Bajaj Allianz Life

Flexi Income Goal

A Non Linked, Participating, Guaranteed Income Life Insurance Plan

Key Features of the plan

Aim of the policy Bajaj Allianz Life Flexi Income Goal is a non-linked, life, individual participating, limited premium payment, income, savings plan

You have chosen-Bajaj Allianz Life Flexi Income Goal-Income Benefit

Survival Benefit
Cash Bonus (CB): At the end of each policy year, the non-guaranteed CB (if any) shall be payable. If CB is opted to be received in monthly installments, the CB will be paid-out at the end of every month, starting
from the 1st month of your Policy. Also, you will have an option to Accumulate CB declared in the Policy instead of receiving the pay-outs and earn Investment Return on the Accumulated Cash Bonus (ACB).
Benefits under Guaranteed Maturity Income (GMI): At the end of the Premium Payment Term (PPT), GMI shall be payable every month, till the end of the Policy Term. The first instalment of GMI will be due at the end of PPT. If
the policy GMI is opted to be received in annual installments, the GMI will be paid-out to you at the end of each Policy year. Also, you will have an option to Accumulate GMI in the Policy, instead of receiving the pay-outs
and earn Investment Return on the AGMI.
Cash Value (CV): In case you chose to accumulate the CB &/or GMI, instead of receiving it, you will be entitled for Cash Value which will be total of ACB &/or AGMI including Accumulation Interest thereon, based
on the declared rate of interest. The Accumulation Interest will be declared every year. Anytime during the Policy Term, you will have the option to withdraw the CV (partially or fully).

Maturity Benefit - Provided the Policy is in-force and the Life Assured is alive, as on the Maturity date, Maturity Booster (50% of Sum Assured) plus Cash Value (if not fully withdrawn) plus Terminal Bonus
(if any) will be paid.

Death Benefit: Single Life Cover - If all due premiums are paid, then in case of unfortunate death of the life assured during the policy term,
 105% of Cash Value (if not fully withdrawn) plus Terminal Bonus (if any) will be paid immediately as lump-sum and
 Sum Assured on Death# will be paid as monthly income, over a period equal to outstanding Policy Term or 12 years, whichever is lower, and the 1st installment will start from date of death. However, your nominee
can opt to take the death benefit in lumpsum, at the time of intimation of death.
The Policy will terminate on the payment of full death benefit.

Bajaj Allianz Life Insurance Co. Ltd.,

Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006. Reg No.: 116. Ver 1 : English
 Death Benefit: Joint Life Cover
Death of Primary Life Assured - If all due premiums are paid, then, in case of unfortunate death during the policy term, (i) 105% of Cash Value (if not fully withdrawn) plus Terminal Bonus (if any) will be paid
immediately as lumpsum and (ii) Sum Assured on Death# will be paid as monthly income@, over a period equal to outstanding Policy Term or 12 years, whichever is lower, and the 1st installment will start from date
of death. The Policy will continue with the life cover on the spouse and the future premiums will be paid by the Company.
Death of Spouse - If all due premiums are paid, then in case of unfortunate death during the policy term, Sum Assured will be paid as monthly income, over a period equal to outstanding Policy Term or 12 years,
whichever is lower, and the 1stinstallment will start from date of death. The Policy will continue with the life cover on the life of primary life assured, subject to payment of all due future premiums.
#
Sum Assured on Death is higher of the sum assured or 10 times of Annualized Premium, further the death benefit plus Cash Bonus paid out will not be less than 105% of Total Premiums* paid

Premium Premiums at regular intervals are payable for the entire premium payment term as chosen by you. The premium payment term chosen by you is the basis on which Benefit Illustration has been drawn and shall
payment also be mentioned in the Policy Schedule.

Bajaj Allianz Accidental Death Benefit Rider UIN: 116B034V02

Riders Available Bajaj Allianz Accidental Permanent Total/ Partial Disability Benefit Rider UIN: 116B036V02
Bajaj Allianz Critical Illness Benefit Rider UIN: 116B035V02
Bajaj Allianz Family Income Benefit Rider UIN: 116B037V02
Bajaj Allianz Waiver of Premium Benefit Rider UIN: 116B031V02

Please refer to respective product/ rider sales literature or visit Company website or consult your “Insurance Consultant” for more details and eligibility conditions.

