08-01-2025

Quote No : qcjc0kzfw6udj,Application No : 1200114658626

Benefit Illustration for HDFC Life Sampoorna Jeevan(Spl)

This illustration has been produced by HDFC Life Insurance Company Limited to help you understand the benefits of your HDFC Life
Sampoorna Jeevan(Spl)

Age is taken as on last birthday Proposal No: NA

Name of
Name of the Prospect /Policy holder: Nidhiram HDFC Life Sampoorna Jeevan(Spl)
the Product:
A Non-linked Participating Individual
Age: 49 Tag Line:
Life Insurance Savings Plan
Name of the Life Assured: Nidhiram Unique Identification No: 101N158V06
Age: 49 GST Rate: 4.5% for first year
2.25% second year
Policy Term 26 year(s)
onwards
Premium Payment Term: 6 year(s)
Amount of Installment Premium
60000
(Without GST):
Mode of Payment of Premium: Annual

How to read and understand this benefit illustration?

This benefit illustration is intended 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
Policy Options
Maturity Age Variant Sampoorna Jeevan 75 Basic Sum Assured Rs. 2,82,624
Guaranteed Benefit Option Lump sum Option
Bonus Type
Bonus Option Simple Reversionary Income Bonus (SRIB) Sum Assured on Death (at inception of the policy) Rs. 6,00,000
Paid up Addition Option Not Available
Payout Frequency NA Cash Bonus Start Year NA

Premium Summary
Base Plan CI Rider IB Rider PPR Rider (PAC) PPR Rider (ADC) PPR Rider (CC) WOP Rider Total Installment Premium
Instalment Premium without GST 60000 0 0 0 0 0 0 60000
Instalment Premium with First Year GST 62700 0 0 0 0 0 0 62700
Instalment Premium with GST 2nd Year Onwards 61350 0 0 0 0 0 0 61350

