BENEFIT ILLUSTRATION

[Date and Time of Illustration – 21 July 2025, 04:41 PM]

Name of the Prospect/Policyholder: Mr. Proposal No:

Age & Gender: 35 Years, Male Name of the Product: Axis Max Life Smart Wealth Income Plan
Name of the Life Assured: Mr. Tag Line: A Non-Linked Participating Individual Life Insurance Savings Plan
Age & Gender: 1 Years, Male Unique Identification No: 104N120V03
Policy Term: 99 Years GST Rate (Base Policy, First 4.50%
Premium Payment Term: 15 Years GST Rate (Rider, First Year): 18.00%
Amount of Installment Premium: `5,22,500 Axis Max Life State: Chhattisgarh
Mode of payment of premium: Annual Policyholder Residential State: Chhattisgarh

How to read and understand this benefit illustration?

This benefit illustration is intended 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 returns benefits then
these will be clearly marked “guaranteed” in the illustration table on the next this page. If your policy offers variable returns benefits then the illustration on the next 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 illustrative, 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
Policy Option Deferred Income Sum Assured (in Rs.) 77,63,975
Policy Continuance Benefit Option No Sum Assured on Death (at inception of the policy) (in Rs.) 55,00,000
Payment Frequency for Guaranteed Income/Cash Bonus Annual

Rider Details
Accidental Death & Dismemberment (ADD) Rider Premium
NA Accidental Death & Dismemberment (ADD) Rider Sum Assured (in Rs.) NA
Payment Term and Rider Term
Term Plus Rider Term NA Term Plus Rider Sum Assured (in Rs.) NA
Waiver of Premium (WOP) Plus Rider Term NA
Critical Illness and Disability Rider - Rider Premium Payment Term
NA Critical Illness and Disability Rider - Coverage Variant NA
and Rider Term
Critical Illness and Disability Rider - Rider Sum Assured NA

Premium Summary

Accidental Death & Waiver of Premium Critical Illness and Total Installment
Base Plan Term Plus Rider
Dismemberment Rider Plus Rider Disability Rider Premium

Installment Premium without GST (in Rs.) 5,00,000 0 0 0 0 5,00,000

Installment Premium with first year GST (in Rs.) 5,22,500 0 0 0 0 5,22,500
Installment Premium with GST 2nd year onwards (in Rs.) 5,11,250 0 0 0 0 5,11,250

UIN: 104N120V03 Axis Max Life Insurance Limited, Corporate Office – 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram – 122002 Page 1 of 8
 (Amount in Rupees)

Non-Guaranteed Benefits Non-Guaranteed Benefits Total Benefits including Guaranteed and Non- Guaranteed Benefits
Guaranteed Benefits
@ 4% p.a. @ 8% p.a.
Survival Benefit Surrender Value Death Benefit Maturity Benefit
Single/
Annualiz Survival Total Total
Policy Total
Total Total Total Total Total
ed Benefit Surrender Surrender Survival Survival Surrender
Year Survival Maturity Surrender Death Death Maturity Maturity
