23-09-2025

Quote No : cwleruzpqnu

Benefit Illustration for HDFC Life Smart Protect Plan

This illustration has been produced by HDFC Life Insurance Company Limited to help you understand the benefits of your HDFC
Life Smart Protect Plan
IN THIS POLICY, THE INVESTMENT RISK IN INVESTMENT PORTFOLIO IS BORNE BY THE POLICYHOLDER. THE LINKED
INSURANCE PRODUCTS DO NOT OFFER ANY LIQUIDITY DURING THE FIRST FIVE YEARS OF THE CONTRACT. THE
POLICYHOLDER WILL NOT BE ABLE TO SURRENDER OR WITHDRAW THE MONIES INVESTED IN LINKED INSURANCE PRODUCTS
COMPLETELY OR PARTIALLY TILL THE END OF THE FIFTH YEAR.

DETAILS
Age is taken as on last birthday Proposal No:
Name of the Prospect/Policyholder: Rishabh Name of Product: HDFC Life Smart Protect Plan
A Unit Linked Non-Participating Individual
Age: 30 years* Tag Line:
Life Insurance Plan
Name of Life Assured: Rishabh Unique Identification No: 101L175V09
Age: 30 years* GST Rate: 0%*
Gender: F Investment Strategy opted for: 100% Equity oriented
Basic Sum Assured (at inception) (Rs.): Rs.5000000
Policy Term & Premium Payment Term: 40 year(s) & 12 year(s)
Plan Option: Level Cover
Amount of Instalment Premium (Rs.) : Rs.50000
Mode of payment of Premium: Annual
Level Cover Period(yrs) (for Decreasing
Cover and Decreasing Cover with Capital
Guarantee):

Funds opted for along with their risk level(For Level Cover and Decreasing Cover Plan Option)
Fund Risk Level Fund SFIN Fund Allocation (%)

Diversified Equity Fund Very High ULIF05501/08/13DivrEqtyFd101 0

Bond Fund Moderate ULIF05601/08/13Bond Funds101 0
Discovery Fund Very High ULIF06618/01/18DiscvryFnd101 0
Equity Advantage Fund Very High ULIF06723/03/18EqtyAdvtFd101 0

Sustainable Equity Fund Very High ULIF07019/07/21SustnblEqF101 0

Flexi Cap Fund Very High ULIF07114/07/23FlexiCapFd101 100
Dynamic Advantage Fund Medium ULIF08028/02/25DynamicFnd101 0

Top 500 Multifactor 50 Fund High ULIF08219/09/25TopMF500Fd101 0

Rider Details
Rider Name Rider UIN Rider PPT Rider PT Rider Sum Assured Rs.

Income Benefit on Accidental Disability Rider 101A038V01 12 Years 40 Years 5000000

HDFC Life Protect Plus rider - Accidental Death Cover 101A037V01 144 Months 480 Months 5000000

HDFC Life Health Plus rider-Linked - Comprehensive CI-Classic 101A034V01 12 Years 15 Years 1000000

Premium Summary
PP HP HP LiveWell LiveWell LiveWell WOP WOP Total
Base Plan CI Rider IB Rider PP Rider (PAC) PP Rider (ADC) Rider Rider Rider Rider Rider Rider Rider Rider Instalment
(CC) (CCI) (CC) (DC) (PAC) (ADC) (DH) (CID) Premium

Instalment Premium without

50,000 0 2710 0 5273 0 3897 0 0 0 0 0 0 61,880
GST (Rs.)

Instalment Premium with GST 50,000 0 2710 0 5273 0 3897 0 0 0 0 0 0 61,880

How to read and understand this benefit illustration? This benefit illustration is intended to show what charges are deducted from your premiums and how the unit fund, net of
charges and taxes, may grow over the years of the policy term if the fund earns a gross return of 8% p.a. or 4% p.a. These rates, i.e., 8% p.a. and 4% p.a. are assumed only for the
purpose of illustrating the flow of benefits if the returns are at this level. It should not be interpreted that the returns under the plan are going to be either 8% p.a. or 4% p.a.
Net Yield mentioned corresponds to the gross investment return of 8% p.a., net of all charges but does not consider mortality, morbidity charges, underwriting extra, if any,
guarantee charges and cost of riders, if deducted by cancellation of units. It demonstrates the impact of charges and taxes on the net yield. Please note that the mortality charges
per thousand sum assured in general, increases with age.
The actual returns can vary depending on the performance of the chosen fund, charges towards mortality, morbidity, underwriting extra, cost of riders, etc. The investment risk in
this policy is borne by the policyholder, hence, for more details on terms and conditions please read sales literature carefully.
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 illustration 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 dependanton a number of factors including future investment performance.
Part A of this statement presents a summary view of year-by-year charges deducted under the policy, fund value, surrender value and the death benefit, at two assumed rates of
return. Part B of this statement presents a detailed break-up of the charges, and other values.