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 (Amounts in Rupees.)
Total Benefits
including Guaranteed and Non-
Guaranteed Benefits Non Guaranteed Benefits @ 4% p.a. Non-Guaranteed Benefits @ 8% p.a. Guaranteed Benefits
Survival/Maturity
Death Benefit
Benefit
Total
Age of Total Total
Policy Annualized Survival / Total
Life Death Death
Year Premium Simple Simple Maturity Survival /
Insured Cash Cash Benefit Benefit
Reversionary Cash Surrender Reversionary Cash Surrender Benefit Maturity
Value of Guaranteed Special Value of Guaranteed Special incl of incl of
Survival Surrender Death Maturity Bonus/Simple Bonus/Accrued Value Bonus/Simple Bonus/Accrued Value incl Benefit incl
Accrued Surrender Surrender Accrued Surrender Surrender Terminal Terminal
Benefit Benefit Benefit Benefit Reversionary Paid Up Payable(Higher Reversionary Paid Up Payable(Higher Terminal Terminal
Paid Up Value Value Paid Up Value Value Bonus, Bonus, if
Income Additions of 11 & 12) Income Additions of 17 & 18) Bonus, if Bonus, if
Additions Additions if any @ any @
Bonus Bonus any @ any @ 8%
4% 8%
4% (4+7+14+15)
(6+8+9) (6+14+15)
(4+7+8+9)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
1 49 60000 0 0 600000 0 0 0 0 0 12560 12560 16957 0 0 0 24271 24271 0 0 600000 616957
2 50 60000 0 36000 600000 0 0 0 0 36000 29431 36000 33915 0 0 36000 51814 51814 0 0 600000 633915
3 51 60000 0 63000 600000 0 0 0 0 63000 59188 63000 50872 0 0 63000 82938 82938 0 0 600000 650872
4 52 60000 0 120000 600000 0 0 0 0 120000 93453 120000 67830 0 0 120000 113821 120000 0 0 600000 667830
5 53 60000 0 150000 600000 0 0 0 0 150000 163416 163416 84787 0 0 150000 174753 174753 0 0 600000 684787
6 54 60000 0 180000 600000 0 0 0 0 180000 252234 252234 101745 0 0 180000 277153 277153 0 0 600000 701745
7 55 0 0 180000 600000 0 0 0 0 180000 311422 311422 118702 0 0 180000 347101 347101 0 16957 600000 718702
8 56 0 0 216000 600000 0 0 0 0 216000 322810 322810 118702 0 0 216000 356666 356666 0 16957 600000 718702
9 57 0 0 234000 600000 0 0 0 0 234000 331639 331639 118702 0 0 234000 361690 361690 0 16957 600000 718702
10 58 0 0 234000 600000 0 0 0 0 234000 343585 343585 118702 0 0 234000 367997 367997 0 16957 600000 718702
11 59 0 0 234000 600000 0 0 0 0 234000 355849 355849 118702 0 0 234000 377447 377447 0 16957 600000 718702
12 60 0 0 252000 600000 0 0 0 0 252000 365628 365628 118702 0 0 252000 384414 384414 0 16957 600000 718702
13 61 0 0 252000 600000 0 0 0 0 252000 378600 378600 118702 0 0 252000 394575 394575 0 16957 600000 718702
14 62 0 0 252000 600000 0 0 0 0 252000 391964 391964 118702 0 0 252000 402302 402302 0 16957 600000 718702
15 63 0 0 270000 600000 0 0 0 0 270000 405740 405740 118702 0 0 270000 413270 413270 0 16957 600000 718702
16 64 0 0 270000 600000 0 0 0 0 270000 417125 417125 118702 0 0 270000 424675 424675 0 16957 600000 718702
17 65 0 0 270000 600000 0 0 0 0 270000 431790 431790 118702 0 0 270000 436536 436536 0 16957 600000 718702
18 66 0 0 288000 600000 0 0 0 0 288000 446929 446929 118702 0 0 288000 448874 448874 0 16957 600000 718702
19 67 0 0 288000 600000 0 0 0 0 288000 462560 462560 118702 0 0 288000 461707 461707 0 16957 600000 718702
20 68 0 0 288000 600000 0 0 0 0 288000 478704 478704 118702 0 0 288000 475056 475056 0 16957 600000 718702
21 69 0 0 288000 600000 0 0 0 0 288000 495383 495383 118702 0 0 288000 491770 491770 0 16957 600000 718702
22 70 0 0 306000 600000 0 0 0 0 306000 515448 515448 118702 0 0 306000 506221 506221 0 16957 600000 718702
23 71 0 0 306000 600000 0 0 0 0 306000 533275 533275 118702 0 0 306000 524092 524092 0 16957 600000 718702
24 72 0 0 306000 600000 0 0 0 0 306000 551728 551728 118702 0 0 306000 542593 542593 0 16957 600000 718702
25 73 0 0 324000 600000 0 0 0 0 324000 573673 573673 118702 0 0 324000 561766 561766 0 16957 600000 718702
26 74 0 0 0 600000 282624 0 0 0 0 0 0 118702 0 0 0 0 0 655688 647209 655688 718702

Notes:
1. Annualized Premium excludes underwriting 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.
2. 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.
3. The surrender benefits shown above are at the end of the year. Upon payment of surrender benefit, the policy terminates and no further benefit becomes payable.
4. The Premium and the Sum Assured on Maturity stated above is based on the information provided. They may vary as a result of underwriting.
5. Any statutory levy or charges (such as Goods and Service tax) including any indirect tax may be charged to the Policyholder either now or in future by the company and such amount
so charged shall become due and payable and shall be subject to the same terms and conditions as applicable to payment of premium.

6. RB - Reversionary Bonus, TB - Terminal Bonus, GA - Guaranteed Additions

7. Taxes will be applicable as per the prevailing provisions of the Income Tax Act, 1961.

I , have explained the premiums charges and benefits under the product fully to the prospect / policy holder. I Nidhiram ,having received the information with 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

Note: Kindly note that name of the company has changed from "HDFC Standard Life Insurance Company Limited" to "HDFC Life Insurance Company Limited".

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