Premium (Guaranteed Surrender Benefit (SSV Death Maturity Survival Surrender Benefit (SSV Death Benefit, Benefit, Benefit,
Benefit Benefit Benefit, Benefit, Benefit, Benefit, Benefit,
Income/Gua Death Maturity Benefit Including TB Benefit Benefit Benefit Benefit Including TB Benefit incl. of incl. of [Link] TB, if
(Cash (TB at incl. of TB, if
any @ 8%
incl. of TB, incl. of TB, incl. TB, if incl. TB, if
ranteed Benefit Benefit (GSV) on (TB on (TB at (Cash (GSV) on (TB on Cash Cash any @ 4%
Bonus) Maturity) Bonus, if (Higher of if any @ if any @ any @ 4% any @ 8%
Money Surrender) Death) Maturity) Bonus) Surrender) Death) Bonus, if (Higher of 7
any @ 8% 12 or 13) 4% (4+9) 8% (4+14) (5+10) (5+15)
Back) any @ 4% or 8)
(3+6) (3+11)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
5,00,0 55,00, 55,00,00 55,00,00
1 - - - - 93,216 - - - - 93,216 - - - - 93,216 93,216 - -
00 000 0 0
5,00,0 55,00, 3,00,00 3,00,00 55,00,00 55,00,00
2 - - - 3,50,000 - - - 3,50,000 - - - - 3,50,000 3,50,000 - -
00 000 0 0 0 0
5,00,0 55,00, 5,25,00 5,25,00 55,00,00 55,00,00
3 - - - 6,75,000 - - - 6,75,000 - - - - 6,75,000 6,75,000 - -
00 000 0 0 0 0
5,00,0 55,00, 10,00,0 10,00,0 11,00,00 11,00,00 55,00,00 55,00,00
4 - - - 11,00,000 - - - 11,00,000 - - - - - -
00 000 00 00 0 0 0 0
5,00,0 55,00, 12,50,0 12,50,0 14,62,50 14,62,50 55,00,00 55,00,00
5 - - - 14,62,500 - - - 14,62,500 - - - - - -
00 000 00 00 0 0 0 0
5,00,0 55,00, 15,00,0 15,00,0 18,60,00 18,60,00 55,00,00 55,00,00
6 - - - 18,60,000 - - - 18,60,000 - - - - - -
00 000 00 00 0 0 0 0
5,00,0 55,00, 17,50,0 17,50,0 22,92,50 22,92,50 55,00,00 55,00,00
7 - - - 22,92,500 - - - 22,92,500 - - - - - -
00 000 00 00 0 0 0 0
5,00,0 55,00, 22,28,4 22,28,4 27,60,00 29,32,25 55,00,00 55,00,00
8 - - - 27,60,000 - - - 29,32,259 - - - - - -
00 000 00 00 0 9 0 0
5,00,0 55,00, 27,64,3 27,64,3 32,62,50 36,88,25 55,00,00 55,00,00
9 - - - 32,62,500 - - - 36,88,255 - - - - - -
00 000 50 50 0 5 0 0
5,00,0 55,00, 33,57,0 33,57,0 38,00,00 45,47,11 55,00,00 55,00,00
10 - - - 38,00,000 - - - 45,47,110 - - - - - -
00 000 00 00 0 0 0 0
5,00,0 57,75, 40,07,3 40,07,3 44,04,44 55,28,07 57,75,00 57,75,00
11 - - - 44,04,448 - - - 55,28,074 - - - - - -
00 000 00 00 8 4 0 0
5,00,0 63,00, 47,14,2 47,14,2 4,38,4 51,49,85 66,39,95 63,00,00 67,38,47
12 - - - 51,49,853 - - - 66,39,955 - - - - -
00 000 00 00 79 3 5 0 9
5,00,0 68,25, 54,78,8 54,78,8 11,57, 58,54,67 78,91,56 68,25,00 79,82,85
13 - - - 58,54,679 - - - 78,91,562 - - - - -
00 000 50 50 858 9 2 0 8
5,00,0 73,50, 63,00,0 63,00,0 20,27, 66,07,05 93,00,83 73,50,00 93,77,96
14 - - - 66,07,057 - - - 93,00,838 - - - - -
00 000 00 00 964 7 8 0 4
5,00,0 78,75, 67,50,0 1,11,16 67,50,0 1,08,50,9 30,58, 71,69,62 1,08,50, 79,86,16 1,09,33,
15 - - - 71,69,625 - - - - - - -
00 000 00 5 00 49 584 5 949 5 584
78,75, 67,50,0 4,43,66 67,50,0 1,21,28,2 43,35, 73,00,31 1,21,28, 83,18,66 1,22,10,
16 - - - - 73,00,319 - - - - - - -
000 00 0 00 14 849 9 214 0 849

