This shall form a part of the policy document Benefit Illustration of Reliance Life Insurance Money Multiplier Plan

Name of the life Proposal : sanjeev kumar insured No : Age of Policy Policyholder : 30 No : (Years) Prepared on : 14/06/2012 Name of the Insurance : DIRECT Advisor Sex : Male Unique Identification : 121N079V01 No. Basic Cover Policy Term(years) 10 Mode of Premium Payment Yearl Annualis 30618 ed y Premium on basic Plan (Exclusiv e of service tax(`)) 3109 Installme 31564 nt 1 premium (Inclusive of Service tax(`))Yea r 1: (To be collected with New Business Proposal s) 38 Sum Assured 21000 for Basic 0 Plan (`)

Amount of Installment 3061 Installment premium Premium 8 (Inclusive of Service tax(`))Year 2 (Exclusive of service tax(`)) onwards:

Premium Paying Term(years)

10

Maturity Age(Years)

Note :Some benefits are guaranteed and some benefits are variable with returns based on the future performance of Reliance Life Insurance. 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 illustration on this page will show two different rates of assumed 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.

Statement of various charges alongwith growth of the fund expected over the duration of the policy with assured rate of interest as mentioned. (all figures are in rupees) Benefit illustration table Annualise d Premiu Guarantee Age of premium Service m Basic d Loyalty Polic Guarantee Death Maturit Policyhold (Excludin Tax on (inclusiv Sum Addition Surrend y d Maturity Benefi y er g service Premiu e of Assure accrued at er Value Year Addition t Benefit (Years) tax and m Service d the end of rider, if tax) the year any) 1 2 3 4 5 6 7 8 9 10 28 29 30 31 32 33 34 35 36 37 30618 30618 30618 30618 30618 30618 30618 30618 30618 30618 946 473 473 473 473 473 473 473 473 473 31564 31091 31091 31091 31091 31091 31091 31091 31091 31091 21000 0 21000 0 21000 0 21000 0 21000 0 21000 0 21000 0 21000 0 21000 0 21000 0 2100 6300 12600 21000 31500 44100 58800 75600 94500 115500 0 0 0 0 0 0 0 0 0 21000 NA NA 22680 42000 68250 102060 144060 194880 255150 325500 42210 0 42630 0 43260 0 44100 0 45150 0 46410 0 47880 0 49560 0 51450 0 0 0 0 0 0 0 0 0 0

53550 34650 0 0

Notes:1. The premium amount shown above is calculated assuming that the life Proposed/Assured is a normal healthy person. 2. In the event the Life Proposed/Assured is suffering from any sickness/ medical problems or in the event of any past medical history, the premium will be adjusted accordingly, as per the underwriting guidelines of Reliance Life Insurance Company Limited. 3. This premium shown above is indicative. Depending upon the factors such as health, occupation of the customer and other intrinsic factors such as non submission of documentary evidences like age proof, the premium will be adjusted accordingly, as per the underwriting guidelines of Reliance Life Insurance Company Limited. 4. For details of the rates and the terms and conditions applicable to the particular person/policy, kindly refer to the specifications in the policy document after issuance. 5. The current rate of service tax along with education cess is 3.09% and 1.545% initial and renewal premiums respectively on base policy premium and a service tax along with education cess of 12.36% is levied on rider premiums.The service tax rate will be revised as and when notified by the Government. 6. For more details on risk factor, terms and conditions, please read Sales brochure of the particular

plan carefully before concluding a sale. 7. The policy acquires Surrender Value after three years full premiums are paid . There is a guaranteed minimum surrender value equal to 30% of all the premiums paid (excluding extra premiums, rider premiums and first year premium). Subject to the guaranteed minimum surrender value, the company may however pay a special surrender value calculated according to the basis and method in use from time to time.The policy acquires a paid up value after three years full premiums are paid . Please refer to sales brochure for more details.

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

Marketing officials' Signature: Company Seal: Place: Date:

Policyholder's Signature:

For more details on risk factors , terms and conditions please read sales brochure carefully before concluding a sale.