Non- payment If you have not paid at least 2 full years premiums, the Policy will immediately & automatically lapse at the expiry of the Grace Period, and no benefit other than Accumulated Cash Bonus if any will be payable
of premium under the Policy. The Accumulated Cash Bonus if any, will be paid out at the end of grace period.

The Lapsed Policy will be immediately & automatically converted to a paid-up Policy at the expiry of the Grace Period and the Sum Assured, Sum Assured on Death, Maturity Booster, and GMIs under the Policy will
Paid-Up Benefit be automatically reduced, respectively to the Paid-up Sum Assured, Paid-up Sum Assured on Death, Paid-up Maturity Booster and Paid-up GMIs.
Note- Please refer Sales Literature for more details.

Although it is not advisable to surrender your policy unless there is an extreme urgency, you will have the option to surrender your policy anytime, provided at least 2 full years' premiums in full have been paid.
Surrender The surrender value shall be higher of the Guaranteed Surrender Value (GSV) and the Special Surrender Value (SSV).
Benefit Note- Please refer Sales Literature for more details.

Revival You may revive your lapsed/ paid-up policy during the revival period of five (5) years from the due date of first unpaid premium, subject to the revival conditions under the policy.

The policy will terminate on the earlier occurrence of either of the following events:
Termination
 on payment of Surrender benefit
 on the payment of full Maturity benefit
 on the expiry of the revival period for lapsed Policy
 on payment of the entire Death Benefit
 on payment of last installment, if Death Benefit is payable in installment
 on payment of death benefit in lumpsum, if Death Benefit is payable in lumpsum
 on foreclosure
 on Free Look Cancellation.
 on refund of eligible Premiums/Surrender value under Suicide clause on suicide of Life Assured

Bajaj Allianz Life Insurance Co. Ltd.,

Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006. Reg No.: 116. Ver 1 : English
 The policy will terminate on the earlier occurrence of either of the following events:
 On the date of death of primary Life Assured or the spouse
 On the lapsation of the Policy
 On the lapsation or discontinuance of spouse cover

You will have the option to review the terms and conditions of the policy and if you disagree to any of the terms & conditions, you will have an option to return the policy within 15 days of the receipt of this policy and
Free Look thirty (30) days in case of electronic policy and policy obtained through distance mode*. You will be entitled to a refund comprising of all premiums (excluding applicable taxes) paid, less the proportionate amount
Cancellation of risk premium including proportionate amount of rider risk premium for the period the life assured was provided cover and the expenses incurred by the company on account of medical examination and stamp
duty charges stating the reasons for your objections.
*Policies obtained through distance mode will be sold through online sales and tele-calling.

Regd. Office Address: Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006., IRDAI Reg No.: 116, Visit us: www.bajajallianzlife.com,
Contact us BALIC CIN : U66010PN2001PLC015959, Mail us : customercare@bajajallianz.co.in, Call on : Toll free no. 1800 209 7272, Fax No: 020-66026789,

Do's
 Do fill the proposal form very carefully and personally in CAPITAL letters in blue ink only
 Do provide true and complete information
 Do provide correct contact number, address and email ID, and update in case of any change, so that you can receive necessary communication
 Do sign on all the documents provided by you (Self Attestation)
 Do provide your recent passport photograph
 Do draw cheque/ DD, in favour of “Bajaj Allianz Life Insurance Co. Ltd.”
 Do read the policy bond carefully upon receipt of the same.
 Do contact us if you do not receive the policy bond or any other communication from the Company within 30 days.
 Do read the enclosed Benefit Illustration carefully before signing
 Do register for Auto Debit Instructions/ ECS to ensure timely payments of your premium on due dates.

Don'ts
 Do not sign any blank proposal form
 Do not leave any column blank in the proposal form
 Do not conceal any facts as this could lead to dispute at the time of a claim
 Do not miss or delay your premium payment
 Do not rely on any commitments of any additional benefits made by anyone apart from what has been highlighted herein above.

Disclaimer - This document contains the highlights of the product Bajaj Allianz Life Flexi Income Goal UIN: 116N162V02 and is subject to the terms and conditions as contained in the policy document. The terms and conditions as contained in the policy document shall govern the
contractual relationship and shall be binding. For details on any of the matters highlighted herein above, please refer to policy document upon receipt of the same by you. The standard terms and conditions of the product is also available on the Company website (at
www.bajajallianzlife.com)

Bajaj Allianz Life Insurance Co. Ltd.,

Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006. Reg No.: 116. Ver 1 : English
Quotation No : 60018776609

Bajaj Allianz Life Flexi Income Goal

A Non-Linked, Participating, Guaranteed Income Life Insurance Plan

Name of the Prospect/ Policyholder CHANDNI THAKKAR . Name of the Product: Bajaj Allianz Life Flexi Income Goal
Age (in years): 24 Tag Line: A Non-Linked, Participating, Guaranteed Income Life Insurance Plan
Gender: F Unique Identification Number: 116N162V02
Name of the Life Assured CHANDNI THAKKAR . GST Rate(First Year): 4.50%
Age (in years): 24 GST Rate(2nd Year onwards): 2.25%
Gender: F
Single/Joint Life: Single
Name of the Joint Life: NA
Age of Joint LIfe (in years): NA
Gender of Joint Life: NA
Sum Assured Of Joint Life: NA
Policy Term (in Years) 30
Premium Paying Term (in Years) 12
Amount of Installment Premium (in Rs.) 52,277
Mode of Payment of Premium Annual
Variant Income Benefit
Guaranteed Monthly Income 2,633
Receive GMI NA
Receive Cash Bonus NA

How to read and understand this benefit illustration?

This benefit illustration is intented 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
Sum Assured Rs. 5,68,728
Bonus Type: Cash Bonus Sum Assured on Death (at inception of Policy) Rs. 5,68,728

Options Exercised

Accumulate Begin(Year) End(Year) Withdraw From Begin(Year) End(Year) Withdrawal

%
Cash Bonus 1 30
Guaranteed Monthly Income 13 30
Guaranteed Lump-Sum N.A N.A

Premium Summary

1
Quotation No : 60018776609

Premium Summary
Base Plan Riders Total Installment Premium
Installment Premium without GST (after Channel Discount, if any) 50,026 0 50,026
Applicable Channel Discount 0 0 0
Installment Premium with First Year GST 52,277 0 52,277
Installment Premium with GST 2nd year Onwards 51,152 0 51,152

(Amount in Rupees)
Total Benefits including Guaranteed and Non-Guaranteed Benefits

Guaranteed Benefis Non Guaranteed Benefit @ 4% p.a. Non Guaranteed Benefit @ 8% p.a. Surrender Benefit Total Survival Benefit Total Maturity Total Death Benefit
Receivable Receivable Benefit

Maturity Total Total Total Total

Survival Maturity
Accrued Guaranteed Special Benefit Accrued Guaranteed Special Benefit Surrender Surrender Total Total Maturity Maturity Death Death
Annualized Benefit Death Death Surrender Under Benefit Benefit Benefit Benefit
Policy Life Premium (Guaranteed Benefit Benefit Maturity Compound Cash Accumulation Withdrawals Surrender Value Compound Cash Accumulation Surrender Surrender Under Value Value Survival Survival incl incl incl incl
Assured's Benefit Rev. Bonus of "Cash Value (GSV) Paid-Up Rev. Bonus of "Cash Withdrawals Value Value
Year (Excl of Monthly ^! of the (SSV) # Paid-Up Receivable## Receivable## Benefit Benefit
Terminal Terminal Terminal Terminal
Age GST) Income- EOY@ spouse EOY@ Bonus Payable Bonus & GMI" EOY EOY Policy Bonus Payable Bonus & GMI" (GSV) (SSV) # Receivable Receivable Bonus, if Bonus, if Bonus, if Bonus, if
EOY EOT EOY EOY EOY Policy EOY@ 4% EOY@ 8% @4% @8%
GMI) EOT any any any any
@4% @8% @4% @8%

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
1 24 50,026 0 5,68,728 0 0 0 3,412 3,412 0 0 0 0 0 11,375 11,375 0 0 0 0 0 0 3,412 11,375 0 0 5,72,311 5,80,671
2 25 50,026 0 5,68,728 0 0 0 3,412 6,927 0 30,118 42,539 54,321 0 11,375 23,545 0 30,812 59,157 70,939 42,539 59,157 3,412 11,375 0 0 5,76,001 5,93,451
3 26 50,026 0 5,68,728 0 0 0 3,412 10,547 0 52,837 77,189 81,638 0 11,375 36,568 0 54,972 1,03,210 1,07,659 77,189 1,03,210 3,412 11,375 0 0 5,79,803 6,07,124
4 27 50,026 0 5,68,728 0 0 0 3,412 14,276 0 1,00,679 1,11,018 1,09,064 0 11,375 50,502 0 1,05,056 1,47,245 1,45,290 1,11,018 1,47,245 3,412 11,375 0 0 5,83,718 6,21,756
5 28 50,026 0 5,68,728 0 0 0 3,412 18,117 0 1,26,120 1,49,412 1,36,602 0 11,375 65,412 0 1,33,604 1,96,708 1,83,897 1,49,412 1,96,708 3,412 11,375 0 0 5,87,751 6,37,411
6 29 50,026 0 5,68,728 0 0 0 3,412 22,073 0 1,51,676 1,92,710 1,64,255 0 11,375 81,366 0 1,63,196 2,75,037 2,23,548 1,92,710 2,75,037 3,412 11,375 0 0 5,91,904 6,54,162
7 30 50,026 0 5,68,728 0 0 0 3,412 26,147 0 1,77,352 2,41,275 1,92,026 0 11,375 98,436 0 1,93,905 3,44,915 2,64,315 2,41,275 3,44,915 3,412 11,375 0 0 5,96,182 6,72,085
8 31 50,026 0 5,68,728 0 0 0 3,412 30,344 0 2,07,151 2,95,496 2,19,920 0 11,375 1,16,701 0 2,29,810 4,22,801 3,06,277 2,95,496 4,22,801 3,412 11,375 0 0 6,00,589 6,91,264
9 32 50,026 0 5,68,728 0 0 0 3,412 34,667 0 2,42,579 3,55,789 2,47,940 0 11,375 1,36,244 0 2,72,497 5,09,192 3,49,517 3,55,789 5,09,192 3,412 11,375 0 0 6,05,128 7,11,785
10 33 50,026 0 5,68,728 0 0 0 3,412 39,119 0 2,80,138 4,22,607 2,76,089 0 11,375 1,57,156 0 3,18,553 6,04,626 4,79,435 4,22,607 6,04,626 3,412 11,375 0 0 6,09,803 8,19,051
11 34 50,026 0 5,68,728 0 0 0 3,412 43,705 0 3,19,832 4,77,862 3,04,372 0 11,375 1,79,531 0 3,68,074 6,91,107 5,34,039 4,77,862 6,91,107 3,412 11,375 0 0 6,14,618 8,51,076
12 35 50,026 0 5,68,728 0 0 0 3,412 48,428 0 3,61,664 5,35,910 3,32,792 0 11,375 2,03,473 0 4,21,163 7,83,088 5,90,208 5,35,910 7,83,088 3,412 11,375 0 0 6,30,328 8,84,746
13 36 0 31,596 5,68,728 0 0 0 3,412 84,890 0 3,69,120 5,70,600 3,69,254 0 11,375 2,60,687 0 4,41,409 8,46,209 6,55,953 5,70,600 8,46,209 35,008 42,971 0 0 6,57,862 9,53,351
14 37 0 31,596 5,68,728 0 0 0 3,412 1,22,445 0 3,83,673 6,05,722 4,06,809 0 11,375 3,21,906 0 4,71,663 9,12,672 7,25,702 6,05,722 9,12,672 35,008 42,971 0 0 6,97,295 10,26,162
15 38 0 31,596 5,68,728 0 0 0 3,412 1,61,126 0 3,99,353 6,41,249 4,45,490 0 11,375 3,87,410 0 5,06,203 9,82,700 7,99,737 6,41,249 9,82,700 35,008 42,971 0 0 7,37,911 11,03,472
16 39 0 31,596 5,68,728 0 0 0 3,412 2,00,969 0 4,16,193 6,77,156 4,85,333 0 11,375 4,57,499 0 5,45,328 10,56,531 8,78,357 6,77,156 10,56,531 35,008 42,971 0 0 7,79,745 11,85,597
17 40 0 31,596 5,68,728 0 0 0 3,412 2,42,006 0 4,34,228 7,13,410 5,26,370 0 11,375 5,32,494 0 5,89,359 11,34,421 9,61,884 7,13,410 11,34,421 35,008 42,971 0 0 8,22,834 12,72,873
18 41 0 31,596 5,68,728 0 0 0 3,412 2,84,275 0 4,53,494 7,49,973 5,68,639 0 11,375 6,12,739 0 6,38,640 12,16,639 10,50,660 7,49,973 12,16,639 35,008 42,971 0 0 8,67,216 13,65,661
19 42 0 31,596 5,68,728 0 0 0 3,412 3,27,811 0 4,68,026 7,86,805 6,12,175 0 11,375 6,98,602 0 6,98,602 13,03,475 11,45,053 7,86,805 13,03,475 35,008 42,971 0 0 9,12,930 14,64,347
20 43 0 31,596 5,68,728 0 0 0 3,412 3,72,654 0 4,89,866 8,23,857 6,57,018 0 11,375 7,90,474 0 7,90,474 13,95,234 12,45,457 8,23,857 13,95,234 35,008 42,971 0 0 9,60,015 15,69,344
21 44 0 31,596 5,68,728 0 0 0 3,412 4,18,842 0 5,13,052 8,61,069 7,03,206 0 11,375 8,88,778 0 8,88,778 14,92,240 13,52,291 8,61,069 14,92,240 35,008 42,971 0 0 10,08,512 16,81,094
22 45 0 31,596 5,68,728 0 0 0 3,412 4,66,415 0 5,37,624 8,98,376 7,50,779 0 11,375 9,93,963 0 9,93,963 15,94,836 14,66,007 8,98,376 15,94,836 35,008 42,971 0 0 10,58,464 18,00,069
23 46 0 31,596 5,68,728 0 0 0 3,412 5,15,416 0 5,63,622 9,35,697 7,99,780 0 11,375 11,06,511 0 11,06,511 17,03,382 15,87,086 9,35,697 17,03,382 35,008 42,971 0 0 11,09,915 19,26,776
24 47 0 31,596 5,68,728 0 0 0 3,412 5,65,887 0 5,85,088 9,72,939 8,50,251 0 11,375 12,26,938 0 12,26,938 18,18,257 17,16,044 9,72,939 18,18,257 35,008 42,971 0 0 11,62,909 20,61,754
25 48 0 31,596 5,68,728 0 0 0 3,412 6,17,872 0 6,17,872 10,09,987 9,02,236 0 11,375 13,55,794 0 13,55,794 19,39,854 18,53,431 10,09,987 19,39,854 35,008 42,971 0 0 12,17,494 22,05,584
26 49 0 31,596 5,68,728 0 0 0 3,412 6,71,417 0 6,71,417 10,46,707 9,55,781 0 11,375 14,93,670 0 14,93,670 20,68,584 19,99,838 10,46,707 20,68,584 35,008 42,971 0 0 12,73,715 23,58,885
27 50 0 31,596 5,68,728 0 0 0 3,412 7,26,568 0 7,26,568 10,82,936 10,10,932 0 11,375 16,41,197 0 16,41,197 22,04,868 21,55,896 10,82,936 22,04,868 35,008 42,971 0 0 13,31,624 25,22,320
28 51 0 31,596 5,68,728 0 0 0 3,412 7,83,373 0 7,83,373 11,18,480 10,67,737 0 11,375 17,99,052 0 17,99,052 23,49,138 23,22,281 11,18,480 23,49,138 35,008 42,971 0 0 13,91,270 26,96,598
29 52 0 31,596 5,68,728 0 0 0 3,412 8,41,882 0 8,41,882 11,53,100 11,26,246 0 11,375 19,67,956 0 19,67,956 25,01,830 24,99,717 11,53,100 25,01,830 35,008 42,971 0 0 14,52,705 28,82,479

