BENEFIT ILLUSTRATION

[Date and Time of Illustration – 25 July 2025, 01:40 PM]

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

Name of the Product: Axis Max Life Smart Wealth Advantage Guarantee Plan
Age & Gender: 55 Years, Male A Non-linked Non Participating Individual Life
Name of the Life Assured: Mr. Tag Line:
Insurance Savings Plan
Unique Identification No: 104N124V14
Age & Gender: 55 Years, Male
GST Rate (Base Policy, First Year): 4.50%
Policy Term: 45 Years
Premium Payment Term: 10 Years GST Rate (Base Policy, Subsequent 2.25%
Amount of Installment Premium: `1,56,750 Year):
GST Rate (Rider, First Year): NA
Mode of payment of premium: Annual
Annual Income Amount: `96,008 GST Rate (Rider, Subsequent Year): NA
Income Start Year, if applicable: NA
Axis Max Life State: Delhi
Income Period, if applicable: 35 years
Policyholder Residential State: Delhi
Deferment Period, if applicable: NA
This benefit illustration is intended to show year-wise premiums payable and benefits under the policy.
Policy Details
Policy Option Lifelong Wealth Sum Assured on Maturity (in Rs.) 15,00,000
Sum Assured (at inception of the policy) upon Death (in
Death Benefit Multiple NA 16,50,000
Rs.)
Sum Assured (Inbuilt Additional Accidental Death
Policy Continuance Benefit Option NA 8,25,000
Benefit) (in Rs.)
Special Date Option No Opted Special Date NA

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

UIN: 104N124V14 Axis Max Life Insurance Limited, Corporate Office – 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram – 122002 Page 1 of 8
 Premium Summary
Accidental Death & Waiver of Premium Critical Illness and
Term Plus Rider Total Installment
Base Plan Dismemberment Plus Rider Disability Rider
Premium
Rider

Installment Premium without GST (in Rs.) 1,50,000 0 0 0 0 1,50,000

Installment Premium with first year GST (in Rs.) 1,56,750 0 0 0 0 1,56,750
Installment Premium with GST 2nd year onwards
1,53,375 0 0 0 0 1,53,375
(in Rs.)

(Amount in Rupees)

Guaranteed Non Guaranteed

Single/ Total Other

Policy Accrued
Annualized Annual Auto Debit Money Back Benefits, if Inbuilt Guaranteed
Year Total Guaranteed Total Special Surrender
Premium Premium Booster Base Loyalty (In case of any (Sum Additional Surrender
Survival Additions (if Maturity Death Surrender Value
(BOY) (BOY) Income Income Life Long Assured on Accidental Value (EOY)
(EOY) Benefit any) (EOY) Benefit Benefit Value Payable
(EOY) (EOY) Income) Maturity) Death
(EOY) (EOY) (EOY) (EOY)
(EOY) Benefit

16,50,00
1 1,50,000 1,50,000 - - - - - - - - - - 62,427 62,427
0

16,50,00 1,33,58 1,33,5

2 1,50,000 1,50,000 - - - - - - - - - 90,000
0 0 80

16,50,00 2,14,41 2,14,4

3 1,50,000 1,50,000 - - - - - - - - - 1,57,500
0 1 11

16,50,00 3,05,98 3,05,9

4 1,50,000 1,50,000 - - - - - - - - - 3,00,000
0 8 88

UIN: 104N124V14 Axis Max Life Insurance Limited, Corporate Office – 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram – 122002 Page 2 of 8
 Guaranteed Non Guaranteed

Single/ Total Other

Policy Accrued
Annualized Annual Auto Debit Money Back Benefits, if Inbuilt Guaranteed
Year Total Guaranteed Total Special Surrender
Premium Premium Booster Base Loyalty (In case of any (Sum Additional Surrender
Survival Additions (if Maturity Death Surrender Value
(BOY) (BOY) Income Income Life Long Assured on Accidental Value (EOY)
(EOY) Benefit any) (EOY) Benefit Benefit Value Payable
(EOY) (EOY) Income) Maturity) Death
(EOY) (EOY) (EOY) (EOY)
(EOY) Benefit