PART A

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 At 4% Gross Investment Return At 8% Gross Investment Return
Annualized Mortality, Fund at Mortality, Fund at
Policy year Other Surrender Death Other Surrender Death
Premium Morbidity GST End of Morbidity GST End of
Charges* Value Benefit Charges* Value Benefit
Charges Year Charges Year

(01) (02) (03) (04) (05) (06) (07) (08) (09) (10) (11) (12) (13) (14)

1 50,000 6,056 6,558 0 39,006 36,006 50,00,000 6,055 6,570 0 40,615 37,615 50,00,000
2 50,000 6,176 4,132 0 81,984 79,984 50,00,000 6,172 4,179 0 86,967 84,967 50,00,000

3 50,000 6,345 3,734 0 1,26,936 1,25,436 50,00,000 6,335 3,840 0 1,37,252 1,35,752 50,00,000

4 50,000 6,551 3,855 0 1,73,365 1,72,365 50,00,000 6,532 4,048 0 1,91,160 1,90,160 50,00,000
5 50,000 6,809 4,915 0 2,20,332 2,20,332 50,00,000 6,777 5,227 0 2,47,958 2,47,958 50,00,000

6 50,000 7,108 5,652 0 2,68,123 2,68,123 50,00,000 7,058 6,114 0 3,08,086 3,08,086 50,00,000
7 50,000 7,463 6,404 0 3,16,697 3,16,697 50,00,000 7,389 7,053 0 3,71,707 3,71,707 50,00,000

8 50,000 7,866 7,171 0 3,66,021 3,66,021 50,00,000 7,759 8,045 0 4,39,004 4,39,004 50,00,000

9 50,000 8,326 7,954 0 4,16,050 4,16,050 50,00,000 8,176 9,093 0 5,10,163 5,10,163 50,00,000
10 50,000 8,841 8,750 0 4,78,742 4,66,742 50,00,000 8,636 10,199 0 5,97,387 5,85,387 50,00,000

11 50,000 9,377 9,803 0 5,48,655 5,41,646 50,00,000 9,100 11,614 0 6,96,187 6,89,178 50,00,000

12 50,000 9,971 10,886 0 6,17,901 6,12,871 50,00,000 9,601 13,121 0 7,99,050 7,94,021 50,00,000
13 0 10,769 11,280 0 6,36,043 6,31,985 50,00,000 10,283 13,992 0 8,53,868 8,49,812 50,00,000

14 0 11,678 11,665 0 6,51,009 6,49,917 50,00,000 11,046 14,896 0 9,08,745 9,07,657 50,00,000

15 0 12,729 12,012 0 6,65,670 6,64,535 50,00,000 11,917 15,806 0 9,66,667 9,65,538 50,00,000
16 0 13,953 12,364 0 6,79,920 6,78,735 50,00,000 12,914 16,768 0 10,27,768 10,26,593 50,00,000

17 0 15,375 12,715 0 6,93,651 6,92,407 50,00,000 14,053 17,781 0 10,92,204 10,90,974 50,00,000

18 0 17,031 13,067 0 7,06,701 7,05,390 50,00,000 15,354 18,848 0 11,60,098 11,58,807 50,00,000

19 0 18,953 13,417 0 7,18,889 7,17,501 50,00,000 16,831 19,971 0 12,31,584 12,30,224 50,00,000
20 0 21,157 13,764 0 7,30,008 7,28,535 50,00,000 18,477 21,153 0 13,06,799 13,05,363 50,00,000

21 0 23,654 14,102 0 7,39,768 7,38,207 50,00,000 20,282 22,395 0 13,85,823 13,84,313 50,00,000

22 0 26,441 14,431 0 7,47,945 7,46,286 50,00,000 22,218 23,700 0 14,68,836 14,67,245 50,00,000

23 0 29,480 14,749 0 7,54,646 7,52,854 50,00,000 24,225 25,073 0 15,56,385 15,54,681 50,00,000