UIN: 104N120V03 Axis Max Life Insurance Limited, Corporate Office – 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram – 122002 Page 2 of 8
 Non-Guaranteed Benefits Non-Guaranteed Benefits Total Benefits including Guaranteed and Non- Guaranteed Benefits
Guaranteed Benefits
@ 4% p.a. @ 8% p.a.
Survival Benefit Surrender Value Death Benefit Maturity Benefit
Single/
Annualiz Survival Total Total
Policy Total
Total Total Total Total Total
ed Benefit Surrender Surrender Survival Survival Surrender
Year Survival Maturity Surrender Death Death Maturity Maturity
Premium (Guaranteed Surrender Benefit (SSV Death Maturity Survival Surrender Benefit (SSV Death Benefit, Benefit, Benefit,
Benefit Benefit Benefit, Benefit, Benefit, Benefit, Benefit,
Income/Gua Death Maturity Benefit Including TB Benefit Benefit Benefit Benefit Including TB Benefit incl. of incl. of [Link] TB, if
(Cash (TB at incl. of TB, if
any @ 8%
incl. of TB, incl. of TB, incl. TB, if incl. TB, if
ranteed Benefit Benefit (GSV) on (TB on (TB at (Cash (GSV) on (TB on Cash Cash any @ 4%
Bonus) Maturity) Bonus, if (Higher of if any @ if any @ any @ 4% any @ 8%
Money Surrender) Death) Maturity) Bonus) Surrender) Death) Bonus, if (Higher of 7
any @ 8% 12 or 13) 4% (4+9) 8% (4+14) (5+10) (5+15)
Back) any @ 4% or 8)
(3+6) (3+11)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
78,75, 24,84 63,60,2 4,53,67 5,47,3 58,37,7 1,21,35,9 44,33, 70,04,70 1,21,35, 83,28,67 1,23,08,
17 - 3,64,907 - 70,04,708 - - 3,89,752 9,12,267 - -
000 5 48 5 60 33 69 723 8 969 5 723
78,75, 24,84 59,70,4 4,64,19 5,47,3 49,25,4 1,21,43,7 45,36, 67,09,09 1,21,43, 83,39,19 1,24,11,
18 - 3,64,907 - 67,09,096 - - 3,89,752 9,12,267 - -
000 5 97 1 60 66 24 492 6 724 1 492
78,75, 24,84 55,80,7 4,75,20 5,47,3 40,13,1 1,21,61,2 46,44, 64,14,48 1,21,61, 83,50,20 1,25,19,
19 - 3,64,907 - 64,14,486 - - 3,89,752 9,12,267 - -
000 5 45 7 60 99 67 154 6 267 7 154
78,75, 24,84 51,90,9 4,86,72 5,47,3 31,00,9 1,21,88,5 47,56, 61,20,87 1,21,88, 83,61,72 1,26,31,
20 - 3,64,907 - 61,20,878 - - 3,89,752 9,12,267 - -
000 5 94 4 60 32 97 710 8 597 4 710
78,75, 24,84 48,01,2 4,99,74 5,47,3 21,88,6 1,22,20,8 48,83, 58,27,77 1,22,20, 83,74,74 1,27,58,
21 - 3,64,907 - 58,27,770 - - 3,89,752 9,12,267 - -
000 5 42 4 60 65 20 947 0 820 4 947
78,75, 24,84 44,11,4 5,13,26 5,47,3 12,76,3 1,22,62,8 50,16, 55,35,66 1,22,62, 83,88,26 1,28,91,
22 - 3,64,907 - 55,35,664 - - 3,89,752 9,12,267 - -
000 5 91 4 60 98 31 078 4 831 4 078
78,75, 24,84 40,21,7 4,77,71 5,47,3 3,64,13 1,23,09,7 51,57, 52,44,05 1,23,09, 83,52,71 1,30,32,
23 - 3,64,907 - 52,44,059 - - 3,89,752 9,12,267 - -
000 5 39 1 60 0 36 996 9 736 1 996
78,75, 24,84 36,31,9 4,36,14 5,47,3 1,26,01,3 53,04, 49,21,40 1,26,01, 83,11,14 1,31,79,
24 - 3,64,907 - 49,21,407 - - - 3,89,752 9,12,267 - -
000 5 88 9 60 66 808 7 366 9 808
78,75, 24,84 32,42,2 3,92,08 5,47,3 1,27,62,8 54,66, 45,48,18 1,27,62, 82,67,08 1,33,41,
25 - 3,64,907 - 45,48,180 - - - 3,89,752 9,12,267 - -
000 5 36 4 60 60 301 0 860 4 301
78,75, 24,84 28,52,4 3,46,01 5,47,3 1,29,34,1 56,37, 41,75,95 1,29,34, 82,21,01 1,35,12,
26 - 3,64,907 - 41,75,954 - - - 3,89,752 9,12,267 - -
000 5 84 5 60 40 582 4 140 5 582
78,75, 24,84 24,62,7 2,97,44 5,47,3 1,31,20,1 58,23, 38,05,23 1,31,20, 81,72,44 1,36,98,
27 - 3,64,907 - 38,05,231 - - - 3,89,752 9,12,267 - -
000 5 33 3 60 02 544 1 102 3 544
78,75, 24,84 20,72,9 2,46,36 5,47,3 1,33,15,8 60,19, 34,35,50 1,33,15, 81,21,36 1,38,94,
28 - 3,64,907 - 34,35,509 - - - 3,89,752 9,12,267 - -
000 5 81 7 60 52 293 9 852 7 293
78,75, 24,84 16,83,2 1,92,28 5,47,3 1,35,26,2 62,29, 30,84,47 1,35,26, 80,67,28 1,41,04,
29 - 3,64,907 - 30,84,478 - - - 3,89,752 9,12,267 - -
000 5 30 6 60 82 724 8 282 6 724
78,75, 24,84 12,93,4 1,35,70 5,47,3 1,37,46,5 64,49, 29,51,11 1,37,46, 80,10,70 1,43,24,
30 - 3,64,907 - 29,51,111 - - - 3,89,752 9,12,267 - -
000 5 78 2 60 00 942 1 500 2 942
78,75, 24,84 9,03,72 5,47,3 1,39,86,2 66,89, 28,07,43 1,39,86, 79,51,61 1,45,64,
31 - 3,64,907 - 28,07,435 76,614 - - - 3,89,752 9,12,267 - -
000 5 7 60 93 735 5 293 4 735
78,75, 24,84 5,13,97 5,47,3 1,42,40,7 69,44, 26,52,73 1,42,40, 78,89,02 1,48,19,
32 - 3,64,907 - 26,52,737 14,021 - - - 3,89,752 9,12,267 - -
000 5 5 60 67 209 7 767 1 209
78,75, 24,84 1,24,22 5,47,3 1,45,14,8 72,18, 24,85,99 1,45,14, 78,75,00 1,50,93,
33 - 3,64,907 - 24,85,998 - - - - 3,89,752 9,12,267 - -
000 5 4 60 16 258 8 816 0 258

