Dear Raveena Chaurasia,

Congratulations! Now you are one step closer to achieving your financial goals by choosing Tata AIA Fortune Guarantee Supreme.
Guaranteed Income:
You have the option to receive your guaranteed income in one of the following ways:
Annually on every policy anniversary
Monthly, quarterly or half-yearly
Annually on a "special date" such as your birthdate, anniversary, etc.
 Your plan details are as follows:
Policy term (years) 25
Premium payment term (years) 12
Mode of premium payment Yearly
Premium installment as per chosen mode incl. GST ₹1,04,500
Income Paid In Cash 100%

You have chosen to receive guaranteed income every year on policy anniversary
Your income details are as follows:
Income Starts from year 1
No. of years for which you will receive income (Income period) 25
Guaranteed income installment as per chosen frequency ₹37,197
Guaranteed maturity benefit ₹12,00,000

The date of first Income payout will be mentioned in your policy schedule.
Best Wishes,
Tata AIA Life Insurance Company Ltd.
Please read complete Sales brochure before concluding sales.

Tata AIA Life Insurance Company Limited (IRDAI Regn. No.110) CIN: U66010MH2000PLC128403. Registered & Corporate Office: 14th Floor, Tower A, Peninsula Business Park, Senapati Bapat Marg, Lower Parel, Mumbai –
400013. Trade logo displayed above belongs to Tata Sons Ltd and AIA Group Ltd. and is used by Tata AIA Life Insurance Company Ltd under a license.For any information including cancellation, claims and complaints, please contact
our Insurance Advisor / Intermediary or visit Tata AIA Life's nearest branch office or call 1–860–266–9966 (local charges apply) or write to us at customercare@tataaia.com. Visit us at: www.tataaia.com. UIN: 110N163V05

BEWARE OF SPURIOUS PHONE CALLS AND FICTITIOUS / FRAUDULENT OFFERS IRDAI is not involved in activities like selling insurance policies, announcing bonus or investment of premiums. Public receiving such
phone calls are requested to lodge a police complaint
BENEFIT ILLUSTRATION
Tata AIA Fortune Guarantee Supreme
Name of the Prospect / Policyholder: Raveena Chaurasia Proposal No: 80005849530
Age (years) : 30 Name of the Product: Tata AIA Fortune Guarantee Supreme
Gender: Female Tag Line: Individual, Non-Linked, Non-Participating Life Insurance Saving Plan
Name of the Life Assured 1 : Raveena Chaurasia Unique Identification Number: 110N163V05
Age (years) : 30 GST Rate : 4.50% for first year
Gender: Female 2.25% second year onwards
Name of the Life Assured 2 : NA
Age (years) : NA
Gender: NA
Policy Term (years) : 25
Premium Payment Term (years) : 12
Amount of Instalment Premium (Rs.) : 1,04,500
Mode of Payment of Premium : Annual
Death Benefit Multiple Option: 10

This benefit illustration is intended to show year-wise premiums payable and benefits under the policy.
Policy Details
Plan Option My Income Basic Sum Assured (first Death) Rs. 10,00,000
Benefit Income throughout policy term & lumpsum at maturity Basic Sum Assured (Second Death, if any) Rs. NA
Income/Survival Benefit Frequency Annual Sum Assured on First Death (at inception of the policy) Rs. 10,00,000
Return of Premium Benefit Not Applicable Sum Assured on Second Death, if any (at inception of the NA
policy) Rs.
Income/Survival Benefit starts from year 1 Special Date2 NA
Income/Survival Benefit period (years) 25 Settlement Option5 NA

Total Annualized Premiums payable (A) Rs. 12,00,000 Total benefits during policy term (B) Rs. 21,29,925
Rider Details
Tata AIA Vitality (Wellness Program): No
Details of Life Insured/Partner under the Benefit Option Benefit Payout Return Benefit Premium Sum Premium Year 1
Rider Name / UIN^(Benefit Option / Benefit Payout Option) Income Income of p.a. Discount
Name Age(yrs) Gender Lumpsum p.a. Duration premium Option Payment Assured without
(Rs.) (Rs.) (yrs) option Term Term (Rs.) GST (Rs.) (Rs.)

Premium Summary
Base Plan Riders Total Instalment Premium
Instalment Premium without GST (Rs.) 1,00,000 0 1,00,000
Instalment Premium with First year GST (Rs.) 1,04,500 0 1,04,500
Instalment Premium post applicable discount with First year GST (Rs.) 1,02,410 0 1,02,410
Instalment Premium with GST 2nd year onwards (Rs.) 1,02,250 0 1,02,250

Instalment Premium post applicable discount for Base Plan includes discount for Female lives
 Guaranteed Non - Guaranteed
Policy Year Single/ Annualized Premium Death Benefit 4
Survival Benefits1 Maturity Benefit (First Death) Death Benefit 4 (Second death, if any) Min. Guaranteed Surrender Value3 Special Surrender Value3