24 0 32,748 15,057 0 7,59,812 7,57,869 50,00,000 26,256 26,520 0 16,48,900 16,47,070 50,00,000
25 0 36,145 15,436 0 7,76,431 7,73,254 50,00,000 28,191 28,126 0 17,59,285 17,56,326 50,00,000

26 0 39,596 15,914 0 7,93,440 7,89,957 50,00,000 29,934 29,929 0 18,77,916 18,74,710 50,00,000

27 0 43,101 16,413 0 8,11,382 8,07,544 50,00,000 31,458 31,863 0 20,05,984 20,02,497 50,00,000

28 0 46,635 16,942 0 8,30,950 8,26,698 50,00,000 32,706 33,947 0 21,44,877 21,41,070 50,00,000

29 0 50,178 17,322 0 8,53,167 8,48,435 50,00,000 33,622 36,013 0 22,96,376 22,92,205 50,00,000

30 0 53,726 17,641 0 8,79,056 8,73,773 50,00,000 34,154 38,158 0 24,62,335 24,57,759 50,00,000
31 0 57,311 18,016 0 9,09,564 9,03,657 50,00,000 34,263 40,512 0 26,44,631 26,39,611 50,00,000

32 0 60,960 18,459 0 9,45,625 9,39,020 50,00,000 33,889 43,100 0 28,45,233 28,39,739 50,00,000

33 0 64,726 18,982 0 9,88,032 9,80,668 50,00,000 32,965 45,950 0 30,66,136 30,60,149 50,00,000

34 0 68,653 19,595 0 10,37,484 10,29,302 50,00,000 31,390 49,089 0 33,09,413 33,02,932 50,00,000

35 0 72,798 20,306 0 10,94,332 10,85,312 50,00,000 29,029 52,545 0 35,77,051 35,70,112 50,00,000
36 0 77,208 21,116 0 11,58,665 11,48,784 50,00,000 25,699 56,345 0 38,71,053 38,63,698 50,00,000

37 0 81,925 22,028 0 12,30,530 12,19,776 50,00,000 21,153 60,518 0 41,93,727 41,86,014 50,00,000

38 0 86,976 23,041 0 13,09,874 12,98,240 50,00,000 15,064 65,099 0 45,47,698 45,39,700 50,00,000

39 0 92,375 24,154 0 13,96,565 13,84,051 50,00,000 7,014 70,125 0 49,36,020 49,27,825 50,00,000

40 0 98,112 25,366 0 19,94,690 14,77,074 50,00,000 217 75,627 0 63,96,518 53,50,224 63,96,518

*See Part B for details.

IN THIS POLICY, THE INVESTMENT RISK IS BORNE BY THE POLICYHOLDER AND THE ABOVE INTEREST RATES ARE ONLY FOR ILLUSTRATIVE PURPOSE.

I, , have explained the premiums, charges and benefits under the policy fully to the I, Rishabh ,having received the information with respect to the above, have understood
prospect / policy holder. the above statement before entering into the contract.

Place:

Date: Signature of Agent /Intermediary / Official Date: Signature of Prospect / Policyholder

PART B
Gross
8% p.a Net Yield 7.97% Amount in Rupees
Yield

Annualized
Premium Premium
Annualized Allocation -Premium Mortality Policy Admin Guarantee Other Additions to Fund Fund at End Surrender Death
Policy Year Premium Charge Allocation GST FMC
Charge Charge Charge charges* the fund before FMC of Year Value Benefit
(AP) Charge
(PAC) (AP)-(PAC)

1 50,000 6,000 44,000 6,055 0 0 0 0 0 40,661 570 40,615 37,615 50,00,000

2 50,000 3,000 47,000 6,172 0 0 0 0 0 87,065 1,179 86,967 84,967 50,00,000

3 50,000 2,000 48,000 6,335 0 0 0 0 0 1,37,406 1,840 1,37,252 1,35,752 50,00,000

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 Gross
8% p.a Net Yield 7.97% Amount in Rupees
Yield

Annualized
Premium Premium
Annualized Allocation -Premium Mortality Policy Admin Guarantee Other Additions to Fund Fund at End Surrender Death
Policy Year Premium Charge Allocation GST FMC
Charge Charge Charge charges* the fund before FMC of Year Value Benefit
(AP) Charge
(PAC) (AP)-(PAC)