2
Quotation No : 60018776609

30 53 0 31,596 5,68,728 0 2,84,364 0 3,412 9,02,147 0 0 0 11,86,511 0 11,375 21,48,683 0 0 0 26,88,975 0 0 35,008 42,971 11,86,511 26,88,975 15,15,983 30,80,773

Notes: Annualized premium excludes underwri ng extra premium, the premiums paid towards the riders, if any and Goods and Service Tax. Refer Sales literature for explana on of terms used in this illustra on. The Annualised Premium, will be w.r.t. the life assured or
primary life assured (in a joint life policy).
'@ EOY: End Of Policy Year @ EOT: End Of Policy Term
^! In case of Death Benefit, the corresponding number in the 'Policy Year' column should be read as the Year in which Death happens at Year-End.
# In case of 'Paid-Up' Benefits, the corresponding number in the 'Policy Year' column should be read as the Number of Completed Years' Premiums Paid.
## In case of 'Surrender' Benefits, the corresponding number in the 'Policy Year' column should be read as the Year in which the Policy is Surrendered at Year-End.

I, ___________________________ (name), have explained the premiums and benefits under the policy fully to the prospect / I , __________________ (name) , having received the informa on with respect to the above, have understood the above statement
policyholder. before entering into the contract.

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

Notes & Disclaimers:

1. The above information must be read in conjunction with Sales Literature.
2. This premium quotation is applicable only for a Standard Life (from medical, lifestyle and occupational point of view).
3. Further clarification can be sought by contacting company's sales representative or by sending an e-mail to customercare@bajajallianz.co.in.
4. The company may declare a rate of Compound Reversionary Bonus in a year applicable for that year. This rate will be expressed as a percentage of the Sum Assured. This percentage will be applied on the Sum Assured plus reversionary bonuses already a ached to the policy to determine the amount of
reversionary bonus to be added to the policy at that year end. Furthermore, for a policy that has completed ten (10) years and where all due premiums have been paid, the company may declare a Terminal Bonus. The Compound Reversionary Bonus and Terminal Bonus may vary with the policy term
chosen by the policyholder.
5. This product has two variants:
a. Income Benefit, where, one Sum Assured amount will be paid-out as survival benefits in GMIs, and the remaining 50% of Sum Assured amount will be paid as part of the maturity benefit. This variant provides Cash Bonus declared, if any.
b. Enhanced Benefit, where one Sum Assured amount will be paid-out as survival benefits in GMIs, one Sum Assured amount will be paid as part of the maturity benefit and 50% of the Sum Assured amount is payable at the end of premium payment term. This variant provides Compound Reversionary
Bonus declared, if any.
6. The plan can be taken as a single life cover or a joint-life cover along with the spouse.
7. Death Benefit:
If all due premiums have been paid, then, on death of the Life Assured, Death Benefit shall be equal to:
Income Benefit Enhanced Benefit
1. Sum Assured on Death* , plus
1. Sum Assured on Death*, plus 2. Attached compound Reversionary Bonus, plus
2. Terminal bonus, if any, plus 3. Terminal bonus, if any, plus
3. Accumulated Cash Bonus (ACB), if any, plus 4. Accumulated Guaranteed Monthly Income (AGMI), if any, plus
4. Accumulated Guaranteed Monthly Income (AGMI), if any, plus 5. Accumulated Guaranteed Lump-Sum at the end of PPT (AGLS –I), if
5. If there is any ACB and/or AGMI in the policy, then, an additional 5% of the any, plus
ACB and/or 5% of the AGMI (respectively) will be paid. 6. If there is any AGMI and/or AGLS-I, in the policy, then, an additional
5% of the AGMI and/or 5% of the AGLS -I (respectively) will be paid.
The Sum Assured on Death or sum assured (in the case of death of the
spouse) will be paid out, by default, in equal monthly instalments over a The death benefit by default will be paid-out as a lump-sum.
period equal to the Minimum of the Outstanding Policy Term or 12 years. However, the policyholder or nominee (as applicable) will have the
At the time of intimation of death, the policyholder or nominee (as option to take the death benefit in equal monthly instalments over a
applicable) will have the option to take the equal monthly instalments period of five (5) or ten (10) years (as per his/her choice) from the
w.r.t. the Sum Assured on Death or sum assured (in the case of death of date of intimation of death.
the spouse) in a lump-sum.