UIN: 104N120V03 Axis Max Life Insurance Limited, Corporate Office – 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram – 122002 Page 3 of 8
 Non-Guaranteed Benefits Non-Guaranteed Benefits Total Benefits including Guaranteed and Non- Guaranteed Benefits
Guaranteed Benefits
@ 4% p.a. @ 8% p.a.
Survival Benefit Surrender Value Death Benefit Maturity Benefit
Single/
Annualiz Survival Total Total
Policy Total
Total Total Total Total Total
ed Benefit Surrender Surrender Survival Survival Surrender
Year Survival Maturity Surrender Death Death Maturity Maturity
Premium (Guaranteed Surrender Benefit (SSV Death Maturity Survival Surrender Benefit (SSV Death Benefit, Benefit, Benefit,
Benefit Benefit Benefit, Benefit, Benefit, Benefit, Benefit,
Income/Gua Death Maturity Benefit Including TB Benefit Benefit Benefit Benefit Including TB Benefit incl. of incl. of [Link] TB, if
(Cash (TB at incl. of TB, if
any @ 8%
incl. of TB, incl. of TB, incl. TB, if incl. TB, if
ranteed Benefit Benefit (GSV) on (TB on (TB at (Cash (GSV) on (TB on Cash Cash any @ 4%
Bonus) Maturity) Bonus, if (Higher of if any @ if any @ any @ 4% any @ 8%
Money Surrender) Death) Maturity) Bonus) Surrender) Death) Bonus, if (Higher of 7
any @ 8% 12 or 13) 4% (4+9) 8% (4+14) (5+10) (5+15)
Back) any @ 4% or 8)
(3+6) (3+11)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
78,75, 24,84 5,47,3 1,48,03,5 75,06, 23,06,27 1,48,03, 78,75,00 1,53,81,
34 - 3,64,907 - - 23,06,275 - - - - 3,89,752 9,12,267 - -
000 5 60 47 989 5 547 0 989
78,75, 24,84 5,47,3 1,51,16,7 78,20, 21,12,62 1,51,16, 78,75,00 1,56,95,
35 - 3,64,907 - - 21,12,627 - - - - 3,89,752 9,12,267 - -
000 5 60 46 188 7 746 0 188
78,75, 24,84 5,47,3 1,54,49,5 81,52, 19,03,86 1,54,49, 78,75,00 1,60,27,
36 - 3,64,907 - - 19,03,864 - - - - 3,89,752 9,12,267 - -
000 5 60 20 962 4 520 0 962
78,75, 24,84 5,47,3 1,58,06,7 85,10, 16,78,78 1,58,06, 78,75,00 1,63,85,
37 - 3,64,907 - - 16,78,785 - - - - 3,89,752 9,12,267 - -
000 5 60 62 204 5 762 0 204
78,75, 24,84 5,47,3 1,61,83,5 88,87, 16,55,96 1,61,83, 78,75,00 1,67,62,
38 - 3,64,907 - - 16,55,965 - - - - 3,89,752 9,12,267 - -
000 5 60 80 022 5 580 0 022
78,75, 24,84 5,47,3 1,65,89,7 92,93, 16,97,52 1,65,89, 78,75,00 1,71,68,
39 - 3,64,907 - - 16,97,527 - - - - 3,89,752 9,12,267 - -
000 5 60 60 202 7 760 0 202
78,75, 24,84 5,47,3 1,70,25,3 97,28, 17,42,09 1,70,25, 78,75,00 1,76,03,
40 - 3,64,907 - - 17,42,093 - - - - 3,89,752 9,12,267 - -
000 5 60 02 744 3 302 0 744
78,75, 24,84 5,47,3 1,74,90,2 1,01,9 17,89,66 1,74,90, 78,75,00 1,80,68,
41 - 3,64,907 - - 17,89,664 - - - - 3,89,752 9,12,267 - -
000 5 60 07 3,649 4 207 0 649
78,75, 41,14 9,12,2 1,79,50,2 1,06,5 18,36,73 1,79,50, 78,75,00 1,85,28,
42 - - - - 18,36,734 - - - - 41,149 9,12,267 - -
000 9 67 18 3,660 4 218 0 660
78,75, 41,14 9,12,2 1,84,49,3 1,11,5 18,87,81 1,84,49, 78,75,00 1,90,27,
43 - - - - 18,87,810 - - - - 41,149 9,12,267 - -
000 9 67 79 2,821 0 379 0 821
78,75, 41,14 9,12,2 1,89,77,9 1,16,8 19,41,89 1,89,77, 78,75,00 1,95,56,
44 - - - - 19,41,890 - - - - 41,149 9,12,267 - -
000 9 67 02 1,344 0 902 0 344
78,75, 41,14 9,12,2 1,95,40,6 1,22,4 19,99,47 1,95,40, 79,74,64 2,01,19,
45 - - - - 19,99,476 99,648 - - - 41,149 9,12,267 - -
000 9 67 82 4,124 6 682 8 124
78,75, 41,14 3,19,47 9,12,2 2,01,47,5 1,28,5 20,61,56 2,01,47, 81,94,47 2,07,25,
46 - - - - 20,61,569 - - - 41,149 9,12,267 - -
000 9 6 67 05 0,947 9 505 6 947
78,75, 41,14 5,46,31 9,12,2 2,07,93,4 1,34,9 21,27,66 2,07,93, 84,21,31 2,13,71,
47 - - - - 21,27,667 - - - 41,149 9,12,267 - -
000 9 3 67 78 6,920 7 478 3 920
78,75, 41,14 7,79,66 9,12,2 2,14,88,3 1,41,9 21,98,77 2,14,88, 86,54,66 2,20,66,
48 - - - - 21,98,773 - - - 41,149 9,12,267 - -
000 9 0 67 88 1,830 3 388 0 830
78,75, 41,14 10,21,0 9,12,2 2,22,27,3 1,49,3 22,74,38 2,22,27, 88,96,02 2,28,05,
49 - - - - 22,74,385 - - - 41,149 9,12,267 - -
000 9 20 67 42 0,784 5 342 0 784
78,75, 41,14 12,69,8 9,12,2 2,30,20,1 1,57,2 23,55,50 2,30,20, 91,44,89 2,35,98,
50 - - - - 23,55,506 - - - 41,149 9,12,267 - -
000 9 90 67 27 3,569 6 127 0 569

UIN: 104N120V03 Axis Max Life Insurance Limited, Corporate Office – 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram – 122002 Page 4 of 8
 Non-Guaranteed Benefits Non-Guaranteed Benefits Total Benefits including Guaranteed and Non- Guaranteed Benefits
Guaranteed Benefits
@ 4% p.a. @ 8% p.a.
Survival Benefit Surrender Value Death Benefit Maturity Benefit
Single/
Annualiz Survival Total Total
Policy Total
Total Total Total Total Total
ed Benefit Surrender Surrender Survival Survival Surrender
Year Survival Maturity Surrender Death Death Maturity Maturity
Premium (Guaranteed Surrender Benefit (SSV Death Maturity Survival Surrender Benefit (SSV Death Benefit, Benefit, Benefit,
Benefit Benefit Benefit, Benefit, Benefit, Benefit, Benefit,
Income/Gua Death Maturity Benefit Including TB Benefit Benefit Benefit Benefit Including TB Benefit incl. of incl. of [Link] TB, if
(Cash (TB at incl. of TB, if
any @ 8%
incl. of TB, incl. of TB, incl. TB, if incl. TB, if
ranteed Benefit Benefit (GSV) on (TB on (TB at (Cash (GSV) on (TB on Cash Cash any @ 4%
Bonus) Maturity) Bonus, if (Higher of if any @ if any @ any @ 4% any @ 8%
Money Surrender) Death) Maturity) Bonus) Surrender) Death) Bonus, if (Higher of 7
any @ 8% 12 or 13) 4% (4+9) 8% (4+14) (5+10) (5+15)
Back) any @ 4% or 8)
(3+6) (3+11)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
78,75, 41,14 15,26,7 9,12,2 2,38,71,6 1,65,7 24,42,63 2,38,71, 94,01,77 2,44,45,
51 - - - - 24,42,636 - - - 41,149 9,12,267 - -
000 9 73 67 37 0,185 6 637 3 185
78,75, 41,14 17,88,6 9,12,2 2,47,76,9 1,74,8 25,35,27 2,47,76, 96,63,66 2,53,55,
52 - - - - 25,35,274 - - - 41,149 9,12,267 - -
000 9 62 67 78 0,420 4 978 2 420
78,75, 41,14 18,88,3 9,12,2 2,57,50,8 1,84,5 26,34,92 2,57,50, 97,63,31 2,63,29,
53 - - - - 26,34,922 - - - 41,149 9,12,267 - -
000 9 11 67 31 4,273 2 831 1 273
78,75, 41,14 19,94,4 9,12,2 2,67,88,3 1,94,9 27,41,08 2,67,88, 98,69,46 2,73,66,
54 - - - - 27,41,080 - - - 41,149 9,12,267 - -
000 9 69 67 03 1,744 0 303 9 744
78,75, 41,14 21,08,6 9,12,2 2,79,04,0 2,06,0 28,55,25 2,79,04, 99,83,63 2,84,82,
55 - - - - 28,55,250 - - - 41,149 9,12,267 - -
000 9 39 67 74 7,516 0 074 9 516
78,75, 41,14 22,30,8 9,12,2 2,90,98,1 2,18,0 29,77,43 2,90,98, 1,01,05, 2,96,76,
56 - - - - 29,77,432 - - - 41,149 9,12,267 - -
000 9 20 67 45 1,587 2 145 820 587
78,75, 41,14 23,61,5 9,12,2 3,03,75,4 2,30,7 31,08,12 3,03,75, 1,02,36, 3,09,53,
57 - - - - 31,08,126 - - - 41,149 9,12,267 - -
000 9 15 67 10 8,852 6 410 515 852
78,75, 41,14 25,01,7 9,12,2 3,17,45,6 2,44,4 32,48,33 3,17,45, 1,03,76, 3,23,24,
58 - - - - 32,48,335 - - - 41,149 9,12,267 - -
000 9 24 67 56 9,097 5 656 724 097
78,75, 41,14 26,51,9 9,12,2 3,32,13,7 2,59,1 33,98,55 3,32,13, 1,05,26, 3,37,92,
59 - - - - 33,98,559 - - - 41,149 9,12,267 - -
000 9 47 67 76 7,218 9 776 947 218
78,75, 41,14 28,12,6 9,12,2 3,47,84,6 2,74,8 35,59,29 3,47,84, 1,06,87, 3,53,63,
60 - - - - 35,59,298 - - - 41,149 9,12,267 - -
000 9 87 67 65 8,107 8 665 687 107
78,75, 41,14 29,84,9 9,12,2 3,64,68,1 2,91,7 37,31,55 3,64,68, 1,08,59, 3,70,46,
61 - - - - 37,31,554 - - - 41,149 9,12,267 - -
000 9 43 67 09 1,551 4 109 943 551
78,75, 41,14 31,69,7 9,12,2 3,82,73,8 3,09,7 39,16,32 3,82,73, 1,10,44, 3,88,52,
62 - - - - 39,16,329 - - - 41,149 9,12,267 - -
000 9 18 67 97 7,339 9 897 718 339
78,75, 41,14 33,67,5 9,12,2 4,02,11,8 3,29,1 41,14,62 4,02,11, 1,12,42, 4,07,85,
63 - - - - 41,14,624 - - - 41,149 9,12,267 - -
000 9 12 67 16 0,364 4 816 512 364
78,75, 41,14 35,79,8 9,12,2 4,22,86,7 3,49,8 43,26,94 4,22,86, 1,14,54, 4,28,60,
64 - - - - 43,26,940 - - - 41,149 9,12,267 - -
000 9 28 67 60 5,308 0 760 828 308
78,75, 41,14 38,07,6 9,12,2 4,45,13,4 3,72,1 45,54,78 4,45,13, 1,16,82, 4,50,86,
65 - - - - 45,54,780 - - - 41,149 9,12,267 - -
000 9 68 67 09 1,957 0 409 668 957
78,75, 41,14 40,52,0 9,12,2 4,69,01,5 3,96,0 47,99,14 4,69,01, 1,19,27, 4,74,75,
66 - - - - 47,99,143 - - - 41,149 9,12,267 - -
000 9 31 67 51 0,099 3 551 031 099
78,75, 41,14 43,14,4 9,12,2 4,94,65,8 4,21,6 50,61,53 4,94,65, 1,21,89, 5,00,39,
67 - - - - 50,61,534 - - - 41,149 9,12,267 - -
000 9 22 67 68 4,416 4 868 422 416