1 1,00,000 37,197 0 10,00,000 NA 0 0

2 1,00,000 37,197 0 10,00,000 NA 22,803 1,09,087
3 1,00,000 37,197 0 10,00,000 NA 30,606 1,66,124
4 1,00,000 37,197 0 10,00,000 NA 88,409 2,25,090
5 1,00,000 37,197 0 10,00,000 NA 1,01,212 2,86,215
6 1,00,000 37,197 0 10,00,000 NA 1,14,015 3,49,699
7 1,00,000 37,197 0 10,00,000 NA 1,26,818 4,15,866
8 1,00,000 37,197 0 10,00,000 NA 1,55,621 4,84,937
9 1,00,000 37,197 0 10,00,000 NA 1,97,424 5,57,206
10 1,00,000 37,197 0 10,50,000 NA 2,35,227 6,33,086
11 1,00,000 37,197 0 11,55,000 NA 2,77,030 7,12,942
12 1,00,000 37,197 0 12,60,000 NA 3,34,833 7,97,262
13 0 37,197 0 12,60,000 NA 3,21,636 8,18,153
14 0 37,197 0 12,60,000 NA 3,08,439 8,40,714
15 0 37,197 0 12,60,000 NA 3,07,242 8,64,984
16 0 37,197 0 12,60,000 NA 2,94,045 8,91,105
17 0 37,197 0 12,60,000 NA 2,92,848 9,19,225
18 0 37,197 0 12,60,000 NA 2,79,651 9,49,599
19 0 37,197 0 12,60,000 NA 2,66,454 9,82,116
20 0 37,197 0 12,60,000 NA 2,65,257 10,17,257
21 0 37,197 0 12,60,000 NA 2,52,060 10,55,004
22 0 37,197 0 12,60,000 NA 2,38,863 10,95,707
23 0 37,197 0 12,60,000 NA 2,37,666 11,39,450
24 0 37,197 0 12,60,000 NA 2,24,469 11,86,553
25 0 37,197 12,00,000 12,60,000 NA 1,87,272 12,37,197
Benefits during Settlement Period 5 (applicable when Settlement option is opted 'Yes')
Proportion of Maturity Benefit opted to be taken as equal installments during settlement period (%) NA
Settlement period (years) NA
Frequency of payouts during Settlement period NA
Amount of each installment as per frequency chosen above (Rs.) NA
For the purpose of this illustration, the discounting rate used NA

Note: Single/Annualised premium excludes underwriting extra premium, loading for modal premiums, the premium paid towards the riders, if any, and Goods and Services Tax.
 1. Survival Benefit will be payable at the end of Survival Benefit frequency as chosen or on Special date. Please refer complete Terms and Conditions for more details on Survival Benefits.
2. If you have selected Special Date-
a. The Survival Benefits will be paid out on the chosen special date.
b. The last instalment of Survival Benefit will be paid on the date of maturity and not on the special date and hence, the last instalment will be lower than the earlier Survival Benefits
c. Income payable includes interest for the period between policy anniversary and special date chosen. This illustration assumes the date mentioned in the box below as the policy commencement date for the purpose of
calculation of policy anniversary. However, the actual interest calculation will be based on the policy commencement date mentioned in your policy schedule.
3. The surrender values mentioned above are illustrated at the end of the policy year. Special Surrender value may be revised depending on the prevailing market conditions.
4. The Death Benefit shown above is at the end of the policy year. For single life policies and in case of Second Death for joint life policies, the death benefit illustrated above has been floored to Surrender value (which is
inclusive of Non-Guaranteed Special Surrender Value) payable at that point of time. Upon payment of Death benefit the policy terminates and no further benefits are payable
5. The instalments are derived using the rate equal to '5-year Gsec rate minus 50 bps' as on the end of financial year preceding maturity. The first instalment shall be paid on Maturity & the next as per chosen frequency, in
advance. The 5 year G-sec rate will be reviewed every year.
6. Income Tax benefits would be available as per the prevailing income tax laws, subject to fulfillment of conditions stipulated therein. Tata AIA Life Insurance Company Ltd. does not assume responsibility on tax implication
mentioned anywhere in this document. Please consult your own tax consultant to know the tax benefits available to you.
7. Please read Sales Brochure carefully before concluding a sale.

I, …...................... (name), have explained the premiums and benefits under the product fully to the prospect / I, Raveena Chaurasia , having received the information with respect to the above, have understood the above
policyholder. statement before entering into the contract.

Place:
Date: 14 Oct 2023 Date: 14 Oct 2023
Signature of Agent / Intermediary / Official Signature of Prospect / Policyholder
Unique Reference Number - L&C/Advt/2023/Aug/2689 (Rider -L&C/Advt/2020/Dec/1539 )
Tata AIA Life Insurance Company Ltd. (IRDA of India Regn No. 110) (CIN: U66010MH2000PLC128403)
Registered and Corporate Office: 14th Floor, Tower A, Peninsula Business Park, Senapati Bapat Marg, Lower Parel, Mumbai- 400013
Trade logo displayed above belongs to Tata Sons Ltd and AIA Group Ltd. and is used by Tata AIA Life Insurance Company Ltd under a license.
For more information, Call the Tata AIA Life Insurance Company Ltd Helpline number1860-266-9966 (local charges apply) or Visit us at: www.tataaia.com