Bharti AXA Life Unnati Plan

A Non-Linked, Participating, Individual, Savings Life Insurance Plan

ILLUSTRATION OF BENEFITS FOR BHARTI AXA LIFE UNNATI PLAN

Proposer Details Quote No.: 70005461848

Name of the Prospect/Policyholder: abdul k System Reference No.: 70005461848
Age as on last birthday: 34 Years Proposal No:
Gender: Male Policy No:
Life Insured Details Name of the Product: Bharti AXA Life Unnati Plan
Name of the Life Insured: navia n Tag Line: A Non-Linked, Participating, Individual,
Savings Life Insurance Plan
Age as on last birthday: 2 Years
Unique Identification Number: 130N106V01
Gender: Female
GST Rate (incl. cess, if any): GST Rate applicable in 1st year is 4.50% and
2nd year onwards is 2.25%. For Riders, 18%
GST rate is applicable.
Policy Term (years): 98
Premium Payment Term (years) : 15
Premium Mode: Monthly Product Code: PIWL15S
Amount of lnstalment Premium (Rs.): (incl. rider Rider Code: PWPDTD
premium and GST) 3,327

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

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.

Name of the Proposer: Abdul K Signature of the Proposer:

Registered address- Unit No. 1902, 19th Floor, Parinee Crescenzo, 'G' Block, Bandra Kurla Complex, BKC Road, Behind MCA Ground, Bandra East, Mumbai -400051, Maharashtra
Service Unit address- Bharti AXA Life Insurance Company Limited, Spectrum tower, 3rd Floor,Malad link road, Malad (west), Mumbai 400064. Maharashtra
IRDA Regn no.-130. Website: www.bhartiaxa.com
Page: 1 of 12
 Policy Details
Policy Option: Whole Life Income Option Sum Assured Rs. 4,39,315
Bonus Type : Cash Bonus Sum Assured on Death (at inception of the policy) Rs. 3,67,500

Rider Details
Rider 1
Bharti AXA Life Premium Waiver Rider on Death and Total Permanent Disability for Proposer
Rider Name (UIN: 130B005V04)
Rider Term (years) 15
Rider Premium Payment Term (Years) 15
GST Rate applicable in 1st year is 4.50% and 2nd year onwards is 2.25%. For Riders, 18% GST rate is applicable. 18.00%
Rider Sum Assured (Rs.) -

Premium Summary
Bharti AXA Life Unnati Plan Bharti AXA Life Premium Waiver Rider on Death and Total Permanent Disability Total Instalment Premium
Instalment Premium without GST (Rs.) 3,035 131 3,166
GST in the First Year 137 24 161
Instalment Premium with First Year GST (Rs.) 3,172 155 3,327
GST from 2nd Year onwards 68 24 92
Instalment Premium with GST 2nd Year Onwards (Rs.) 3,103 155 3,258

Name of the Proposer: Abdul K Signature of the Proposer:

Registered address- Unit No. 1902, 19th Floor, Parinee Crescenzo, 'G' Block, Bandra Kurla Complex, BKC Road, Behind MCA Ground, Bandra East, Mumbai -400051, Maharashtra
Service Unit address- Bharti AXA Life Insurance Company Limited, Spectrum tower, 3rd Floor,Malad link road, Malad (west), Mumbai 400064. Maharashtra
IRDA Regn no.-130. Website: www.bhartiaxa.com
Page: 2 of 12
 Illustration summary over the duration of the policy

Non-Guaranteed Benefits@ 8% Total Benefits including Guaranteed and Non-

Guaranteed Benefits Non-Guaranteed Benefits@ 4% p.a p.a Guaranteed Benefit

Maturity Benefit Death Benefit

Single / Total
Policy Annualized Total
Surrender Surrender Total
Year Premium Survival Death Maturity Cash Total Maturity Total Death Total Death
Guaranteed Surrender Reversionary Reversionary Cash Benefit,
Benefit Benefit Benefit Bonus Benefit, incl incl
Maturity Benefit, incl Benefit incl Benefit incl
(1) Additions. Benefit Bonus Terminal Bonus Bonus Benefit,incl Terminal
Terminal of Terminal of Terminal
(2) Bonus Terminal Bonus, if any
(3) (5) (8) (11) (12) Bonus Bonus if any Bonus if any
(4) (6) (7) (9) Bonus, if any @ 8% @ 4% @ 8%
(10) @ 4%
(13)
(7+11) (6+8) (6+11)
(7+8)

1 35,000 - - - 3,67,500 - - - - - - - - - 3,67,500 3,67,500

2 35,000 - 7,468 14,380 3,67,500 - - - 14,380 - - 14,380 - - 3,67,500 3,67,500

3 35,000 - 7,468 23,298 3,67,500 - - - 23,298 - - 23,298 - - 3,67,500 3,67,500

4 35,000 - 7,468 50,423 3,67,500 - - - 50,423 - - 50,423 - - 3,67,500 3,67,500

5 35,000 - 7,468 61,162 3,67,500 - - - 61,162 - - 61,162 - - 3,67,500 3,67,500

6 35,000 - 7,468 71,900 3,67,500 - - - 71,900 - - 71,900 - - 3,67,500 3,67,500

7 35,000 - 7,468 82,639 3,67,500 - - - 82,639 - - 82,639 - - 3,67,500 3,67,500

8 35,000 - 7,468 93,378 3,67,500 - - - 93,378 - - 93,378 - - 3,67,500 3,67,500

9 35,000 - 7,468 1,04,116 3,67,500 - - - 1,04,116 - - 1,04,116 - - 3,67,500 3,67,500

10 35,000 - 7,468 1,14,855 3,82,347 - - - 1,14,855 - - 1,14,855 - - 3,82,347 3,82,347

11 35,000 - 7,468 1,25,593 4,20,582 - - - 1,25,593 - - 1,25,593 - - 4,20,582 4,20,582

12 35,000 - 7,468 1,36,332 4,58,816 - - - 1,36,332 - - 1,36,332 - - 4,58,816 4,58,816

Name of the Proposer: Abdul K Signature of the Proposer:

Registered address- Unit No. 1902, 19th Floor, Parinee Crescenzo, 'G' Block, Bandra Kurla Complex, BKC Road, Behind MCA Ground, Bandra East, Mumbai -400051, Maharashtra
Service Unit address- Bharti AXA Life Insurance Company Limited, Spectrum tower, 3rd Floor,Malad link road, Malad (west), Mumbai 400064. Maharashtra
IRDA Regn no.-130. Website: www.bhartiaxa.com
Page: 3 of 12
 Illustration summary over the duration of the policy

Non-Guaranteed Benefits@ 8% Total Benefits including Guaranteed and Non-

Guaranteed Benefits Non-Guaranteed Benefits@ 4% p.a
p.a Guaranteed Benefit

Maturity Benefit Death Benefit

Single / Total
Policy Annualized Total
Surrender Surrender Total
Year Premium Survival Death Maturity Cash Total Maturity Total Death Total Death
Guaranteed Surrender Reversionary Reversionary Cash Benefit,
Benefit Benefit Benefit Bonus Benefit, incl incl
Maturity Benefit, incl Benefit incl Benefit incl
(1) Additions. Benefit Bonus Terminal Bonus Bonus Benefit,incl Terminal
Terminal of Terminal of Terminal
(2) Bonus Terminal Bonus, if any
(3) (5) (8) (11) (12) Bonus Bonus if any Bonus if any
(4) (6) (7) (9) Bonus, if any @ 8% @ 4% @ 8%
(10) @ 4%
(13)
(7+11) (6+8) (6+11)
(7+8)

13 35,000 - 7,468 1,47,071 4,97,051 - - - 1,63,062 - - 2,02,011 - - 4,97,051 4,97,051

14 35,000 - 7,468 1,57,809 5,35,286 - - - 2,11,113 - - 2,69,583 - - 5,35,286 5,35,286

15 35,000 - 7,468 1,68,548 5,73,521 - - - 2,66,076 - - 3,49,678 - - 5,73,521 5,73,521

16 - - 7,468 1,61,080 5,73,521 - - 1,450 3,75,202 - 25,788 4,93,817 - - 5,73,521 5,78,811

17 - - 7,468 1,53,611 5,73,521 - - 1,450 3,78,541 - 25,788 4,91,796 - - 5,73,521 5,85,049

18 - - 7,468 1,46,143 5,73,521 - - 1,450 3,82,099 - 25,788 4,87,279 - - 5,73,521 5,91,682

19 - - 7,468 1,65,985 5,73,521 - - 1,450 3,92,935 - 25,788 4,93,707 - - 5,73,521 5,98,755

20 - - 7,468 1,58,517 5,73,521 - - 1,450 3,96,845 - 25,788 5,00,617 - - 5,73,521 6,06,268

21 - - 7,468 1,51,048 5,73,521 - - 1,450 4,00,975 - 25,788 5,07,967 - - 5,73,521 6,14,307

22 - - 7,468 1,43,580 5,73,521 - - 1,450 4,05,280 - 25,788 5,15,844 - - 5,73,521 6,22,874

23 - - 7,468 1,36,112 5,73,521 - - 1,450 4,09,805 - 25,788 5,24,204 - - 5,73,521 6,31,968

24 - - 7,468 1,28,643 5,73,521 - - 1,450 4,14,593 - 25,788 5,33,135 - - 5,73,521 6,41,676

Name of the Proposer: Abdul K Signature of the Proposer:

Registered address- Unit No. 1902, 19th Floor, Parinee Crescenzo, 'G' Block, Bandra Kurla Complex, BKC Road, Behind MCA Ground, Bandra East, Mumbai -400051, Maharashtra
Service Unit address- Bharti AXA Life Insurance Company Limited, Spectrum tower, 3rd Floor,Malad link road, Malad (west), Mumbai 400064. Maharashtra
IRDA Regn no.-130. Website: www.bhartiaxa.com
Page: 4 of 12
 Illustration summary over the duration of the policy

Non-Guaranteed Benefits@ 8% Total Benefits including Guaranteed and Non-

Guaranteed Benefits Non-Guaranteed Benefits@ 4% p.a p.a Guaranteed Benefit

Maturity Benefit Death Benefit

Single / Total
Policy Annualized Total
Surrender Surrender Total
Year Premium Survival Death Maturity Cash Total Maturity Total Death Total Death
Guaranteed Surrender Reversionary Reversionary Cash Benefit,
Benefit Benefit Benefit Bonus Benefit, incl incl
Maturity Benefit, incl Benefit incl Benefit incl
(1) Additions. Benefit Bonus Terminal Bonus Bonus Benefit,incl Terminal
Bonus Terminal of Terminal of Terminal
(2) Terminal Bonus, if any Bonus if any Bonus if any
(3) (5) (8) (11) (12) Bonus
(4) (6) (7) (9) Bonus, if any @ 8% @ 4% @ 8%
(10) @ 4%
(13)
(7+11) (6+8) (6+11)
(7+8)

25 - - 7,468 1,21,175 5,73,521 - - 1,450 4,19,558 - 25,788 5,42,563 - - 5,73,521 6,52,044

26 - - 7,468 1,13,707 5,73,521 - - 1,450 4,21,095 - 25,788 5,57,073 - - 5,73,521 6,63,071

27 - - 7,468 1,06,238 5,73,521 - - 1,450 4,30,226 - 25,788 5,73,750 - - 5,73,521 6,74,801

28 - - 7,468 98,770 5,73,521 - - 1,450 4,34,601 - 25,788 5,81,903 - - 5,73,521 6,87,321

29 - - 7,468 91,302 5,73,521 - - 1,450 4,42,667 - 25,788 5,94,275 - - 5,73,521 7,00,676

30 - - 7,468 1,11,144 5,73,521 - - 1,450 4,50,996 - 25,788 6,07,480 - - 5,73,521 7,14,910

31 - - 7,468 1,03,675 5,73,521 - - 1,450 4,59,589 - 25,788 6,21,565 - - 5,73,521 7,30,067

32 - - 7,468 96,207 5,73,521 - - 1,450 4,68,415 - 25,788 6,36,453 - - 5,73,521 7,46,190

33 - - 7,468 88,739 5,73,521 - - 1,450 4,81,972 - 25,788 6,56,820 - - 5,75,428 7,63,411

34 - - 7,468 81,270 5,73,521 - - 1,450 4,91,457 - 25,788 6,73,817 - - 5,85,620 7,81,774

35 - - 7,468 73,802 5,73,521 - - 1,450 4,97,779 - 25,788 6,88,530 - - 5,96,207 8,01,324

36 - - 7,468 66,334 5,73,521 - - 1,450 5,07,760 - 25,788 7,07,780 - - 6,07,102 8,22,147

Name of the Proposer: Abdul K Signature of the Proposer:

Registered address- Unit No. 1902, 19th Floor, Parinee Crescenzo, 'G' Block, Bandra Kurla Complex, BKC Road, Behind MCA Ground, Bandra East, Mumbai -400051, Maharashtra
Service Unit address- Bharti AXA Life Insurance Company Limited, Spectrum tower, 3rd Floor,Malad link road, Malad (west), Mumbai 400064. Maharashtra
IRDA Regn no.-130. Website: www.bhartiaxa.com
Page: 5 of 12
 Illustration summary over the duration of the policy

Non-Guaranteed Benefits@ 8% Total Benefits including Guaranteed and Non-

Guaranteed Benefits Non-Guaranteed Benefits@ 4% p.a
p.a Guaranteed Benefit

Maturity Benefit Death Benefit

Single / Total
Policy Annualized Total
Surrender Surrender Total
Year Premium Survival Death Maturity Cash Total Maturity Total Death Total Death
Guaranteed Surrender Reversionary Reversionary Cash Benefit,
Benefit Benefit Benefit Bonus Benefit, incl incl
Maturity Benefit, incl Benefit incl Benefit incl
(1) Additions. Benefit Bonus Terminal Bonus Bonus Benefit,incl Terminal
Terminal of Terminal of Terminal
(2) Bonus Terminal Bonus, if any
(3) (5) (8) (11) (12) Bonus Bonus if any Bonus if any
(4) (6) (7) (9) Bonus, if any @ 8% @ 4% @ 8%
(10) @ 4%
(13)
(7+11) (6+8) (6+11)
(7+8)

37 - - 7,468 58,865 5,73,521 - - 1,450 5,27,920 - 25,788 7,40,373 - - 6,18,349 8,44,376

38 - - 7,468 51,397 5,73,521 - - 1,450 5,38,736 - 25,788 7,62,567 - - 6,29,947 8,68,056

39 - - 7,468 43,929 5,73,521 - - 1,450 5,46,521 - 25,788 7,82,785 - - 6,41,940 8,93,272

40 - - 7,468 36,460 5,73,521 - - 1,450 5,62,433 - 25,788 8,12,359 - - 6,54,285 9,20,158

41 - - 7,468 56,302 5,73,521 - - 1,450 5,74,316 - 25,788 8,39,180 - - 6,67,069 9,48,802

42 - - 7,468 48,834 5,73,521 - - 1,450 5,83,169 - 25,788 8,64,374 - - 6,80,204 9,79,378

43 - - 7,468 41,366 5,73,521 - - 1,450 6,00,236 - 25,788 8,99,278 - - 6,93,823 10,11,931

44 - - 7,468 33,897 5,73,521 - - 1,450 6,13,275 - 25,788 9,31,734 - - 7,07,837 10,46,637

45 - - 7,468 26,429 5,73,521 - - 1,450 6,27,720 - 25,788 9,67,398 - - 7,22,335 10,83,627

46 - - 7,468 18,961 5,73,521 - - 1,450 6,41,681 - 25,788 10,04,336 - - 7,37,271 11,23,078

47 - - 7,468 11,492 5,73,521 - - 1,450 6,56,974 - 25,788 10,44,713 - - 7,52,647 11,65,120

48 - - 7,468 4,024 5,73,521 - - 1,450 6,78,667 - 25,788 10,97,993 - - 7,68,551 12,09,930

Name of the Proposer: Abdul K Signature of the Proposer:

Registered address- Unit No. 1902, 19th Floor, Parinee Crescenzo, 'G' Block, Bandra Kurla Complex, BKC Road, Behind MCA Ground, Bandra East, Mumbai -400051, Maharashtra
Service Unit address- Bharti AXA Life Insurance Company Limited, Spectrum tower, 3rd Floor,Malad link road, Malad (west), Mumbai 400064. Maharashtra
IRDA Regn no.-130. Website: www.bhartiaxa.com
Page: 6 of 12
 Illustration summary over the duration of the policy

Non-Guaranteed Benefits@ 8% Total Benefits including Guaranteed and Non-

Guaranteed Benefits Non-Guaranteed Benefits@ 4% p.a
p.a Guaranteed Benefit

Maturity Benefit Death Benefit

Single / Total
Policy Annualized Total
Surrender Surrender Total
Year Premium Survival Death Maturity Cash Total Maturity Total Death Total Death
Guaranteed Surrender Reversionary Reversionary Cash Benefit,
Benefit Benefit Benefit Bonus Benefit, incl incl
Maturity Benefit, incl Benefit incl Benefit incl
(1) Additions. Benefit Bonus Terminal Bonus Bonus Benefit,incl Terminal
Terminal of Terminal of Terminal
(2) Bonus Terminal Bonus, if any
(3) (5) (8) (11) (12) Bonus Bonus if any Bonus if any
(4) (6) (7) (9) Bonus, if any @ 8% @ 4% @ 8%
(10) @ 4%
(13)
(7+11) (6+8) (6+11)
(7+8)

49 - - 7,468 - 5,73,521 - - 1,450 6,95,071 - 25,788 11,44,183 - - 7,84,937 12,57,728

50 - - 7,468 - 5,73,521 - - 1,450 7,10,935 - 25,788 11,92,380 - - 8,01,851 13,08,645

51 - - 7,468 - 5,73,521 - - 1,450 7,28,393 - 25,788 12,44,852 - - 8,19,335 13,62,944

52 - - 7,468 1,461 5,73,521 - - 1,450 7,49,717 - 25,788 13,04,045 - - 8,37,303 14,20,846

53 - - 7,468 - 5,73,521 - - 1,450 7,63,762 - 25,788 13,59,078 - - 8,55,886 14,82,569

54 - - 7,468 - 5,73,521 - - 1,450 7,82,802 - 25,788 14,22,489 - - 8,75,041 15,48,379

55 - - 7,468 - 5,73,521 - - 1,450 8,05,734 - 25,788 14,93,306 - - 8,94,766 16,18,493

56 - - 7,468 - 5,73,521 - - 1,450 8,21,493 - 25,788 15,60,772 - - 9,15,150 16,93,309

57 - - 7,468 - 5,73,521 - - 1,450 8,42,272 - 25,788 16,37,345 - - 9,36,149 17,73,044

58 - - 7,468 - 5,73,521 - - 1,450 8,75,673 - 25,788 17,39,938 - - 9,57,808 18,58,096

59 - - 7,468 - 5,73,521 - - 1,450 8,97,872 - 25,788 18,27,770 - - 9,80,125 19,48,770

60 - - 7,468 - 5,73,521 - - 1,450 9,20,743 - 25,788 19,21,327 - - 10,03,145 20,45,420

Name of the Proposer: Abdul K Signature of the Proposer:

Registered address- Unit No. 1902, 19th Floor, Parinee Crescenzo, 'G' Block, Bandra Kurla Complex, BKC Road, Behind MCA Ground, Bandra East, Mumbai -400051, Maharashtra
Service Unit address- Bharti AXA Life Insurance Company Limited, Spectrum tower, 3rd Floor,Malad link road, Malad (west), Mumbai 400064. Maharashtra
IRDA Regn no.-130. Website: www.bhartiaxa.com
Page: 7 of 12
 Illustration summary over the duration of the policy

Non-Guaranteed Benefits@ 8% Total Benefits including Guaranteed and Non-

Guaranteed Benefits Non-Guaranteed Benefits@ 4% p.a
p.a Guaranteed Benefit

Maturity Benefit Death Benefit

Single / Total
Policy Annualized Total
Surrender Surrender Total
Year Premium Survival Death Maturity Cash Total Maturity Total Death Total Death
Guaranteed Surrender Reversionary Reversionary Cash Benefit,
Benefit Benefit Benefit Bonus Benefit, incl incl
Maturity Benefit, incl Benefit incl Benefit incl
(1) Additions. Benefit Bonus Terminal Bonus Bonus Benefit,incl Terminal
Terminal of Terminal of Terminal
(2) Bonus Terminal Bonus, if any
(3) (5) (8) (11) (12) Bonus Bonus if any Bonus if any
(4) (6) (7) (9) Bonus, if any @ 8% @ 4% @ 8%
(10) @ 4%
(13)
(7+11) (6+8) (6+11)
(7+8)

61 - - 7,468 - 5,73,521 - - 1,450 9,44,272 - 25,788 20,21,034 - - 10,26,868 21,48,527

62 - - 7,468 - 5,73,521 - - 1,450 9,68,474 - 25,788 21,27,299 - - 10,51,338 22,58,444

63 - - 7,468 - 5,73,521 - - 1,450 9,93,348 - 25,788 22,40,520 - - 10,76,554 23,75,697

64 - - 7,468 - 5,73,521 - - 1,450 10,19,013 - 25,788 23,61,252 - - 11,02,518 25,00,682

65 - - 7,468 - 5,73,521 - - 1,450 10,45,394 - 25,788 24,89,906 - - 11,29,316 26,34,014

66 - - 7,468 - 5,73,521 - - 1,450 10,72,535 - 25,788 26,27,051 - - 11,56,905 27,76,176

67 - - 7,468 - 5,73,521 - - 1,450 11,04,904 - 25,788 27,77,683 - - 11,85,373 29,27,828

68 - - 7,468 - 5,73,521 - - 1,450 11,33,727 - 25,788 29,33,601 - - 12,14,675 30,89,540

69 - - 7,468 - 5,73,521 - - 1,450 11,71,526 - 25,788 31,28,191 - - 12,44,900 32,62,059

70 - - 7,468 - 5,73,521 - - 1,450 12,06,702 - 25,788 33,11,592 - - 12,76,003 34,46,044

71 - - 7,468 - 5,73,521 - - 1,450 12,38,451 - 25,788 35,02,593 - - 13,08,073 36,42,286

72 - - 7,468 - 5,73,521 - - 1,450 12,72,102 - 25,788 37,07,313 - - 13,41,110 38,51,663

Name of the Proposer: Abdul K Signature of the Proposer:

Registered address- Unit No. 1902, 19th Floor, Parinee Crescenzo, 'G' Block, Bandra Kurla Complex, BKC Road, Behind MCA Ground, Bandra East, Mumbai -400051, Maharashtra
Service Unit address- Bharti AXA Life Insurance Company Limited, Spectrum tower, 3rd Floor,Malad link road, Malad (west), Mumbai 400064. Maharashtra
IRDA Regn no.-130. Website: www.bhartiaxa.com
Page: 8 of 12
 Illustration summary over the duration of the policy

Non-Guaranteed Benefits@ 8% Total Benefits including Guaranteed and Non-

Guaranteed Benefits Non-Guaranteed Benefits@ 4% p.a
p.a Guaranteed Benefit

Maturity Benefit Death Benefit

Single / Total
Policy Annualized Total
Surrender Surrender Total
Year Premium Survival Death Maturity Cash Total Maturity Total Death Total Death
Guaranteed Surrender Reversionary Reversionary Cash Benefit,
Benefit Benefit Benefit Bonus Benefit, incl incl
Maturity Benefit, incl Benefit incl Benefit incl
(1) Additions. Benefit Bonus Terminal Bonus Bonus Benefit,incl Terminal
Terminal of Terminal of Terminal
(2) Bonus Terminal Bonus, if any
(3) (5) (8) (11) (12) Bonus Bonus if any Bonus if any
(4) (6) (7) (9) Bonus, if any @ 8% @ 4% @ 8%
(10) @ 4%
(13)
(7+11) (6+8) (6+11)
(7+8)

73 - - 7,468 - 5,73,521 - - 1,450 13,05,710 - 25,788 39,24,555 - - 13,75,157 40,74,967

74 - - 7,468 - 5,73,521 - - 1,450 13,41,352 - 25,788 41,57,273 - - 14,10,214 43,13,252

75 - - 7,468 - 5,73,521 - - 1,450 13,81,343 - 25,788 44,08,882 - - 14,46,326 45,67,439

76 - - 7,468 - 5,73,521 - - 1,450 14,14,625 - 25,788 46,69,158 - - 14,83,536 48,38,672

77 - - 7,468 - 5,73,521 - - 1,450 14,53,324 - 25,788 49,51,414 - - 15,21,844 51,28,093

78 - - 7,468 - 5,73,521 - - 1,450 14,96,623 - 25,788 52,56,017 - - 15,61,295 54,36,975

79 - - 7,468 - 5,73,521 - - 1,450 15,52,776 - 25,788 56,34,101 - - 16,01,931 57,66,550

80 - - 7,468 - 5,73,521 - - 1,450 15,95,342 - 25,788 59,80,452 - - 16,43,754 61,18,353

81 - - 7,468 - 5,73,521 - - 1,450 16,34,801 - 25,788 63,45,620 - - 16,86,851 64,93,836

82 - - 7,468 - 5,73,521 - - 1,450 16,79,840 - 25,788 67,40,001 - - 17,31,222 68,94,667

83 - - 7,468 - 5,73,521 - - 1,450 17,29,548 - 25,788 71,64,314 - - 17,76,910 73,22,603

84 - - 7,468 - 5,73,521 - - 1,450 17,77,266 - 25,788 76,13,742 - - 18,23,961 77,79,579

Name of the Proposer: Abdul K Signature of the Proposer:

Registered address- Unit No. 1902, 19th Floor, Parinee Crescenzo, 'G' Block, Bandra Kurla Complex, BKC Road, Behind MCA Ground, Bandra East, Mumbai -400051, Maharashtra
Service Unit address- Bharti AXA Life Insurance Company Limited, Spectrum tower, 3rd Floor,Malad link road, Malad (west), Mumbai 400064. Maharashtra
IRDA Regn no.-130. Website: www.bhartiaxa.com
Page: 9 of 12
 Illustration summary over the duration of the policy

Non-Guaranteed Benefits@ 8% Total Benefits including Guaranteed and Non-

Guaranteed Benefits Non-Guaranteed Benefits@ 4% p.a
p.a Guaranteed Benefit

Maturity Benefit Death Benefit

Single / Total
Policy Annualized Total
Surrender Surrender Total
Year Premium Survival Death Maturity Cash Total Maturity Total Death Total Death
Guaranteed Surrender Reversionary Reversionary Cash Benefit,
Benefit Benefit Benefit Bonus Benefit, incl incl
Maturity Benefit, incl Benefit incl Benefit incl
(1) Additions. Benefit Bonus Terminal Bonus Bonus Benefit,incl Terminal
Terminal of Terminal of Terminal
(2) Bonus Terminal Bonus, if any
(3) (5) (8) (11) (12) Bonus Bonus if any Bonus if any
(4) (6) (7) (9) Bonus, if any @ 8% @ 4% @ 8%
(10) @ 4%
(13)
(7+11) (6+8) (6+11)
(7+8)

85 - - 7,468 - 5,73,521 - - 1,450 18,26,360 - 25,788 80,93,540 - - 18,72,417 82,67,526

86 - - 7,468 - 5,73,521 - - 1,450 18,76,771 - 25,788 86,05,847 - - 19,22,324 87,88,685

87 - - 7,468 - 5,73,521 - - 1,450 19,28,720 - 25,788 91,52,992 - - 19,73,680 93,45,385

88 - - 7,468 - 5,73,521 - - 1,450 19,82,163 - 25,788 97,37,478 - - 20,26,573 99,40,174

89 - - 7,468 - 5,73,521 - - 1,450 20,37,025 - 25,788 1,03,61,912 - - 20,81,048 1,05,75,775

90 - - 7,468 - 5,73,521 - - 1,450 21,18,465 - 25,788 1,11,45,246 - - 21,37,105 1,12,55,088

91 - - 7,468 - 5,73,521 - - 1,450 21,77,118 - 25,788 1,18,65,727 - - 21,94,875 1,19,81,363

92 - - 7,468 - 5,73,521 - - 1,450 22,33,996 - 25,788 1,26,32,538 - - 22,54,314 1,27,57,896

93 - - 7,468 - 5,73,521 - - 1,450 23,00,332 - 25,788 1,34,60,559 - - 23,15,598 1,35,88,553

94 - - 7,468 - 5,73,521 - - 1,450 23,68,347 - 25,788 1,43,45,919 - - 23,78,684 1,44,77,200

95 - - 7,468 - 5,73,521 - - 1,450 24,39,007 - 25,788 1,52,93,847 - - 24,43,659 1,54,28,316

96 - - 7,468 - 5,73,521 - - 1,450 25,15,658 - 25,788 1,63,12,258 - - 25,10,610 1,64,46,605

Name of the Proposer: Abdul K Signature of the Proposer:

Registered address- Unit No. 1902, 19th Floor, Parinee Crescenzo, 'G' Block, Bandra Kurla Complex, BKC Road, Behind MCA Ground, Bandra East, Mumbai -400051, Maharashtra
Service Unit address- Bharti AXA Life Insurance Company Limited, Spectrum tower, 3rd Floor,Malad link road, Malad (west), Mumbai 400064. Maharashtra
IRDA Regn no.-130. Website: www.bhartiaxa.com
Page: 10 of 12
 Illustration summary over the duration of the policy

Non-Guaranteed Benefits@ 8% Total Benefits including Guaranteed and Non-

Guaranteed Benefits Non-Guaranteed Benefits@ 4% p.a
p.a Guaranteed Benefit

Maturity Benefit Death Benefit

Single / Total
Policy Annualized Total
Surrender Surrender Total
Year Premium Survival Death Maturity Cash Total Maturity Total Death Total Death
Guaranteed Surrender Reversionary Reversionary Cash Benefit,
Benefit Benefit Benefit Bonus Benefit, incl incl
Maturity Benefit, incl Benefit incl Benefit incl
(1) Additions. Benefit Bonus Terminal Bonus Bonus Benefit,incl Terminal
Terminal of Terminal of Terminal
(2) Bonus Terminal Bonus, if any
(3) (5) (8) (11) (12) Bonus Bonus if any Bonus if any
(4) (6) (7) (9) Bonus, if any @ 8% @ 4% @ 8%
(10) @ 4%
(13)
(7+11) (6+8) (6+11)
(7+8)

97 - - 7,468 - 5,73,521 - - 1,450 25,94,590 - 25,788 1,74,02,581 - - 25,79,627 1,75,37,204

98 - - 7,468 - 5,73,521 4,39,315 - 1,450 - - 25,788 - 26,67,301 1,87,23,605 26,50,708 1,87,05,782

Notes: Annualized Premium excludes underwriting extra premium, frequency loadings on premiums, the premiums paid towards the riders, if any and Goods & Services Tax.

Name of the Proposer: Abdul K Signature of the Proposer:

Registered address- Unit No. 1902, 19th Floor, Parinee Crescenzo, 'G' Block, Bandra Kurla Complex, BKC Road, Behind MCA Ground, Bandra East, Mumbai -400051, Maharashtra
Service Unit address- Bharti AXA Life Insurance Company Limited, Spectrum tower, 3rd Floor,Malad link road, Malad (west), Mumbai 400064. Maharashtra
IRDA Regn no.-130. Website: www.bhartiaxa.com
Page: 11 of 12
 Explanation & Information
1. This benefit illustration explains the benefits and features of the proposed policy and is not a contract of insurance.
2. The above illustrated benefits are assumed to occur at the end of policy year.
3. The illustrated values based on the assumption of 4% and 8% gross investment returns per annum are not guaranteed and are for illustration purpose only.
4. The illustration is applicable only for a Standard Life(from medical,lifestyle and occupational point of view).
5. Some benefits are guaranteed and some are variable with returns based on the future performance of the insurance company. If your policy offers guaranteed returns then these will be
clearly marked as ""guaranteed"" in the illustration table. If your policy offers variable returns then the illustrations will show two different rates of assumed future investment returns. 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 returns.
6. Guaranteed Benefit is the Guaranteed Annual Income, as illustrated in column (4), payable from the end of 2nd policy year until maturity or death, whichever is earlier. Non Guaranteed
benefits include Cash Bonus, and terminal bonus. Cash bonus, as illustrated in column (9) and column (12) for 4% and 8% gross investment returns per annum respectively, are payable every
year, starting from end of {Premium Paying Term + 1} year until maturity or death, whichever is earlier. Terminal Bonus, as applicable, will be is paid on maturity or death, whichever is
earlier.
7. Guaranteed Surrender benefit in (5) is net of any due guaranteed payout payable at the end of policy year.
8. The policy can be surrendered by the policyholder at any time, provided atleast two (2) full years' premiums have been paid. The minimum guaranteed surrender value(GSV) under the policy
is a percentage of all premiums paid till date.The Company may allow surrender values at such other rates not less than the Guaranteed Surrender Value. The Surrender Value receivable,will
be the higher of the Guaranteed Surrender Value (GSV) and the Special Surrender Value (SSV).The Total Surrender Value receivable at 4% and 8% gross investment returns per annum is
illustrated in column (10) and column (13) respectively.The amounts are net of any guaranteed/ non-guaranteed payouts due to be paid at the end of the policy year. The policy will
terminate on the Date of Surrender.
9. For more details on risk factors, terms and conditions please read sales brochure carefully before concluding a sale.
10. Tax benefits are as per the current tax legislations and are subject to change in tax laws. Neither the company nor its agents can offer legal or tax advice.
11. Bharti AXA Life Insurance Company Ltd. is the name of the Insurance Company and Bharti AXA Life Unnati is the name of the product and does not in any way indicate the quality of the
contract, its future prospects or returns.
12. Goods & Services Tax would be payable as per applicable tax laws

Declaration by Advisor / Sales Person Declaration by Proposer

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

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

Name of the Proposer: Abdul K Signature of the Proposer:

Registered address- Unit No. 1902, 19th Floor, Parinee Crescenzo, 'G' Block, Bandra Kurla Complex, BKC Road, Behind MCA Ground, Bandra East, Mumbai -400051, Maharashtra
Service Unit address- Bharti AXA Life Insurance Company Limited, Spectrum tower, 3rd Floor,Malad link road, Malad (west), Mumbai 400064. Maharashtra
IRDA Regn no.-130. Website: www.bhartiaxa.com
Page: 12 of 12