A Non-Linked Non-Participating Individual Life Insurance Savings Plan UIN: 104N159V01

Axis Max Life Smart Value Income & Benefit Enhancer Plan (UIN: 104N159V01) Variant: Insta Wealth

Your current age is 35 years and you shall pay Rs. 100000 (excluding taxes) on Annual mode for 15 Years.
Your Policy Term is 20 years and your Future Income Period is 30 years.

Enhanced Maturity
Rs. 0 Lump Sum End of the Policy Term
Flexi Income Rs. 50,000 Annual in Advance Only in the first year Booster*

Future Income* Rs. 42,711 Annual in Advance From of the end of the Policy Term till
the end of the Future income period
From 2nd policy year Future Milestone
Insta Income Rs. 42,711 Annual in Advance Rs. 15,00,000 Lump Sum At the end of the Future income period
till end of Policy Term Benefit*

*You may also choose to take the above benefits as a lump sum amount of Rs. 5,94,566
 Rs. 0

Rs. 50,000 in the Rs. 42,711 from the 2nd Policy Year till end of Rs. 42,711 from the end of Policy Term till end of Rs. 15,00,000
1st Policy Year Policy Term Future Income Period

Premium of Rs. 1,00,000 for 15 years 14 20 50

Premium Paying Term Future Income Period of 30 years

Policy Term

You Pay : 15,00,000 You Get : 36,42,839

On death of the Life Insured anytime during the Policy Term,

provided the Policy is inforce, We will pay the Death Benefit to the
Claimant. The minimum Death Benefit at inception is Rs. 11,00,000

Please Note: For more details, please refer detailed policy & rider contract.

^Individual Death Claims Paid Ratio as per Audited Financials for FY 2023-2024. | *As per Public Disclosures for H1 FY 2024-2025.

Axis Max Life/FCB/Brand/Smart VIBE lnsta Wealth - With PCB/Smart BI/June 2025
 BENEFIT ILLUSTRATION
[Date and Time of Illustration – 05 July 2025, 03:16 PM]

Name of the Prospect/Policyholder: Mr.

Proposal No:
Age & Gender: 35 Years, Male Name of the Product: Axis Max Life Smart Value Income & Benefit Enhancer Plan
Name of the Life Assured: Mr. Tag Line: A Non-linked Non Participating Individual Life Insurance Savings Plan
Unique Identification No: 104N159V01
Age & Gender: 35 Years, Male
GST Rate (Base Policy, First Year): 4.50%
Policy Term 20 years
GST Rate (Base Policy, Subsequent Year): 2.25%
Premium Payment Term: 15 years
GST Rate (Rider, First Year): NA
Amount of Installment Premium: Rs. 1,04,500
Mode of payment of premium: Annual GST Rate (Rider, Subsequent Year): NA
Frequency of Income Payouts: Annual in Advance
Future Income Period, if applicable: 30 years
Axis Max Life State: Bihar
Accumulation of Survival Benefits: No
Policyholder Residential State: Bihar

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

Policy Details
Enhanced Maturity Booster For Existing Customer/Staff/Transgender
Variant Insta Wealth NA
Lives^
Death Benefit Multiple 11 Enhanced Maturity Booster For Female Lives^ NA

Policy Continuance Benefit Option Yes Future Milestone Benefit Rs. 15,00,000

Sum Assured on Death at inception of the policy Rs. 11,00,000 Date of First Survival Benefit 05-07-2025

Rider Details
Accidental Death & Dismemberment (ADD) Rider
Accidental Death & Dismemberment (ADD) Rider Term NA NA
Sum Assured (in Rs.)
Term Plus Rider Term NA Term Plus Rider Sum Assured (in Rs.) NA
Critical Illness and Disability Rider - Coverage
Waiver of Premium (WOP) Plus Rider Term NA NA
Variant
Critical Illness and Disability Rider - Rider Premium Payment Term and Critical Illness and Disability Rider - Rider Sum
NA NA
Rider Term Assured

Premium Summary
Accidental Death & Waiver of Premium Plus Critical Illness and Total Installment Premium
Base Plan Dismemberment Rider
Term Plus Rider Rider Disability Rider
Installment Premium without GST (in Rs.) 1,00,000 0 0 0 0 1,00,000
Installment Premium with first year GST (in Rs.) 1,04,500 0 0 0 0 1,04,500
Installment Premium with GST 2nd year onwards (in Rs.) 1,02,250 0 0 0 0 1,02,250

UIN: 104N159V01 Axis Max Life Insurance Limited, Corporate Office – 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram – 122002 Page 1 of 5
 (Amount in Rupees)