16,50,00 4,09,50 4,09,5

5 1,50,000 1,50,000 - - - - - - - - - 3,75,000
0 5 05

16,50,00 5,26,30 5,26,3

6 1,50,000 1,50,000 - - - - - - - - - 4,50,000
0 9 09

16,50,00 6,57,86 6,57,8

7 1,50,000 1,50,000 - - - - - - - - - 5,25,000
0 0 60

16,50,00 8,05,84 8,05,8

8 1,50,000 1,50,000 - - - - - - - - - 6,12,972
0 6 46

16,50,00 9,72,10 9,72,1

9 1,50,000 1,50,000 - - - - - - - - - 7,04,187
0 0 00

16,50,00 11,58,7 11,58,

10 1,50,000 1,50,000 13,500 - - - - - - - - 7,98,645
0 45 745

18,06,57 14,45,2 14,45,

11 - - - 68,577 27,431 - 96,008 - - - 8,25,000 7,18,852
1 57 257

18,22,42 14,57,9 14,57,

12 - - - 68,577 27,431 - 96,008 - - - 8,25,000 6,39,059
0 36 936

18,39,50 14,71,6 14,71,

13 - - - 68,577 27,431 - 96,008 - - - 8,25,000 5,59,267
8 06 606

UIN: 104N124V14 Axis Max Life Insurance Limited, Corporate Office – 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram – 122002 Page 3 of 8
 Guaranteed Non Guaranteed

Single/ Total Other

Policy Accrued
Annualized Annual Auto Debit Money Back Benefits, if Inbuilt Guaranteed
Year Total Guaranteed Total Special Surrender
Premium Premium Booster Base Loyalty (In case of any (Sum Additional Surrender
Survival Additions (if Maturity Death Surrender Value
(BOY) (BOY) Income Income Life Long Assured on Accidental Value (EOY)
(EOY) Benefit any) (EOY) Benefit Benefit Value Payable
(EOY) (EOY) Income) Maturity) Death
(EOY) (EOY) (EOY) (EOY)
(EOY) Benefit

18,58,00 14,86,4 14,86,

14 - - - 68,577 27,431 - 96,008 - - - 8,25,000 4,79,474
9 07 407

18,78,06 15,02,4 15,02,

15 - - - 68,577 27,431 - 96,008 - - - 8,25,000 3,99,681
7 53 453

18,99,81 15,19,8 15,19,

16 - - - 68,577 27,431 - 96,008 - - - 8,25,000 3,19,888
0 48 848

19,23,46 15,38,7 15,38,

17 - - - 68,577 27,431 - 96,008 - - - 8,25,000 2,40,095
1 69 769

19,49,23 15,59,3 15,59,

18 - - - 68,577 27,431 - 96,008 - - - 8,25,000 1,60,303
6 89 389

19,77,39 15,81,9 15,81,

19 - - - 68,577 27,431 - 96,008 - - - 8,25,000 80,510
8 19 919

20,08,21 16,06,5 16,06,

20 - - - 68,577 27,431 - 96,008 - - - 8,25,000 717
6 73 573

20,42,13 16,33,7 16,33,

21 - - - 68,577 27,431 - 96,008 - - - 8,25,000 -
4 07 707

20,79,50 16,63,6 16,63,

22 - - - 68,577 27,431 - 96,008 - - - 8,25,000 -
8 06 606

UIN: 104N124V14 Axis Max Life Insurance Limited, Corporate Office – 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram – 122002 Page 4 of 8
 Guaranteed Non Guaranteed

Single/ Total Other

Policy Accrued
Annualized Annual Auto Debit Money Back Benefits, if Inbuilt Guaranteed
Year Total Guaranteed Total Special Surrender
Premium Premium Booster Base Loyalty (In case of any (Sum Additional Surrender
Survival Additions (if Maturity Death Surrender Value
(BOY) (BOY) Income Income Life Long Assured on Accidental Value (EOY)
(EOY) