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IN THIS POLICY, THE INVESTMENT RISK IN INVESTMENT PORTFOLIO IS BORNE BY THE POLICYHOLDER

Oct 4 2011
To,
CHETAN DAKUBHAI NAKRANI
B 134 KUBER NAGAR 1
KATARGAM DARWAJA

Policy No
Policy Issue Date
Next Due Date
Insured
Owner
Premium
Premium Mode

SURAT
GUJARAT 395004

: U011062901
Aug 07, 2008
Nov 07, 2011
CHETAN DAKUBHAI NAKRANI
CHETAN DAKUBHAI NAKRANI
: 3900.00
: Quarterly

:
:
:
:

Dear Policyowner,
Transaction Type: Unit Statement
We are pleased to enclose the Fund Activity statement for your reference.
Please feel free to contact your servicing agent or call our 24-hour Toll Free Helpline at 1-800-119966 (this
facility is available to MTNL and BSNL users only) or email us at customercare@tata-aig.com or SMS 'SERVICE'
to 58888 should you require any assistance. We shall be glad to be of assistance to you.
Fund Value as on : Oct 03 2011

Fund Portfolio

Net Asset
Value(INR)

Regular Premium
Units

Top Up Premium

Value(INR)

Units

Value(INR)

Surrender
Value (INR)

Whole Life Mid Cap Equity Fund(WLE)

12.502000

1690.596644

21135.84

0.000000

0.00

Tata-AIG Large Cap Equity Fund(TLC)

9.718900

0.000000

0.00

0.000000

0.00

0.00

Select Equity Fund(TSE)

16.075200

1286.041640

20673.38

0.000000

0.00

15505.03

0.00

31356.91

TOTAL

41809.22

PREMIUM INFORMATION DETAILS

Amount

Total
Total
Total
Total
Total
Total
Total
Total
Total
Total
Total
Total
Total
Total
Total
Total
Total
Total

Rs.48750.00
Rs.42512.76
Rs.5662.50
Rs.574.74
Rs.0.00
Rs.0.00
Rs.0.00
Rs.0.00
Rs.0.00
Rs.0.00
Rs.2850.00
Rs.227.22
Rs.2586.06
Rs.276.24
Rs.0.00
Rs.0.00
Rs.0.00
Rs.0.00

Regular Premium(s) Paid


Regular Premium(s) Invested
Policy Allocation Charge(s)
Service Tax on Premium Allocation Charge(s)
Top-up Premium(s) Paid
Top-up Premium(s) Invested
Top-up Premium Allocation Charge(s)
Service Tax on Top-up Premium Allocation Charge(s)
Fund Switch Charge(s)
Service Tax on Fund Switch Charge(s)
Monthly Administration Charge(s)
Service Tax on Monthly Administration Charge(s)
Mortality Charge(s) on Basic Sum Assured
Service Tax on Mortality charge(s)of Basic Sum Assured
Mortality Charge(s) on Top-up Sum Assured
Service Tax on Mortality charge(s) of Top-up Sum Assured
Partial Withdrawal Charge(s)
Service Tax on Partial Withdrawal Charge(s)

15851.88

Your current premium allocation instructions to the respective funds :Fund Description

Regular (%)

Top Up (%)

Select Equity Fund


Whole Life Mid Cap Equity Fund

50
50

0
0

Tata AIG Life Insurance Company Ltd.


Corporate/Regd. Office: Delphi- B Wing, 2nd Floor, Orchard Avenue, Hiranandani Business Park ,Powai, Mumbai-400076
For more information,call the Tata AIG Life Toll-free 24-hour Helpline at 1-800-119966(Facility available to MTNL & BSNL users)

COVERAGE INFORMATION DETAILS


Benefit Type

Sum Assured(INR) Effective Date Expiry Date

Tata AIG Life InvestAssure Flexi - 5-14 years


Total Top-up Sum Assured

750000.00
0.00

Aug 07, 2008

Aug 07, 2048

Transaction details for the Given Preiod


DealingDate

Txn Type

Fund Action No. of units Unit Price

Amount

Charge(INR) Balance Units

07-08-2008

Regular Premium

WLE

Buy

141.973980

10.6840

1516.85

358.15

141.973980

07-08-2008

Regular Premium

TLC

Buy

176.747845

8.5820

1516.85

358.15

176.747845

07-08-2008

MAV

WLE

Sell

-7.551479

10.6840

-80.68

0.00

134.422501

07-08-2008

MAV

TLC

Sell

-9.399907

8.5820

-80.67

0.00

167.347938

07-09-2008

MAV

WLE

Sell

-7.598908

10.6160

-80.67

0.00

126.823593

07-09-2008

MAV

TLC

Sell

-9.460664

8.5290

-80.69

0.00

157.887274

07-10-2008

MAV

WLE

Sell

-9.496152

8.3160

-78.97

0.00

117.327441

07-10-2008

MAV

TLC

Sell

-11.823656

6.9750

-82.47

0.00

146.063618

07-11-2008

Regular Premium

WLE

Buy

216.445491

7.0080

1516.85

358.15

333.772932

07-11-2008

Regular Premium

TLC

Buy

246.082090

6.1640

1516.85

358.15

392.145708

07-11-2008

MAV

WLE

Sell

-11.309932

7.0080

-79.26

0.00

322.463000

07-11-2008

MAV

TLC

Sell

-13.288450

6.1640

-81.91

0.00

378.857258

07-12-2008

MAV

WLE

Sell

-12.502405

6.2380

-77.99

0.00

309.960595

07-12-2008

MAV

TLC

Sell

-14.688548

5.6670

-83.24

0.00

364.168710

07-01-2009

MAV

WLE

Sell

-11.627159

6.8340

-79.46

0.00

298.333436

07-01-2009

MAV

TLC

Sell

-13.661431

5.9840

-81.75

0.00

350.507279

07-02-2009

MAV

WLE

Sell

-12.483038

6.1900

-77.27

0.00

285.850398

07-02-2009

MAV

TLC

Sell

-14.668181

5.7260

-83.99

0.00

335.839098

05-03-2009

Regular Premium

WLE

Buy

270.062046

5.6410

1523.42

351.58

555.912444

05-03-2009

Regular Premium

TLC

Buy

302.806600

5.0310

1523.42

351.58

638.645698

07-03-2009

MAV

WLE

Sell

-14.002164

5.5470

-77.67

0.00

541.910280

07-03-2009

MAV

TLC

Sell

-16.087653

4.9970

-80.39

0.00

622.558045

07-04-2009

MAV

WLE

Sell

-11.683214

6.5470

-76.49

0.00

530.227066

07-04-2009

MAV

TLC

Sell

-13.424523

6.0680

-81.46

0.00

609.133522

07-05-2009

MAV

WLE

Sell

-10.335362

7.3950

-76.43

0.00

519.891704

07-05-2009

MAV

TLC

Sell

-11.873178

6.8600

-81.45

0.00

597.260344

07-06-2009

MAV

WLE

Sell

-8.332980

9.4300

-78.58

0.00

511.558724

07-06-2009

MAV

TLC

Sell

-9.572898

8.2650

-79.12

0.00

587.687446

09-06-2009

Regular Premium

WLE

Buy

157.231913

9.6890

1523.42

351.58

668.790637

09-06-2009

Regular Premium

TLC

Buy

180.521389

8.4390

1523.42

351.58

768.208835

07-07-2009

MAV

WLE

Sell

-8.384322

9.4140

-78.93

0.00

660.406315

07-07-2009

MAV

TLC

Sell

-9.630721

8.1510

-78.50

0.00

758.578114

07-08-2009

MAV

WLE

Sell

-8.008775

10.0290

-80.32

0.00

652.397540

07-08-2009

MAV

TLC

Sell

-9.200376

8.5290

-78.47

0.00

749.377738

12-08-2009

Regular Premium

WLE

Buy

154.442417

9.8640

1523.42

351.58

806.839957

12-08-2009

Regular Premium

TLC

Buy

180.350421

8.4470

1523.42

351.58

929.728159

07-09-2009

MAV

WLE

Sell

-7.524753

10.6050

-79.80

0.00

799.315204

07-09-2009

MAV

TLC

Sell

-8.672625

9.0630

-78.60

0.00

921.055534

07-10-2009

MAV

WLE

Sell

-7.155181

11.1290

-79.63

0.00

792.160023

07-10-2009

MAV

TLC

Sell

-8.244971

9.5440

-78.69

0.00

912.810563

07-11-2009

MAV

WLE

Sell

-7.051204

11.4250

-80.56

0.00

785.108819

07-11-2009

MAV

TLC

Sell

-8.126895

9.5670

-77.75

0.00

904.683668

20-11-2009

Regular Premium

WLE

Buy

131.159708

11.6150

1523.42

351.58

916.268527

20-11-2009

Regular Premium

TLC

Buy

156.056137

9.7620

1523.42

351.58

1060.739805

07-12-2009

MAV

WLE

Sell

-6.771872

11.9450

-80.89

0.00

909.496655

07-12-2009

MAV

TLC

Sell

-7.839048

9.8290

-77.05

0.00

1052.900757

07-01-2010

MAV

WLE

Sell

-6.523132

12.4940

-81.50

0.00

902.973523

07-01-2010

MAV

TLC

Sell

-7.551909

10.1140

-76.38

0.00

1045.348848

07-02-2010

MAV

WLE

Sell

-6.977394

11.8110

-82.41

0.00

895.996129

07-02-2010

MAV

TLC

Sell

-8.079060

9.3600

-75.62

0.00

1037.269788

07-03-2010

MAV

WLE

Sell

-6.579158

12.5396

-82.50

0.00

889.416971

07-03-2010

MAV

TLC

Sell

-7.616413

9.9023

-75.42

0.00

1029.653375

10-03-2010

Regular Premium

WLE

Buy

122.326699

12.4537

1523.42

351.58

1011.743670

10-03-2010

Regular Premium

TLC

Buy

154.201673

9.8794

1523.42

351.58

1183.855048

07-04-2010

MAV

WLE

Sell

-6.261639

13.1036

-82.05

0.00

1005.482031

07-04-2010

MAV

TLC

Sell

-7.326118

10.3015

-75.47

0.00

1176.528930

07-05-2010

Regular Premium

WLE

Buy

119.564570

12.7414

1523.42

351.58

1125.046601

Tata AIG Life Insurance Company Ltd.


Corporate/Regd. Office: Delphi- B Wing, 2nd Floor, Orchard Avenue, Hiranandani Business Park ,Powai, Mumbai-400076
For more information,call the Tata AIG Life Toll-free 24-hour Helpline at 1-800-119966(Facility available to MTNL & BSNL users)

07-05-2010

Regular Premium

TLC

Buy

155.183409

9.8169

1523.42

351.58

1331.712339

07-05-2010

MAV

WLE

Sell

-6.458474

12.7414

-82.29

0.00

1118.588127

07-05-2010

MAV

TLC

Sell

-7.642943

9.8169

-75.03

0.00

1324.069396

07-06-2010

MAV

WLE

Sell

-6.392808

12.9020

-82.48

0.00

1112.195319

07-06-2010

MAV

TLC

Sell

-7.568279

9.8860

-74.82

0.00

1316.501117

07-07-2010

MAV

WLE

Sell

-5.829194

13.4667

-78.50

0.00

1106.366125

07-07-2010

MAV

TLC

Sell

-6.899804

10.2858

-70.97

0.00

1309.601313

07-08-2010

MAV

WLE

Sell

-5.584821

14.1616

-79.09

0.00

1100.781304

07-08-2010

MAV

TLC

Sell

-6.611464

10.7964

-71.38

0.00

1302.989849

10-08-2010

Regular Premium

WLE

Buy

129.144152

14.0831

1818.75

56.25

1229.925456

10-08-2010

Regular Premium

TLC

Buy

169.225402

10.7475

1818.75

56.25

1472.215251

17-08-2010

Ad Hoc Fund
Switching

TLC

Out

-1472.215251

10.7164

-15776.85

0.00

0.000000

17-08-2010

Ad Hoc Fund
Switching

TSE

In

922.234498

17.1072

15776.85

0.00

922.234498

07-09-2010

MAV

WLE

Sell

-5.339833

14.7514

-78.77

0.00

1224.585623

07-09-2010

MAV

TSE

Sell

-4.003037

17.7865

-71.20

0.00

918.231461

07-10-2010

MAV

WLE

Sell

-5.092203

15.3195

-78.01

0.00

1219.493420

07-10-2010

MAV

TSE

Sell

-3.818767

18.8045

-71.81

0.00

914.412694

07-11-2010

MAV

WLE

Sell

-4.996273

15.6937

-78.41

0.00

1214.497147

07-11-2010

MAV

TSE

Sell

-3.746922

19.0423

-71.35

0.00

910.665772

19-11-2010

Regular Premium

WLE

Buy

120.682791

15.0705

1818.75

56.25

1335.179938

19-11-2010

Regular Premium

TLC

Buy

156.111860

11.6503

1818.75

56.25

156.111860

07-12-2010

MAV

WLE

Sell

-5.149770

14.8628

-76.54

0.00

1330.030168

07-12-2010

MAV

TLC

Sell

-0.602527

11.8169

-7.12

0.00

155.509333

07-12-2010

MAV

TSE

Sell

-3.511719

18.7572

-65.87

0.00

907.154053

07-01-2011

MAV

WLE

Sell

-5.260703

14.3631

-75.56

0.00

1324.769465

07-01-2011

MAV

TLC

Sell

-0.615630

11.5654

-7.12

0.00

154.893703

07-01-2011

MAV

TSE

Sell

-3.587581

18.6616

-66.95

0.00

903.566472

07-02-2011

MAV

WLE

Sell

-5.746654

13.1172

-75.38

0.00

1319.022811

07-02-2011

MAV

TLC

Sell

-0.672183

10.7560

-7.23

0.00

154.221520

07-02-2011

MAV

TSE

Sell

-3.919561

17.1856

-67.36

0.00

899.646911

14-02-2011

Regular Premium

WLE

Buy

137.458149

13.2313

1818.75

56.25

1456.480960

14-02-2011

Regular Premium

TSE

Buy

105.366982

17.2611

1818.75

56.25

1005.013893

15-02-2011

Ad Hoc Fund
Switching

TLC

Out

-154.221520

10.8954

-1680.31

0.00

0.000000

15-02-2011

Ad Hoc Fund
Switching

TSE

In

97.212596

17.2849

1680.31

0.00

1102.226489

07-03-2011

MAV

WLE

Sell

-5.771988

12.9730

-74.88

0.00

1450.708972

07-03-2011

MAV

TSE

Sell

-4.368178

17.1124

-74.75

0.00

1097.858311

07-04-2011

MAV

WLE

Sell

-5.379521

13.9808

-75.21

0.00

1445.329451

07-04-2011

MAV

TSE

Sell

-4.071581

18.2116

-74.15

0.00

1093.786730

07-05-2011

MAV

WLE

Sell

-5.835788

13.6177

-79.47

0.00

1439.493663

07-05-2011

MAV

TSE

Sell

-4.415639

17.6124

-77.77

0.00

1089.371091

17-05-2011

Regular Premium

WLE

Buy

133.599606

13.5701

1812.96

62.05

1573.093269

17-05-2011

Regular Premium

TSE

Buy

103.462937

17.5227

1812.95

62.05

1192.834028

07-06-2011

MAV

WLE

Sell

-5.689080

13.8177

-78.61

0.00

1567.404189

07-06-2011

MAV

TSE

Sell

-4.313657

18.1192

-78.16

0.00

1188.520371

07-07-2011

MAV

WLE

Sell

-5.566052

14.1321

-78.66

0.00

1561.838137

07-07-2011

MAV

TSE

Sell

-4.220295

18.4916

-78.04

0.00

1184.300076

07-08-2011

MAV

WLE

Sell

-6.068499

13.2471

-80.39

0.00

1555.769638

07-08-2011

MAV

TSE

Sell

-4.601632

16.8462

-77.52

0.00

1179.698444

24-08-2011

Regular Premium

WLE

Buy

140.872606

12.8695

1812.96

62.05

1696.642244

24-08-2011

Regular Premium

TSE

Buy

110.941469

16.3415

1812.95

62.05

1290.639913

07-09-2011

MAV

WLE

Sell

-6.045600

13.2063

-79.84

0.00

1690.596644

07-09-2011

MAV

TSE

Sell

-4.598273

16.8933

-77.68

0.00

1286.041640

Note: MAV refers to Administration Charges, Mortality Charges and Service Tax^.
Whilst every care has been taken in the preparation of this statement, it is subject to correction and this
statement should be read along with the policy document and does not individually confer any legal rights.
For Surrender charges please refer to the policy document.
As this is a computer-generated statement, no signature is required.
^Service tax is payable on life insurance premium as per section 65(105)(zx) of Finance Bill (No.2), 2004 at
the applicable rates as per circular number 80/10/2004-S.T. dated September 17, 2004 issued by the Government
of India, Ministry of Finance and subsequent directions issued by the authorities from time to time.The
service tax component payable by the policyholder at applicable rates will be stated in the premium notice and

Tata AIG Life Insurance Company Ltd.


Corporate/Regd. Office: Delphi- B Wing, 2nd Floor, Orchard Avenue, Hiranandani Business Park ,Powai, Mumbai-400076
For more information,call the Tata AIG Life Toll-free 24-hour Helpline at 1-800-119966(Facility available to MTNL & BSNL users)

the premium deemed appropriate. For Basic policy, service tax is levied on mortality charge and will be
deducted through unit cancellation from the relevant funds. Extra amount is payable for service tax on rider
premium.

Tata AIG Life Insurance Company Ltd.


Corporate/Regd. Office: Delphi- B Wing, 2nd Floor, Orchard Avenue, Hiranandani Business Park ,Powai, Mumbai-400076
For more information,call the Tata AIG Life Toll-free 24-hour Helpline at 1-800-119966(Facility available to MTNL & BSNL users)

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