4 50,000 1,500 48,500 6,532 0 0 0 0 0 1,91,375 2,548 1,91,160 1,90,160 50,00,000

5 50,000 0 50,000 6,777 0 1,920 0 0 0 2,48,237 3,307 2,47,958 2,47,958 50,00,000

6 50,000 0 50,000 7,058 0 2,016 0 0 0 3,08,433 4,098 3,08,086 3,08,086 50,00,000

7 50,000 0 50,000 7,389 0 2,117 0 0 0 3,72,125 4,936 3,71,707 3,71,707 50,00,000

8 50,000 0 50,000 7,759 0 2,223 0 0 0 4,39,498 5,822 4,39,004 4,39,004 50,00,000

9 50,000 0 50,000 8,176 0 2,334 0 0 0 5,10,737 6,759 5,10,163 5,10,163 50,00,000

10 50,000 0 50,000 8,636 0 2,450 0 0 12,000 5,86,046 7,749 5,97,387 5,85,387 50,00,000

11 50,000 0 50,000 9,100 0 2,573 0 0 18,109 6,89,954 9,041 6,96,187 6,89,178 50,00,000

12 50,000 0 50,000 9,601 0 2,702 0 0 16,344 7,94,915 10,419 7,99,050 7,94,021 50,00,000

13 0 0 0 10,283 0 2,837 0 0 15,671 8,50,769 11,155 8,53,868 8,49,812 50,00,000

14 0 0 0 11,046 0 2,979 0 0 13,064 9,08,679 11,917 9,08,745 9,07,657 50,00,000

15 0 0 0 11,917 0 3,127 0 0 13,554 9,66,625 12,679 9,66,667 9,65,538 50,00,000

16 0 0 0 12,914 0 3,284 0 0 14,116 10,27,748 13,484 10,27,768 10,26,593 50,00,000

17 0 0 0 14,053 0 3,448 0 0 14,777 10,92,202 14,333 10,92,204 10,90,974 50,00,000

18 0 0 0 15,354 0 3,620 0 0 15,517 11,60,111 15,228 11,60,098 11,58,807 50,00,000

19 0 0 0 16,831 0 3,801 0 0 16,353 12,31,609 16,170 12,31,584 12,30,224 50,00,000

20 0 0 0 18,477 0 3,992 0 0 17,272 13,06,833 17,161 13,06,799 13,05,363 50,00,000

21 0 0 0 20,282 0 4,191 0 0 18,200 13,85,871 18,204 13,85,823 13,84,313 50,00,000

22 0 0 0 22,218 0 4,401 0 0 19,203 14,68,896 19,299 14,68,836 14,67,245 50,00,000

23 0 0 0 24,225 0 4,621 0 0 20,565 15,56,431 20,452 15,56,385 15,54,681 50,00,000

24 0 0 0 26,256 0 4,852 0 0 22,091 16,48,924 21,668 16,48,900 16,47,070 50,00,000

25 0 0 0 28,191 0 5,094 0 0 35,750 17,58,303 23,032 17,59,285 17,56,326 50,00,000

26 0 0 0 29,934 0 5,349 0 0 38,743 18,76,821 24,580 18,77,916 18,74,710 50,00,000

27 0 0 0 31,458 0 5,617 0 0 42,160 20,04,751 26,246 20,05,984 20,02,497 50,00,000

28 0 0 0 32,706 0 5,897 0 0 46,063 21,43,480 28,050 21,44,877 21,41,070 50,00,000

29 0 0 0 33,622 0 6,000 0 0 50,492 22,94,785 30,013 22,96,376 22,92,205 50,00,000

30 0 0 0 34,154 0 6,000 0 0 55,432 24,60,526 32,158 24,62,335 24,57,759 50,00,000

31 0 0 0 34,263 0 6,000 0 0 60,847 26,42,582 34,512 26,44,631 26,39,611 50,00,000

32 0 0 0 33,889 0 6,000 0 0 66,653 28,42,935 37,100 28,45,233 28,39,739 50,00,000

33 0 0 0 32,965 0 6,000 0 0 72,675 30,63,594 39,950 30,66,136 30,60,149 50,00,000

34 0 0 0 31,390 0 6,000 0 0 78,768 33,06,650 43,089 33,09,413 33,02,932 50,00,000

35 0 0 0 29,029 0 6,000 0 0 84,574 35,74,130 46,545 35,77,051 35,70,112 50,00,000

