- 560001, Ka rna ta ka .
Ca ll us Toll-free a t 1-800-425-6969, Ema il: india s ervice@pnbmetlife.co.in or write to us : 1s t Floor, Techniplex -1, Techniplex Complex, Off Veer Sa va rka r Flyover,
Gorega on (Wes t), Mumba i - 400062, Ma ha ra s htra . IRDAI of India Regis tra tion Number: 117, CI No.: U66010KA2001PLC028883,
Webs ite: www.pnbmetlife.com
49 0 3,96,998 0 60,00,000 0 53,58,943 53,58,943
50 0 3,96,998 0 60,00,000 0 53,72,579 53,72,579
51 0 3,96,998 0 60,00,000 0 53,85,893 53,85,893
52 0 3,96,998 0 60,00,000 0 53,98,665 53,98,665
53 0 3,96,998 0 60,00,000 0 54,10,931 54,10,931
54 0 3,96,998 0 60,00,000 0 54,22,749 54,22,749
55 0 3,96,998 0 60,00,000 0 54,33,961 54,33,961
56 0 3,96,998 0 60,00,000 0 54,44,643 54,44,643
57 0 3,96,998 0 60,00,000 0 54,54,716 54,54,716
58 0 3,96,998 0 60,00,000 0 54,64,179 54,64,179
59 0 3,96,998 0 60,00,000 0 54,73,073 54,73,073
60 0 3,96,998 0 60,00,000 0 54,81,437 54,81,437
61 0 3,96,998 0 60,00,000 0 54,89,253 54,89,253
62 0 3,96,998 0 60,00,000 0 54,96,482 54,96,482
63 0 3,96,998 0 60,00,000 0 55,03,205 55,03,205
64 0 3,96,998 0 60,00,000 0 55,09,462 55,09,462
65 0 3,96,998 0 60,00,000 0 55,15,278 55,15,278
66 0 3,96,998 0 60,00,000 0 55,20,693 55,20,693
67 0 3,96,998 0 60,00,000 0 55,25,792 55,25,792
68 0 3,96,998 0 60,00,000 0 55,30,702 55,30,702
69 0 3,96,998 0 60,00,000 0 55,35,718 55,35,718
70 0 3,96,998 0 60,00,000 0 55,41,453 55,41,453
71 0 3,96,998 0 60,00,000 0 55,49,836 55,49,836
72 0 3,96,998 0 60,00,000 0 55,65,534 55,65,534
73 0 3,96,998 0 60,00,000 0 56,03,002 56,03,002

PNB MetLife India Ins ura nce Compa ny Limited, Regis tered office: Unit No 701,702 a nd 703, 7th Floor, Wes t Wing ,Ra heja Towers , 26/27 M G Roa d, Ba nga lore- 560001, Ka rna ta ka .
Ca ll us Toll-free a t 1-800-425-6969, Ema il: india s ervice@pnbmetlife.co.in or write to us : 1s t Floor, Techniplex -1, Techniplex Complex, Off Veer Sa va rka r Flyover,
Gorega on (Wes t), Mumba i - 400062, Ma ha ra s htra . IRDAI of India Regis tra tion Number: 117, CI No.: U66010KA2001PLC028883,
Webs ite: www.pnbmetlife.com
# Goods and Services Tax levied is inclusive of applicable cess and is as per presently applicable tax laws and the same are subject to changes in the tax laws in future. Please consult your
Tax advisor for more details.
1. Please read this benefit illustra on in conjunc on with the product brochure carefully to understand all Terms , Condi ons and Exclusions before concluding a sale. The detailed Terms
and Conditions are contained in the Policy Document .
2. Neither the Company nor any of its Advisor/ Financial Planning Consultants are authorised to offer any tax related advice . The tax benefits under various sec ons shall be available as
per the prevailing tax regulations.
3. The values in the illustration above have been rounded off to the nearest rupee wherever applicable.
4. The premiums are payable in advance, while the annuities are payable in arrears.
5. On purchase of annuity, the annuity rate shall be guaranteed with the annuity pay-outs star ng at the end of the deferment period as per mode of annuity chosen. Annui es shall be paid
as long as the annuitant is alive in case of 'Life Annuity', 'Life Annuity Return of Purchase Price' and 'Life Annuity with Return of Purchase Price on Death or Survival'. In case of ' Joint Life
Annuity with Return of Purchase Price' and 'Joint Life Annuity with Return of Purchase Price and 50% Annuity to Surviving Annuitant', the annuity shall be payable as long as either of the
annuitants is alive.
6. The surrender values illustrated are at end of the year. The amount payable on surrender will be the higher of the Guaranteed Surrender Value and Special Surrender Value
7. Incase the Annuity Chosen Date is later than the Earlier Possible Annuity Start Date, you would further receive interest for the period as per prevailing Reverse Repo Rate.
I, ___________________________ (name), have explained the premiums, and benefits I, ___________________________ (name), having received the informa on with respect
under the product fully to the prospect / policyholder. 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

PNB MetLife India Ins ura nce Compa ny Limited, Regis tered office: Unit No 701,702 a nd 703, 7th Floor, Wes t Wing ,Ra heja Towers , 26/27 M G Roa d, Ba nga lore- 560001, Ka rna ta ka .
Ca ll us Toll-free a t 1-800-425-6969, Ema il: india s ervice@pnbmetlife.co.in or write to us : 1s t Floor, Techniplex -1, Techniplex Complex, Off Veer Sa va rka r Flyover,
Gorega on (Wes t), Mumba i - 400062, Ma ha ra s htra . IRDAI of India Regis tra tion Number: 117, CI No.: U66010KA2001PLC028883,
Webs ite: www.pnbmetlife.com