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Max Life Life Perfect Partner Super

UIN No: 104N077V01

Traditional Participating Money Back cum Endowment Life Insurance Plan

Policy/Proposal No: [ _________________ ]

Date of Illustration - Aug 4, 2014 3:24:23 PMPersonal Details Product Features

Name of Policyholder Raghavan Venkataraman Guaranteed Maturity Sum Assured R 13,48,984.00

Age of Policyholder as at last birthday on the Effective Date 30 Years Policy Term 74 Years

Gender of Policyholder Male Premium Payment Term 10 Years

Name of Life Insured Elite Customer V V Bonus Option Paid Up Additions

Age of Life Insured as at last birthday on the Effective Date 1 Years Payment Mode Annual

Gender of Life Insured Male State Other

PREMIUM SUMMARY

First Year Premium Renewal Premium

Base Modal Premium R 1,00,000.18 R 1,00,000.18

Service Tax including Cess on Base and Payor Rider Modal Premium, if opted R 3,090.01 R 1,545.00

Total Premium Payable on Due Date along with Service Tax & Cess R 1,03,090.19 R 1,01,545.18

Total Premium Payable for the policy year R 1,00,000.18 R 1,00,000.18

Total Premium Payable for the policy year along with Service Tax and Cess R 1,03,090.19 R 1,01,545.18

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 returns then these will be clearly marked "guaranteed " in the

illustration table on this page.If your policy offers variable returns then the illustrations on this page 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 performance.

This is only an Illustrative document. The Benefits if guaranteed, are clearly marked so. For variable benefits, investment growth rates of 4% and 8% are used as an illustration.

MAX LIFE INSURANCE CO. LTD, 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurgaon 122 002

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YEARLY ILLUSTRATIVE DETAILS

(This shall form a part of the policy document)

All cash flows are in R

General Details Guaranteed Non Guaranteed(Assumed rate of return on investment is 4% p.a.) Non Guaranteed(Assumed rate of return on investment is 8% p.a.)

Policy Year Age of life

Assured

Premium Death Benefit

(Including Rider

Benefit(If Any))

Guaranteed

Surrender

Value

Survival/

Maturity

Benefit

Cash Bonus Net Outlay Death

Benefit

Surrender

Value of

PUA

Terminal

Bonus

Special

Surrender

Value


Benefit

Surrender

Value of

PUA

Terminal

Bonus

Special

Surrender

Value

(BOY) (BOY) (BOY) (EOY) (EOY) (EOY) (BOY) (BOY) (EOY) (EOY) (EOY) (EOY) (BOY) (BOY) (EOY) (EOY) (EOY)

1 1 1,00,000 13,48,984 0 0 0 1,00,000 13,48,984 0 0 0 0 1,00,000 13,48,984 0 0 0

2 2 1,00,000 13,48,984 0 0 3,656 1,00,000 13,48,984 0 0 0 11,723 1,00,000 13,48,984 0 0 0

3 3 1,00,000 13,48,984 90,000 0 3,789 1,00,000 13,67,951 7,530 0 1,62,982 12,634 1,00,000 14,17,961 24,650 0 1,71,199

4 4 1,00,000 13,48,984 2,00,000 0 3,940 1,00,000 13,87,162 11,649 0 2,45,913 13,608 1,00,000 14,90,483 38,888 0 2,63,025

5 5 1,00,000 13,48,984 2,50,000 0 4,093 1,00,000 14,06,673 16,020 0 3,31,602 14,664 1,00,000 15,66,650 54,553 0 3,61,299

6 6 1,00,000 13,48,984 3,00,001 0 4,251 1,00,000 14,26,472 20,657 0 4,46,785 15,824 1,00,000 16,46,666 71,791 0 4,95,750

7 7 1,00,000 13,48,984 3,50,001 0 4,412 1,00,000 14,46,548 25,566 0 5,44,009 17,066 1,00,000 17,30,834 90,717 0 6,15,355

8 8 1,00,000 13,48,984 4,04,849 0 4,577 1,00,000 14,66,897 30,758 0 6,44,427 18,393 1,00,000 18,19,314 1,11,462 0 7,43,315