UIN: 104N120V03 Axis Max Life Insurance Limited, Corporate Office – 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram – 122002 Page 5 of 8
 Non-Guaranteed Benefits Non-Guaranteed Benefits Total Benefits including Guaranteed and Non- Guaranteed Benefits
Guaranteed Benefits
@ 4% p.a. @ 8% p.a.
Survival Benefit Surrender Value Death Benefit Maturity Benefit
Single/
Annualiz Survival Total Total
Policy Total
Total Total Total Total Total
ed Benefit Surrender Surrender Survival Survival Surrender
Year Survival Maturity Surrender Death Death Maturity Maturity
Premium (Guaranteed Surrender Benefit (SSV Death Maturity Survival Surrender Benefit (SSV Death Benefit, Benefit, Benefit,
Benefit Benefit Benefit, Benefit, Benefit, Benefit, Benefit,
Income/Gua Death Maturity Benefit Including TB Benefit Benefit Benefit Benefit Including TB Benefit incl. of incl. of [Link] TB, if
(Cash (TB at incl. of TB, if
any @ 8%
incl. of TB, incl. of TB, incl. TB, if incl. TB, if
ranteed Benefit Benefit (GSV) on (TB on (TB at (Cash (GSV) on (TB on Cash Cash any @ 4%
Bonus) Maturity) Bonus, if (Higher of if any @ if any @ any @ 4% any @ 8%
Money Surrender) Death) Maturity) Bonus) Surrender) Death) Bonus, if (Higher of 7
any @ 8% 12 or 13) 4% (4+9) 8% (4+14) (5+10) (5+15)
Back) any @ 4% or 8)
(3+6) (3+11)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
78,75, 41,14 45,95,8 9,12,2 5,22,16,1 4,49,1 53,42,95 5,22,16, 1,24,70, 5,27,89,
68 - - - - 53,42,953 - - - 41,149 9,12,267 - -
000 9 41 67 47 4,695 3 147 841 695
78,75, 41,14 48,98,2 9,12,2 5,51,71,9 4,78,7 56,45,40 5,51,71, 1,27,73, 5,57,45,
69 - - - - 56,45,403 - - - 41,149 9,12,267 - -
000 9 91 67 62 0,511 3 962 291 511
78,75, 41,14 52,23,2 9,12,2 5,83,47,9 5,10,4 59,70,38 5,83,47, 1,30,98, 5,89,21,
70 - - - - 59,70,387 - - - 41,149 9,12,267 - -
000 9 75 67 96 6,544 7 996 275 544
78,75, 41,14 55,72,2 9,12,2 6,17,63,8 5,44,5 63,19,90 6,17,63, 1,34,47, 6,23,32,
71 - - - - 63,19,907 - - - 41,149 9,12,267 - -
000 9 94 67 23 7,477 7 823 294 477
78,75, 41,14 59,47,8 9,12,2 6,54,34,1 5,81,2 66,95,46 6,54,34, 1,38,22, 6,60,02,
72 - - - - 66,95,466 - - - 41,149 9,12,267 - -
000 9 53 67 24 7,778 6 124 853 778
78,75, 41,14 63,52,4 9,12,2 6,93,88,2 6,20,8 71,00,06 6,93,88, 1,42,27, 6,99,56,
73 - - - - 71,00,068 - - - 41,149 9,12,267 - -
000 9 55 67 61 1,916 8 261 455 916
78,75, 41,14 67,87,6 9,12,2 7,36,40,9 6,63,3 75,35,21 7,36,40, 1,46,62, 7,42,09,
74 - - - - 75,35,216 - - - 41,149 9,12,267 - -
000 9 03 67 16 4,571 6 916 603 571
78,75, 41,14 72,56,3 9,12,2 7,82,26,3 7,09,1 80,04,41 7,82,26, 1,51,31, 7,87,90,
75 - - - - 80,04,414 - - - 41,149 9,12,267 - -
000 9 01 67 46 5,106 4 346 301 106
78,75, 41,14 77,61,5 9,12,2 8,31,69,0 7,58,5 85,10,16 8,31,69, 1,56,36, 8,37,27,
76 - - - - 85,10,167 - - - 41,149 9,12,267 - -
000 9 53 67 17 2,884 7 017 553 884
78,75, 41,14 83,06,8 9,12,2 8,85,03,1 8,11,8 90,55,98 8,85,03, 1,61,81, 8,90,57,
77 - - - - 90,55,980 - - - 41,149 9,12,267 - -
000 9 64 67 88 2,161 0 188 864 161
78,75, 41,14 88,95,7 9,12,2 9,42,63,1 8,69,3 96,45,35 9,42,63, 1,67,70, 9,48,12,
78 - - - - 96,45,357 - - - 41,149 9,12,267 - -
000 9 41 67 13 7,193 7 113 741 193
78,75, 41,14 1,02,81,8 95,32,1 9,12,2 10,04,83, 9,31,5 1,02,81, 10,04,83 1,74,07, 10,10,32
79 - - - - - - - 41,149 9,12,267 - -
000 9 04 88 67 050 7,129 804 ,050 188 ,129
78,75, 41,14 1,09,70,8 1,02,20, 9,12,2 10,72,16, 9,98,8 1,09,70, 10,72,16 1,80,95, 10,77,61
80 - - - - - - - 41,149 9,12,267 - -
000 9 30 713 67 829 6,014 830 ,829 713 ,014
78,75, 41,14 1,17,17,4 1,09,66, 9,12,2 11,45,13, 10,71, 1,17,17, 11,45,13 1,88,41, 11,50,47
81 - - - - - - - 41,149 9,12,267 - -
000 9 41 323 67 387 72,78 441 ,387 323 ,785
78,75, 41,14 1,25,26,6 1,17,75, 9,12,2 12,24,21, 11,50, 1,25,26, 12,24,21 1,96,50, 12,29,51
82 - - - - - - - 41,149 9,12,267 - -
000 9 45 027 67 662 76,16 645 ,662 027 ,166
78,75, 41,14 1,34,04,9 1,26,52, 9,12,2 13,10,05, 12,36, 1,34,04, 13,10,05 2,05,27, 13,15,24
83 - - - - - - - 41,149 9,12,267 - -
000 9 53 333 67 272 49,98 953 ,272 333 ,989
78,75, 41,14 1,43,60,3 1,36,06, 9,12,2 14,03,42, 13,29, 1,43,60, 14,03,42 2,14,81, 14,08,52
84 - - - - - - - 41,149 9,12,267 - -
000 9 75 753 67 517 77,44 375 ,517 753 ,447

