BENEFIT ILLUSTRATION

Name of the Primary Annuitant: Mr. RAM CHABILA YADAV Proposal No: 175470053
Name of the Product: Max Life Smart Guaranteed Pension Plan
Tag Line: A Non-Linked Non Participating Single Premium Individual General Annuity Plan
Age & Gender: 60 Years, Male
Name of the Secondary Annuitant (In case of Joint Life Ms. DEVI Unique Identification No: 104N122V17
Annuity):
GST Rate: 18.00%*
Axis Max Life State:
Age & Gender: 60 Years, Female
Policyholder Residential State: Uttar Pradesh
Policy Term: Not Applicable
Issue Date of Quote: 2 April 2025
Premium Payment Term: 1 Year
Annuity Start Date: 2 May 2025
Purchase Price/Amount of Installment Premium (excl.
taxes): `6,00,000

Amount allocated for investment: `5,96,400

Purchase Price/Amount of Installment Premium (incl.
`6,00,000
taxes):
Annuity(Deferred/Immediate): Immediate
Annuity Purchased From: Non Agent Assisted
Monthly Income Amount Starting On 02-May-2025
`3,309
(Guaranteed)

*0% if qualifies as zero-rated supply under GST law

This benefit illustration is intended to show year-wise premiums payable and benefits under the policy.

Policy Details
Annuity Option (1) Frequency of Annuity Payment (2) Guaranteed Annuity Payout (3) Benefits Payable on Death Rs. (4) Death Benefit Opted
Immediate Annuity - Joint Life Monthly `3,309 `6,00,000 Yes

Premium/Purchase Price Summary

Base Plan Riders Total Installment Premium
Installment Premium without GST (in Rs.) 6,00,000 NA 6,00,000
Installment Premium with first year GST (in Rs.) 6,00,000 NA 6,00,000
Installment Premium with GST 2nd year onwards (in Rs.) NA NA NA

How to Read and understand this benefit illustration?

(1) This benefit illustration is intended to show the guaranteed annuity pay-out.
(2) The Values shown are for illustration purpose only
(3) For more details on risk factors, terms and conditions please read sales brochure carefully. Annualized Premium excludes underwriting extra premium frequency loadings, if any on premium, the premium paid
towards the riders, If any, and Goods and Servixes Tax. Please refer the sales literature(prospectus) and policy document for explanation of terms used in this illustration.

UIN: 104N122V17 Page 1 of 3

 (Amount in Rupees)
Projection of Annuity pay-out

Surrender Benefits, If any

Single/ Annualized Premium (BOY)
Policy Year Guaranteed Annuity Payout (EOY) Special Surrender Value Surrender Value Death Benefit (EOY)
Guaranteed Surrender Value (EOY)
(EOY) (EOY)
1 2 3 4 5 6 7
1 6,00,000 39,709 0 0 0 6,00,000
2 0 39,709 0 0 0 6,00,000
3 0 39,709 0 0 0 6,00,000
4 0 39,709 0 0 0 6,00,000
5 0 39,709 0 0 0 6,00,000
6 0 39,709 0 0 0 6,00,000
7 0 39,709 0 0 0 6,00,000
8 0 39,709 0 0 0 6,00,000
9 0 39,709 0 0 0 6,00,000
10 0 39,709 0 0 0 6,00,000
11 0 39,709 0 0 0 6,00,000
12 0 39,709 0 0 0 6,00,000
13 0 39,709 0 0 0 6,00,000
14 0 39,709 0 0 0 6,00,000
15 0 39,709 0 0 0 6,00,000
16 0 39,709 0 0 0 6,00,000
17 0 39,709 0 0 0 6,00,000
18 0 39,709 0 0 0 6,00,000
19 0 39,709 0 0 0 6,00,000
20 0 39,709 0 0 0 6,00,000
21 0 39,709 0 0 0 6,00,000
22 0 39,709 0 0 0 6,00,000
23 0 39,709 0 0 0 6,00,000
24 0 39,709 0 0 0 6,00,000
25 0 39,709 0 0 0 6,00,000
26 0 39,709 0 0 0 6,00,000
27 0 39,709 0 0 0 6,00,000
28 0 39,709 0 0 0 6,00,000
29 0 39,709 0 0 0 6,00,000
UIN: 104N122V17 Page 2 of 3
 Projection of Annuity pay-out

Surrender Benefits, If any

Single/ Annualized Premium (BOY)
Policy Year Guaranteed Annuity Payout (EOY) Special Surrender Value Surrender Value Death Benefit (EOY)
Guaranteed Surrender Value (EOY)
(EOY) (EOY)
1 2 3 4 5 6 7
30 0 39,709 0 0 0 6,00,000
31 0 39,709 0 0 0 6,00,000
32 0 39,709 0 0 0 6,00,000
33 0 39,709 0 0 0 6,00,000
34 0 39,709 0 0 0 6,00,000
35 0 39,709 0 0 0 6,00,000
36 0 39,709 0 0 0 6,00,000
37 0 39,709 0 0 0 6,00,000
38 0 39,709 0 0 0 6,00,000
39 0 39,709 0 0 0 6,00,000
40 0 39,709 0 0 0 6,00,000

Notes:
1. The actual annuity amount receivable depends on the prevailing annuity rates.

*GST of 18% is applied only on premium amount derived as per Rule 32(4) of CGST Rule (i.e. the non-investable component of premium amount).

I, Mr. Arpit Pandey (name),have explained the premiums, and benefits under the product fully to I, RAM CHABILA YADAV (name), having received the information with respect to the above,
the prospect / policyholder have understood the above statement before entering into the contract.

Place:
Date: 4/2/25 Signature / OTP Confirmation Date / Thumb Impression / Date:4/2/25 Signature / OTP Confirmation Date / Thumb Impression /
Electronic Signature of Agent/ Intermediary / Official Electronic Signature of Prospect/ Policyholder
This system generated benefit illustration shall be treated as signed by me.

UIN: 104N122V17 Page 3 of 3