9 9 1,00,000 13,48,984 4,60,910 0 4,760 1,00,000 14,87,509 36,259 0 7,48,150 19,849 1,00,000 19,12,266 1,34,201 0 8,80,232

10 10 1,00,000 13,48,984 5,18,183 0 4,948 1,00,000 15,08,442 42,083 3,05,937 9,26,550 21,407 1,00,000 20,10,041 1,59,105 4,22,562 11,14,764

11 11 0 13,48,984 5,24,243 0 5,140 0 18,35,625 48,234 3,10,248 10,06,022 23,093 0 25,35,372 1,86,315 4,44,175 12,53,106

12 12 0 13,48,984 5,30,304 0 5,336 0 18,61,488 54,723 3,14,619 10,36,539 24,896 0 26,65,053 2,16,006 4,66,892 13,37,582

13 13 0 13,48,984 5,36,365 0 5,537 0 18,87,713 61,558 3,19,049 10,67,914 26,846 0 28,01,352 2,48,361 4,90,779 14,27,586

14 14 0 13,48,984 5,42,425 0 5,759 0 19,14,294 68,770 3,23,550 11,00,216 28,956 0 29,44,672 2,83,638 5,15,903 15,23,572

15 15 0 13,48,984 5,48,486 0 5,969 0 19,41,302 76,359 3,28,109 11,33,438 31,212 0 30,95,418 3,22,036 5,42,316 16,25,873

16 16 0 13,48,984 5,54,547 0 6,201 0 19,68,654 84,357 3,32,736 11,67,643 33,624 0 32,53,895 3,63,794 5,70,068 17,34,885

17 17 0 13,48,984 5,60,607 0 6,438 0 19,96,415 92,775 3,37,429 12,02,860 36,256 0 34,20,410 4,09,238 5,99,257 18,51,126

18 18 0 13,48,984 5,66,668 0 6,681 0 20,24,576 1,01,630 3,42,188 12,39,098 39,071 0 35,95,540 4,58,622 6,29,938 19,74,992

19 19 0 13,48,984 5,72,728 0 6,946 0 20,53,130 1,10,955 3,47,023 12,76,410 42,111 0 37,79,629 5,12,294 6,62,194 21,07,055

20 20 0 13,48,984 5,78,789 0 7,201 0 20,82,139 1,20,755 3,51,920 13,14,819 45,393 0 39,73,164 5,70,577 6,96,110 22,47,782

21 21 0 13,48,984 5,84,850 0 7,478 0 21,11,521 1,31,057 3,56,890 13,54,346 48,936 0 41,76,660 6,33,880 7,31,775 23,97,802

22 22 0 13,48,984 5,90,910 0 7,762 0 21,41,339 1,41,890 3,61,930 13,95,067 52,724 0 43,90,652 7,02,566 7,69,258 25,57,660

23 23 0 13,48,984 5,96,971 0 8,071 0 21,71,581 1,53,282 3,67,051 14,36,988 56,848 0 46,15,546 7,77,145 8,08,677 27,28,080

24 24 0 13,48,984 6,03,031 0 8,369 0 22,02,306 1,65,245 3,72,239 14,80,141 61,257 0 48,52,060 8,57,991 8,50,109 29,09,614

25 25 0 13,48,984 6,09,092 0 8,692 0 22,33,435 1,77,814 2,69,797 14,89,021 66,053 0 51,00,652 9,45,748 5,63,845 30,03,140

26 26 0 13,48,984 6,15,153 0 6,448 -177,814 16,18,781 6,448 2,73,613 13,48,854 44,910 -500,000 33,83,071 5,01,935 5,92,740 26,62,611



Page 2 of 5


3/5



Assured


(Including Rider

Benefit(If Any))

Guaranteed

Surrender

Value

Survival/

Maturity

Benefit


Benefit

Surrender

Value of

PUA

Terminal

Bonus

Special

Surrender

Value


Benefit

Surrender

Value of

PUA

Terminal

Bonus

Special

Surrender

Value


27 27 0 13,48,984 6,21,213 0 6,690 0 16,41,678 13,290 2,77,481 13,87,540 48,427 0 35,56,442 5,63,086 6,23,128 28,31,927