Guaranteed Non Guaranteed

Total
Annualized Total Accrued Future Total Guaranteed
Policy Annual Total Survival Base Future Accrued Enhanced Future Special Surrender
Premium Flexi Income Insta Income Income Booster Income Survival Death Surrender
Year Premium Benefit During Income Income Maturity Milestone (BOY) & Surrender Value
(BOY) (BOY) (A) Income Booster (BOY) (E) (Payable Benefit Benefit Value (EOY)
(BOY) Policy Term (BOY) (BOY) (D) Booster Booster (EOY) Benefit Maturity Value (EOY) Payable
(BOY) (B) (EOY) after policy term) (BOY) Benefit* (EOY)
(C= A+B) (EOY) (F) (EOY) (G) (EOY)
(H = D+E) (C+F+G+H)
11,00,00
1 1,00,000 1,00,000 50,000 - 50,000 - - - - - - - 50,000 - - -
0
11,00,00
2 1,00,000 1,00,000 - 42,711 42,711 - 376 376 - - - - 42,711 - - -
0
11,00,00
3 1,00,000 1,00,000 - 42,711 42,711 - 564 940 - - - - 42,711 - - -
0
11,00,00
4 1,00,000 1,00,000 - 42,711 42,711 - 752 1,692 - - - - 42,711 22,086 10,754 22,086
0
11,00,00
5 1,00,000 1,00,000 - 42,711 42,711 - 940 2,632 - - - - 42,711 29,527 33,216 33,216
0
11,00,00
6 1,00,000 1,00,000 - 42,711 42,711 - 1,128 3,760 - - - - 42,711 37,023 62,742 62,742
0
11,00,00
7 1,00,000 1,00,000 - 42,711 42,711 - 1,316 5,076 - - - - 42,711 44,584 99,269 99,269
0
11,00,00
8 1,00,000 1,00,000 - 42,711 42,711 - 1,504 6,580 - - - - 42,711 78,889 1,42,642 1,42,642
0
11,00,00
9 1,00,000 1,00,000 - 42,711 42,711 - 1,692 8,272 - - - - 42,711 1,19,962 1,92,666 1,92,666
0
11,00,00
10 1,00,000 1,00,000 - 42,711 42,711 - 1,880 10,152 - - - - 42,711 1,67,804 2,49,038 2,49,038
0
11,55,00
11 1,00,000 1,00,000 - 42,711 42,711 - 2,068 12,220 - - - - 42,711 2,22,443 3,11,341 3,11,341
0
12,60,00
12 1,00,000 1,00,000 - 42,711 42,711 - 2,256 14,476 - - - - 42,711 2,83,915 3,79,053 3,79,053
0
13,65,00
13 1,00,000 1,00,000 - 42,711 42,711 - 2,444 16,920 - - - - 42,711 3,52,223 4,51,478 4,51,478
0
14,70,00
14 1,00,000 1,00,000 - 42,711 42,711 - 2,632 19,552 - - - - 42,711 4,27,408 5,27,730 5,27,730
0
15,75,00
15 1,00,000 1,00,000 - 42,711 42,711 - 2,820 22,372 - - - - 42,711 5,09,520 6,06,753 6,06,753
0
15,75,00
16 - - - 42,711 42,711 - 2,820 25,192 - - - - 42,711 5,18,503 6,03,159 6,03,159
0
15,75,00
17 - - - 42,711 42,711 - 2,820 28,012 - - - - 42,711 5,27,730 5,98,897 5,98,897
0
UIN: 104N159V01 Axis Max Life Insurance Limited, Corporate Office – 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram – 122002 Page 2 of 5
 Guaranteed Non Guaranteed
Total
Annualized Total Accrued Future Total Guaranteed
Policy Annual Total Survival Base Future Accrued Enhanced Future Special Surrender
Premium Flexi Income Insta Income Income Booster Income Survival Death Surrender
Year Premium Benefit During Income Income Maturity Milestone (BOY) & Surrender Value
(BOY) (BOY) (A) Income Booster (BOY) (E) (Payable Benefit Benefit Value (EOY)
(BOY) Policy Term (BOY) (BOY) (D) Booster Booster (EOY) Benefit Maturity Value (EOY) Payable
(BOY) (B) (EOY) after policy term) (BOY) Benefit* (EOY)
(C= A+B) (EOY) (F) (EOY) (G) (EOY)
(H = D+E) (C+F+G+H)
15,75,00
18 - - - 42,711 42,711 - 2,820 30,832 - - - - 42,711 5,37,249 5,93,883 5,93,883
0
15,75,00
19 - - - 42,711 42,711 - 2,820 33,652 - - - - 42,711 5,47,061 5,88,036 5,88,036
0
15,75,00
20 - - - 42,711 42,711 - 2,820 36,472 - - - - 42,711 5,07,226 5,81,256 5,81,256
0

21 - - - - - 8,529 - - 34,182 - - 42,711 42,711 - - - -

22 - - - - - 8,529 - - 34,182 - - 42,711 42,711 - - - -

23 - - - - - 8,529 - - 34,182 - - 42,711 42,711 - - - -

24 - - - - - 8,529 - - 34,182 - - 42,711 42,711 - - - -

25 - - - - - 8,529 - - 34,182 - - 42,711 42,711 - - - -

26 - - - - - 8,529 - - 34,182 - - 42,711 42,711 - - - -

27 - - - - - 8,529 - - 34,182 - - 42,711 42,711 - - - -

28 - - - - - 8,529 - - 34,182 - - 42,711 42,711 - - - -

29 - - - - - 8,529 - - 34,182 - - 42,711 42,711 - - - -

30 - - - - - 8,529 - - 34,182 - - 42,711 42,711 - - - -

31 - - - - - 8,529 - - 34,182 - - 42,711 42,711 - - - -

32 - - - - - 8,529 - - 34,182 - - 42,711 42,711 - - - -

33 - - - - - 8,529 - - 34,182 - - 42,711 42,711 - - - -

34 - - - - - 8,529 - - 34,182 - - 42,711 42,711 - - - -

UIN: 104N159V01 Axis Max Life Insurance Limited, Corporate Office – 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram – 122002 Page 3 of 5
 Guaranteed Non Guaranteed
Total
Annualized Total Accrued Future Total Guaranteed
Policy Annual Total Survival Base Future Accrued Enhanced Future Special Surrender
Premium Flexi Income Insta Income Income Booster Income Survival Death Surrender
Year Premium Benefit During Income Income Maturity Milestone (BOY) & Surrender Value
(BOY) (BOY) (A) Income Booster (BOY) (E) (Payable Benefit Benefit Value (EOY)
(BOY) Policy Term (BOY) (BOY) (D) Booster Booster (EOY) Benefit Maturity Value (EOY) Payable
(BOY) (B) (EOY) after policy term) (BOY) Benefit* (EOY)
(C= A+B) (EOY) (F) (EOY) (G) (EOY)
(H = D+E) (C+F+G+H)

35 - - - - - 8,529 - - 34,182 - - 42,711 42,711 - - - -

36 - - - - - 8,529 - - 34,182 - - 42,711 42,711 - - - -

37 - - - - - 8,529 - - 34,182 - - 42,711 42,711 - - - -

38 - - - - - 8,529 - - 34,182 - - 42,711 42,711 - - - -

39 - - - - - 8,529 - - 34,182 - - 42,711 42,711 - - - -

40 - - - - - 8,529 - - 34,182 - - 42,711 42,711 - - - -

41 - - - - - 8,529 - - 34,182 - - 42,711 42,711 - - - -

42 - - - - - 8,529 - - 34,182 - - 42,711 42,711 - - - -

43 - - - - - 8,529 - - 34,182 - - 42,711 42,711 - - - -

44 - - - - - 8,529 - - 34,182 - - 42,711 42,711 - - - -

45 - - - - - 8,529 - - 34,182 - - 42,711 42,711 - - - -

46 - - - - - 8,529 - - 34,182 - - 42,711 42,711 - - - -

47 - - - - - 8,529 - - 34,182 - - 42,711 42,711 - - - -

48 - - - - - 8,529 - - 34,182 - - 42,711 42,711 - - - -

49 - - - - - 8,529 - - 34,182 - - 42,711 42,711 - - - -

15,00,00 15,42,71
50 - - - - - 8,529 - - 34,182 - 42,711 - - - -
0 1

UIN: 104N159V01 Axis Max Life Insurance Limited, Corporate Office – 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram – 122002 Page 4 of 5
Notes:
*For Maturity Benefit the Future Income Payouts shall be as per the Frequency of Income Payouts Chosen at Inception. The Future Milestone Benefit, if applicable, shall be provided at the End of Year (EOY).
^ Enhanced Maturity Boosters may be applicable to customers as per the terms and conditions mentioned in the Policy Document. For more information, please refer to the Policy Schedule within your Policy Document. In the
event of any discrepancies, the Policy Schedule shall take precedence.
• EOY: End of Year, BOY = Beginning of Year
• Annualized Premium excludes underwriting extra premium, frequency loadings on premiums, the premiums paid towards the riders, if any, and Goods and Service Tax.
• Total Annual Premium includes underwriting extra premium, frequency loadings on premiums, the premiums paid towards the riders, if any but excludes Goods and Service Tax.
• The Surrender Value payable shall be higher of ‘Minimum Guaranteed Surrender Value’ and ‘Special Surrender Value’. Any additional Surrender Value over and above the ‘Minimum Guaranteed Surrender Value’ is not
guaranteed.
• The above benefits are assuming income payment mode as Annual and with the assumption that accumulation is not opted by you. For details on other income payment modes and accumulation options, please refer the Policy
Document.
• Refer Sales literature (Prospectus) and Policy Document for explanation of terms used in this illustration.
• Surrender value (both GSV and SSV) shown above is before payment of survival benefit applicable during the year of surrender.

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

Place: Signature / Thumb Impression / Electronic Signature of Date:7/5/25 Signature / Thumb Impression / Electronic Signature of
Date: 7/5/25 Agent/ Intermediary / Official of the insurer Prospect/ Policyholder
This system generated benefit illustration shall be treated as signed by me.

UIN: 104N159V01 Axis Max Life Insurance Limited, Corporate Office – 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram – 122002 Page 5 of 5