UIN: 104N120V03 Axis Max Life Insurance Limited, Corporate Office – 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram – 122002 Page 6 of 8
 Non-Guaranteed Benefits Non-Guaranteed Benefits Total Benefits including Guaranteed and Non- Guaranteed Benefits
Guaranteed Benefits
@ 4% p.a. @ 8% p.a.
Survival Benefit Surrender Value Death Benefit Maturity Benefit
Single/
Annualiz Survival Total Total
Policy Total
Total Total Total Total Total
ed Benefit Surrender Surrender Survival Survival Surrender
Year Survival Maturity Surrender Death Death Maturity Maturity
Premium (Guaranteed Surrender Benefit (SSV Death Maturity Survival Surrender Benefit (SSV Death Benefit, Benefit, Benefit,
Benefit Benefit Benefit, Benefit, Benefit, Benefit, Benefit,
Income/Gua Death Maturity Benefit Including TB Benefit Benefit Benefit Benefit Including TB Benefit incl. of incl. of [Link] TB, if
(Cash (TB at incl. of TB, if
any @ 8%
incl. of TB, incl. of TB, incl. TB, if incl. TB, if
ranteed Benefit Benefit (GSV) on (TB on (TB at (Cash (GSV) on (TB on Cash Cash any @ 4%
Bonus) Maturity) Bonus, if (Higher of if any @ if any @ any @ 4% any @ 8%
Money Surrender) Death) Maturity) Bonus) Surrender) Death) Bonus, if (Higher of 7
any @ 8% 12 or 13) 4% (4+9) 8% (4+14) (5+10) (5+15)
Back) any @ 4% or 8)
(3+6) (3+11)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
78,75, 41,14 1,54,00,4 1,46,45, 9,12,2 15,05,06, 14,31, 1,54,00, 15,05,06 2,25,20, 15,10,02
85 - - - - - - - 41,149 9,12,267 - -
000 9 23 299 67 804 27,05 423 ,804 299 ,052
78,75, 41,14 1,65,35,1 1,57,78, 9,12,2 16,15,96, 15,42, 1,65,35, 16,15,96 2,36,53, 16,20,76
86 - - - - - - - 41,149 9,12,267 - -
000 9 12 486 67 006 01,57 112 ,006 486 ,573
78,75, 41,14 1,77,74,4 1,70,15, 9,12,2 17,37,07, 16,62, 1,77,74, 17,37,07 2,48,90, 17,41,68
87 - - - - - - - 41,149 9,12,267 - -
000 9 57 827 67 999 93,99 457 ,999 827 ,991
78,75, 41,14 1,91,31,9 1,83,70, 9,12,2 18,69,74, 17,95, 1,91,31, 18,69,74 2,62,45, 18,74,11
88 - - - - - - - 41,149 9,12,267 - -
000 9 77 844 67 913 36,43 977 ,913 844 ,437
78,75, 41,14 2,06,21,1 1,98,57, 9,12,2 20,15,28, 19,40, 2,06,21, 20,15,28 2,77,32, 20,19,40
89 - - - - - - - 41,149 9,12,267 - -
000 9 94 557 67 879 65,93 194 ,879 557 ,934
78,75, 41,14 2,22,59,1 2,14,92, 9,12,2 21,75,36, 21,00, 2,22,59, 21,75,36 2,93,67, 21,79,18
90 - - - - - - - 41,149 9,12,267 - -
000 9 32 491 67 285 43,97 132 ,285 491 ,977
78,75, 41,14 2,40,65,3 2,32,94, 9,12,2 23,51,87, 22,76, 2,40,65, 23,51,87 3,11,69, 23,55,31
91 - - - - - - - 41,149 9,12,267 - -
000 9 20 673 67 985 56,52 320 ,985 673 ,528
78,75, 41,14 2,60,62,7 2,52,86, 9,12,2 25,47,09, 24,71, 2,60,62, 25,47,09 3,31,61, 25,49,98