The benefit shown under “Death Benefit of the spouse” in above Benefit Illustration is the benefit payable to the spouse, if the spouse dies first in a Joint life policy. For further information on Spouse Death benefit, please refer to Sales literature.
*Sum assured on Death higher of the Sum Assured or 10 times of Annualised Premium.
8. Maturity Benefit:
If the policy is in-force at the maturity date and the Life Assured or Primary Life Assured (in a joint life policy) is alive, the maturity benefit shall be:

3
Quotation No : 60018776609

Income Benefit Enhanced Benefit

1. Sum Assured on Maturity of 50% of sum assured, plus 1. Sum Assured on Maturity of 100% of sum assured, plus
2. ACB, if any, plus 2. Attached compound Reversionary Bonus, if any, plus
3. AGMI, if any, plus 3. Terminal bonus, if any, plus
4. Terminal Bonus, if any 4. AGMI, if any
5. AGLS -I, if any
9. The policyholder will have an option to take the GMI in annual instalments. In this case, the Annual GMI payable will be 104% * Monthly GMI * 12
10. The policyholder will have an option to take the Cash Bonus in monthly instalments. In this case, the Monthly Cash Bonus payable will be [95% * Cash Bonus] / 12
11. Values under the head “Accumulation” under ‘Non-Guaranteed Benefit’ refers to the accumulated value of a) Cash Bonus, if retained b) GMI, if retained c) GLS-1, if retained (In Enhanced Benefit) before withdrawal.
12. The policyholder will have an option to take Maturity Benefit in instalments over a period of 5, 10, 15 or 20 years. For further information, please read the sales literature.
13. The policy can be surrendered by the policyholder at any me, provided at least two (2) full years premiums have been paid. The Surrender Value receivable will be the higher of the Guaranteed Surrender Value (GSV) and the Special Surrender Value (SSV). The policy will terminate on the Date of
Surrender.
14. The displayed Special Surrender Values (SSV) are only indicative and not guaranteed and therefore subject to change in future.
15. Any rider can be excluded at any time before the Maturity Date. The Rider Life Assured is eligible for Surrender Value on exclusion of the rider, if the Rider Premium Paying Term is less than Rider Policy Term and two full year’s Rider Premiums have been paid.
The Surrender Value of the chosen rider will be:
70%*{(n-t)/n}^2*Total Premiums paid for that par cular rider cover where n is the rider policy term and t is the elapsed dura on in years and frac on thereof from the date of commencement of the rider cover. Base policy will con nue as per its own provisions even a er cancella on of one or more
rider(s).
16. The illustrated figures of 'Surrender Value Receivable' include the respective 'Base Policy Surrender Value' and 'Rider Surrender Value', if any.
17. The investment returns illustrated above are only for the illustrative purpose as mandated by the IRDA and do not in any way indicate the upper and lower limits of investment return.
18. Goods & Service Tax and Cess, if any would be payable as per applicable tax laws.
19. Terminal Bonus, if any, shall become payable along with Maturity Benefit or Death Benefit.
20. Premiums payable and benefits receivable would be eligible for tax benefits, as per the then existing tax laws.
Insurance is a subject matter of solicitation.
This illustration should be read along with the product brochure for detailed terms and conditions.

Bajaj Allianz Life Insurance Co. Ltd.

Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006. Reg No.: 116.
Tel: (020) 66026777; Fax: (020) 66026789
Email: customercare@bajajallianz.co.in
www.bajajallianzlife.co.in