28 28 0 13,48,984 6,27,274 0 6,951 0 16,64,886 20,554 2,81,407 14,27,300 52,187 0 37,38,767 6,29,565 6,55,064 30,11,618

29 29 0 13,48,984 6,33,335 0 7,218 0 16,88,444 28,258 2,85,391 14,68,154 56,270 0 39,30,383 7,01,862 6,88,644 32,02,373

30 30 0 13,48,984 6,39,395 0 7,491 0 17,12,344 36,418 2,89,429 15,10,145 60,669 0 41,31,863 7,80,437 7,23,949 34,04,784

31 31 0 13,48,984 6,45,456 0 7,786 0 17,36,574 45,069 2,93,529 15,53,278 65,409 0 43,43,692 8,65,806 7,61,062 36,19,527

32 32 0 13,48,984 6,51,516 0 8,087 0 17,61,173 54,226 2,97,688 15,97,591 70,550 0 45,66,372 9,58,512 8,00,094 38,47,332

33 33 0 13,48,984 6,57,577 0 8,395 0 17,86,130 63,908 3,01,906 16,43,104 76,049 0 48,00,564 10,59,087 8,41,118 40,88,851

34 34 0 13,48,984 6,63,638 0 8,725 0 18,11,437 74,149 3,06,188 16,89,875 82,009 0 50,46,710 11,68,177 8,84,255 43,44,911

35 35 0 13,48,984 6,69,698 0 9,048 0 18,37,130 84,955 2,69,797 17,20,913 88,425 0 53,05,529 12,86,465 6,73,164 45,16,351

36 36 0 13,48,984 6,75,759 0 8,175 -84,955 16,18,781 8,175 2,73,625 16,18,781 69,067 -500,000 40,38,983 8,75,600 7,07,706 40,38,983

37 37 0 13,48,984 6,81,820 0 8,482 0 16,41,752 16,850 2,77,506 16,41,752 74,451 0 42,46,235 9,72,340 7,44,016 42,46,235

38 38 0 13,48,984 6,87,880 0 8,811 0 16,65,037 26,059 2,81,444 16,65,037 80,279 0 44,64,096 10,77,349 7,82,198 44,64,096

39 39 0 13,48,984 6,93,941 0 9,147 0 16,88,666 35,819 2,85,439 16,88,666 86,550 0 46,93,188 11,91,210 8,22,344 46,93,188

40 40 0 13,48,984 7,00,001 0 9,505 0 17,12,633 46,164 2,89,495 17,12,633 93,336 0 49,34,067 13,14,660 8,64,571 49,34,067

41 41 0 13,48,984 7,06,062 0 9,857 0 17,36,968 57,100 2,93,604 17,36,968 1,00,593 0 51,87,428 14,48,382 9,08,963 51,87,428

42 42 0 13,48,984 7,12,123 0 10,247 0 17,61,627 68,680 2,97,779 17,61,627 1,08,439 0 54,53,776 15,93,221 9,55,643 54,53,776

43 43 0 13,48,984 7,18,183 0 10,631 0 17,86,676 80,909 3,02,012 17,86,677 1,16,923 0 57,33,859 17,50,129 10,04,744 57,33,859

44 44 0 13,48,984 7,24,244 0 11,039 0 18,12,073 93,826 3,06,308 18,12,074 1,25,995 0 60,28,462 19,19,927 10,56,362 60,28,462

45 45 0 13,48,984 7,30,305 0 11,456 0 18,37,847 1,07,454 3,10,665 18,37,846 1,35,795 0 63,38,171 21,03,584 11,10,642 63,38,171

46 46 0 13,48,984 7,36,365 0 11,898 0 18,63,989 1,21,827 2,69,797 18,63,989 1,46,382 0 66,63,852 23,02,183 9,72,717 66,63,852

47 47 0 13,48,984 7,42,426 0 10,576 -121,827 16,18,781 10,576 2,73,640 16,18,781 1,31,414 -500,000 58,36,304 19,78,092 10,22,739 58,36,304

48 48 0 13,48,984 7,48,486 0 10,973 0 16,41,843 21,790 2,77,539 16,41,843 1,41,598 0 61,36,434 21,68,330 10,75,343 61,36,434

49 49 0 13,48,984 7,54,547 0 11,379 0 16,65,237 33,663 2,81,493 16,65,237 1,52,537 0 64,52,060 23,73,872 11,30,660 64,52,060

50 50 0 13,48,984 7,60,608 0 11,809 0 16,88,959 46,232 2,85,505 16,88,959 1,64,341 0 67,83,959 25,95,935 11,88,842 67,83,959

51 51 0 13,48,984 7,66,668 0 12,248 0 17,13,033 59,517 2,89,576 17,13,033 1,77,018 0 71,33,051 28,35,678 12,50,034 71,33,051

52 52 0 13,48,984 7,72,729 0 12,712 0 17,37,456 73,559 2,93,708 17,37,456 1,90,630 0 75,00,202 30,94,533 13,14,382 75,00,202

53 53 0 13,48,984 7,78,789 0 13,187 0 17,62,249 88,379 2,97,902 17,62,250 2,05,306 0 78,86,294 33,73,900 13,82,065 78,86,294

54 54 0 13,48,984 7,84,850 0 13,674 0 17,87,412 1,04,007 3,02,156 17,87,412 2,21,061 0 82,92,392 36,75,322 14,53,247 82,92,392

55 55 0 13,48,984 7,90,911 0 14,171 0 18,12,937 1,20,469 2,69,797 18,12,937 2,37,969 0 87,19,482 40,00,453 13,70,828 87,19,482



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Assured


(Including Rider

Benefit(If Any))

Guaranteed

Surrender

Value

Survival/

Maturity

Benefit


Benefit

Surrender

Value of

PUA

Terminal

Bonus

Special

Surrender

Value


Benefit

Surrender

Value of

PUA

Terminal

Bonus

Special

Surrender

Value


56 56 0 13,48,984 7,96,971 0 12,937 -120,469 16,18,781 12,937 2,73,650 16,18,781 2,29,888 -500,000 82,24,967 38,13,083 14,41,467 82,24,967

57 57 0 13,48,984 8,03,032 0 13,423 0 16,41,903 26,643 2,77,563 16,41,903 2,47,428 0 86,48,801 41,50,378 15,15,745 86,48,801

58 58 0 13,48,984 8,09,093 0 13,906 0 16,65,380 41,131 2,81,530 16,65,380 2,66,392 0 90,94,470 45,14,577 15,93,875 90,94,470

59 59 0 13,48,984 8,15,153 0 14,414 0 16,89,182 56,444 2,85,554 16,89,182 2,86,738 0 95,63,250 49,07,704 16,76,036 95,63,250

60 60 0 13,48,984 7,20,040 1,01,174 14,949 0 17,13,326 72,625 2,89,639 17,13,327 3,08,642 0 1,00,56,216 53,31,799 17,62,441 1,00,56,216

61 61 0 13,48,984 6,24,927 1,01,174 15,496 -101,174 17,37,832 89,702 2,93,782 17,37,832 3,32,220 -101,174 1,05,74,644 57,89,177 18,53,313 1,05,74,644

62 62 0 13,48,984 5,29,814 1,01,174 16,070 -101,174 17,62,692 1,07,722 2,97,987 17,62,691 3,57,597 -101,174 1,11,19,878 62,82,481 19,48,886 1,11,19,878

63 63 0 13,48,984 4,34,701 1,01,174 16,657 -101,174 17,87,924 1,26,719 3,02,254 17,87,924 3,84,905 -101,174 1,16,93,316 68,14,558 20,49,403 1,16,93,316

64 64 0 13,48,984 3,39,587 1,01,174 17,274 -101,174 18,13,524 1,46,744 3,06,584 18,13,523 4,14,287 -101,174 1,22,96,419 73,88,386 21,55,118 1,22,96,419

65 65 0 13,48,984 2,44,474 1,01,174 17,904 -101,174 18,39,506 1,67,839 3,10,977 18,39,506 4,45,894 -101,174 1,29,30,709 80,07,635 22,66,290 1,29,30,709

66 66 0 13,48,984 1,49,361 1,01,174 18,550 -101,174 18,65,864 1,90,077 3,15,431 18,65,864 4,80,000 -101,174 1,35,97,740 86,77,402 23,83,195 1,35,97,740

67 67 0 13,48,984 54,248 1,01,174 19,241 -101,174 18,92,585 2,13,507 3,19,951 18,92,584 5,16,796 -101,174 1,42,99,170 94,00,465 25,06,139 1,42,99,170

68 68 0 13,48,984 0 1,01,174 19,949 -101,174 19,19,704 2,38,183 3,24,535 19,19,704 5,56,363 -101,174 1,50,36,835 1,01,81,469 26,35,407 1,50,36,835

69 69 0 13,48,984 0 1,01,174 20,689 -101,174 19,47,211 2,64,193 3,29,186 19,47,211 5,99,160 -101,174 1,58,12,442 1,10,26,060 27,71,342 1,58,12,442

70 70 0 13,48,984 0 1,01,174 21,463 -101,174 19,75,116 2,91,627 3,33,904 19,75,116 6,45,307 -101,174 1,66,28,051 1,19,40,533 29,14,257 1,66,28,051

71 71 0 13,48,984 0 1,01,174 22,271 -101,174 20,03,424 3,20,604 3,38,690 20,03,424 6,95,196 -101,174 1,74,85,544 1,29,32,041 30,64,494 1,74,85,544

72 72 0 13,48,984 0 1,01,174 23,116 -101,174 20,32,139 3,51,254 3,43,543 20,32,139 7,49,269 -101,174 1,83,86,963 1,40,09,407 32,22,409 1,83,86,963

73 73 0 13,48,984 0 1,01,174 23,996 -101,174 20,61,258 3,83,734 3,48,462 20,61,258 8,08,019 -101,174 1,93,34,454 1,51,82,959 33,88,376 1,93,34,454

74 74 0 13,48,984 0 14,50,157 24,950 -101,174 20,90,773 4,18,277 3,53,452 22,21,887 8,71,829 -101,174 2,03,30,256 1,64,64,725 35,62,742 2,14,77,624

Maturity Benefit R 14,50,158 R 22,21,887 R 2,14,77,624

(BOY) - Beginning of Year Value (EOY) - End of Year value



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Important Notes:

-- This is only an illustrative document. It does not purport to be a contract of insurance and does not in any way create any rights and/or obligations. Bonuses (if applicable and shown in the illustration) are not guaranteed, and bonus rates will be based on

the actual company experience from time to time.

-- Benefits secured under your Policy shall become payable provided all contractual premiums are paid as and when they are due. The illustrative benefits above assume that all the contractual premiums will be paid on the due dates.

-- Paid Up Additions (PUA) withdrawals (if any) shown are illustrative. In case you wish to withdraw the money, then you will have to give a request at that point of time.

-- Please refer to the product brochures, for understanding the product features and explanation of the terms used in this illustration.

-- Service Tax and Education Cess would be levied as per applicable laws.

-- You may be entitled to certain applicable tax benefits on your premiums and Policy benefits. Please note that all the tax benefits are subject to tax laws prevailing at the time of payment of premium or receipt of benefits by you/ your nominee.

-- Guaranteed Death Benefit is defined as higher of 11 times the annualised premium, 105% of all premiums paid as on the date of death or Guaranteed Maturity Sum Assured. Please note that here annualised premium includes extra premium, if any, but

does not include loading for modal premium.

I ________________________________________________________ (Name), have explained the terms and conditions and the benefits of the policy to the prospect/policyholder.

Signature of Agent/Specified Person:

Name and ID:

Place:

Date:

Company Seal:

I _____________________________________________________________________________________ (Name), having received the information with respect to the above, have understood the above statement before entering into the contract.I understand

and intend to continue paying the above said premium amount for the complete Premium Payment Period and as per the opted frequency.

Policy Holders Signature:

Policy Holders Name:

Date:


2010.1.2.8.6.60.04amsure11113489841121072 100000001000000 10000018001000000 2000000 1

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