92 - - - - - - - 41,149 9,12,267 - -
000 9 94 638 67 092 23,80 794 ,092 638 ,804
78,75, 41,14 2,82,77,0 2,74,95, 9,12,2 27,63,49, 26,87, 2,82,77, 27,63,49 3,53,70, 27,65,85
93 - - - - - - - 41,149 9,12,267 - -
000 9 89 426 67 186 10,06 089 ,186 426 ,066
78,75, 41,14 3,07,41,2 2,95,64, 9,12,2 30,04,31, 29,27, 3,07,41, 30,04,31 3,74,39, 30,05,93
94 - - - - - - - 41,149 9,12,267 - -
000 9 57 506 67 253 18,72 257 ,253 506 ,728
78,75, 41,14 3,39,69,0 3,19,13, 9,12,2 33,19,76, 32,42, 3,39,69, 33,19,76 3,97,88, 33,21,33
95 - - - - - - - 41,149 9,12,267 - -
000 9 62 001 67 266 58,84 062 ,266 001 ,846
78,75, 41,14 3,74,54,2 3,43,07, 9,12,2 36,60,36, 35,83, 3,74,54, 36,60,36 4,21,82, 36,62,08
96 - - - - - - - 41,149 9,12,267 - -
000 9 49 566 67 658 33,91 249 ,658 566 ,919
78,75, 41,14 4,11,82,2 3,67,12, 9,12,2 40,24,70, 39,48, 4,11,82, 40,24,70 4,45,87, 40,26,86
97 - - - - - - - 41,149 9,12,267 - -
000 9 98 145 67 511 11,81 298 ,511 145 ,816
78,75, 41,14 4,51,23,6 3,90,79, 9,12,2 44,09,89, 43,34, 4,51,23, 44,09,89 4,69,54, 44,12,88
98 - - - - - - - 41,149 9,12,267 - -
000 9 65 168 67 095 13,59 665 ,095 168 ,594
78,75, 77,63,9 41,14 4,10,16, 4,23,10, 9,12,2 47,14, 48,16,0 4,88,91, 47,93,61 5,00,74, 48,93,73
99 - - - - - - 41,149 9,12,267 - -
000 75 9 051 559 67 86,84 9,472 051 ,848 534 ,448

UIN: 104N120V03 Axis Max Life Insurance Limited, Corporate Office – 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram – 122002 Page 7 of 8
Notes:
1. Annualized Premium excludes underwriting extra premium, frequency loadings on premiums, the premiums paid towards the riders, if any, and Goods and Service Tax. Refer Sales literature for explanation of terms used in
this illustration.
2. The survival benefits are payable at the end of the policy year.
3. The surrender Value, death benefit and maturity benefit shown above are at the end of the Policy Year.
4. The Surrender Value is higher of the Guaranteed Surrender Value (GSV) and the Special Surrender Value (SSV).
5. For details on the Surrender Value refer Sales Literature and Policy Document.
6. TB - Terminal Bonus

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

Place: Signature of Agent / Thumb Impression /

Date:7/21/25 Signature / Thumb Impression / Electronic Signature of
Date: 7/21/25 Electronic Signature of Agent / Intermediary / Prospect / Policyholder
Official of the insurer
This system generated benefit illustration shall be treated as signed by me.

UIN: 104N120V03 Axis Max Life Insurance Limited, Corporate Office – 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram – 122002 Page 8 of 8