36 0 0 0 25,699 0 6,000 0 0 89,803 38,68,047 50,345 38,71,053 38,63,698 50,00,000

37 0 0 0 21,153 0 6,000 0 0 94,374 41,90,726 54,518 41,93,727 41,86,014 50,00,000

38 0 0 0 15,064 0 6,000 0 0 98,119 45,44,810 59,099 45,47,698 45,39,700 50,00,000
39 0 0 0 7,014 0 6,000 0 0 1,00,867 49,33,372 64,125 49,36,020 49,27,825 50,00,000

40 0 0 0 217 0 6,000 0 0 11,40,467 53,56,246 69,627 63,96,518 53,50,224 63,96,518

Gross
4% p.a Amount in Rupees
Yield

Annualized
Premium Premium
Annualized Allocation -Premium Mortality Policy Admin Guarantee Other Additions to Fund Fund at End Surrender Death
Policy Year Premium Charge Allocation GST FMC
Charge Charge Charge charges* the fund before FMC of Year Value Benefit
(AP) Charge

(PAC) (AP)-(PAC)
1 50,000 6,000 44,000 6,056 0 0 0 0 0 39,050 558 39,006 36,006 50,00,000
2 50,000 3,000 47,000 6,176 0 0 0 0 0 82,076 1,132 81,984 79,984 50,00,000

3 50,000 2,000 48,000 6,345 0 0 0 0 0 1,27,079 1,734 1,26,936 1,25,436 50,00,000

4 50,000 1,500 48,500 6,551 0 0 0 0 0 1,73,560 2,355 1,73,365 1,72,365 50,00,000

5 50,000 0 50,000 6,809 0 1,920 0 0 0 2,20,580 2,995 2,20,332 2,20,332 50,00,000

6 50,000 0 50,000 7,108 0 2,016 0 0 0 2,68,425 3,636 2,68,123 2,68,123 50,00,000

7 50,000 0 50,000 7,463 0 2,117 0 0 0 3,17,054 4,287 3,16,697 3,16,697 50,00,000

8 50,000 0 50,000 7,866 0 2,223 0 0 0 3,66,433 4,948 3,66,021 3,66,021 50,00,000
9 50,000 0 50,000 8,326 0 2,334 0 0 0 4,16,518 5,620 4,16,050 4,16,050 50,00,000

10 50,000 0 50,000 8,841 0 2,450 0 0 12,000 4,67,268 6,300 4,78,742 4,66,742 50,00,000
11 50,000 0 50,000 9,377 0 2,573 0 0 18,111 5,42,255 7,230 5,48,655 5,41,646 50,00,000

12 50,000 0 50,000 9,971 0 2,702 0 0 16,352 6,13,561 8,184 6,17,901 6,12,871 50,00,000
13 0 0 0 10,769 0 2,837 0 0 15,690 6,32,697 8,443 6,36,043 6,31,985 50,00,000
14 0 0 0 11,678 0 2,979 0 0 13,101 6,50,649 8,686 6,51,009 6,49,917 50,00,000

15 0 0 0 12,729 0 3,127 0 0 13,618 6,65,283 8,885 6,65,670 6,64,535 50,00,000

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 Gross
4% p.a Amount in Rupees
Yield
Annualized
Premium Premium
Annualized Allocation -Premium Mortality Policy Admin Guarantee Other Additions to Fund Fund at End Surrender Death
Policy Year Premium Charge Allocation GST FMC
Charge Charge Charge charges* the fund before FMC of Year Value Benefit
(AP) Charge
(PAC) (AP)-(PAC)
16 0 0 0 13,953 0 3,284 0 0 14,216 6,79,499 9,080 6,79,920 6,78,735 50,00,000

17 0 0 0 15,375 0 3,448 0 0 14,927 6,93,186 9,267 6,93,651 6,92,407 50,00,000

18 0 0 0 17,031 0 3,620 0 0 15,732 7,06,184 9,447 7,06,701 7,05,390 50,00,000

19 0 0 0 18,953 0 3,801 0 0 16,652 7,18,309 9,616 7,18,889 7,17,501 50,00,000

20 0 0 0 21,157 0 3,992 0 0 17,682 7,29,355 9,772 7,30,008 7,28,535 50,00,000

21 0 0 0 23,654 0 4,191 0 0 18,754 7,39,038 9,911 7,39,768 7,38,207 50,00,000

22 0 0 0 26,441 0 4,401 0 0 19,941 7,47,126 10,030 7,47,945 7,46,286 50,00,000
23 0 0 0 29,480 0 4,621 0 0 21,538 7,53,702 10,128 7,54,646 7,52,854 50,00,000

24 0 0 0 32,748 0 4,852 0 0 23,356 7,58,722 10,205 7,59,812 7,57,869 50,00,000

25 0 0 0 36,145 0 5,094 0 0 38,188 7,74,124 10,342 7,76,431 7,73,254 50,00,000

26 0 0 0 39,596 0 5,349 0 0 41,859 7,90,846 10,565 7,93,440 7,89,957 50,00,000

27 0 0 0 43,101 0 5,617 0 0 46,124 8,08,453 10,796 8,11,382 8,07,544 50,00,000
28 0 0 0 46,635 0 5,897 0 0 51,092 8,27,629 11,045 8,30,950 8,26,698 50,00,000

29 0 0 0 50,178 0 6,000 0 0 56,860 8,49,390 11,322 8,53,167 8,48,435 50,00,000

30 0 0 0 53,726 0 6,000 0 0 63,472 8,74,756 11,641 8,79,056 8,73,773 50,00,000

31 0 0 0 57,311 0 6,000 0 0 70,963 9,04,674 12,016 9,09,564 9,03,657 50,00,000

32 0 0 0 60,960 0 6,000 0 0 79,322 9,40,077 12,459 9,45,625 9,39,020 50,00,000
33 0 0 0 64,726 0 6,000 0 0 88,440 9,81,772 12,982 9,88,032 9,80,668 50,00,000

34 0 0 0 68,653 0 6,000 0 0 98,245 10,30,460 13,595 10,37,484 10,29,302 50,00,000

35 0 0 0 72,798 0 6,000 0 0 1,08,435 10,86,534 14,306 10,94,332 10,85,312 50,00,000

36 0 0 0 77,208 0 6,000 0 0 1,18,788 11,50,077 15,116 11,58,665 11,48,784 50,00,000

37 0 0 0 81,925 0 6,000 0 0 1,29,303 12,21,149 16,028 12,30,530 12,19,776 50,00,000
38 0 0 0 86,976 0 6,000 0 0 1,39,906 12,99,702 17,041 13,09,874 12,98,240 50,00,000

39 0 0 0 92,375 0 6,000 0 0 1,50,535 13,85,609 18,154 13,96,565 13,84,051 50,00,000

40 0 0 0 98,112 0 6,000 0 0 6,65,401 14,78,736 19,366 19,94,690 14,77,074 50,00,000

*Specify details, if any.

Notes:

1. Refer the sales Literature for explanation of terms used in this illustration.
2. Fund management charge is based on the specific fund option(s) chosen.
3. For Decreasing Cover and Decreasing Cover with Capital Guarantee plan options, riders will be available during Level cover period only.
4. In case rider charges are collected explicitly through collection of rider premium, and not by way of cancellation of units, then, such charges are not considered in this illustration.
In other cases, rider charges are included in other charges.
5. #Additions to the Fund refers to the periodic additions through a) Return of 2X to 3X Mortality Charges, b) Return of 2X Premium Allocation Charges c) Return of Fund
Management Charge, and d) Return of 2X Investment Guarantee Charge (if applicable), as per terms and conditions.
6. For Level Cover with Capital Guarantee and Decreasing Cover with Capital Guarantee plan options, the maturity benefit will be higher of Fund Value at Maturity and Assured
Benefit, where Assured Benefit is the Total Premiums Paid Less Total Partial Withdrawals made (if any).

I, , have explained the premiums, charges and benefits under the policy fully to the I, Rishabh ,having received the information with respect to the above, have understood
prospect / policy holder. the above statement before entering into the contract.

Place:

Date: Signature of Agent /Intermediary / Official Date: Signature of Prospect / Policyholder

Channel Name : Agency

HDFC Life Insurance Company Limited (IRDAI Reg. No. 101) (CIN: L65110MH2000PLC128245)
Registered and Corporate Office: Lodha Excelus, 13th Floor, Apollo Mills Compound, Mahalaxmi, Mumbai-400011
Trade logo displayed above belongs to HDFC Life Insurance Company Limited under a license.

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

For more information, Call the HDFC Life Insurance Company Limited Helpline number 1860-267-9999 (local charges apply) 022-68446530 (STD charges apply) or Visit us at:
www.hdfclife.com

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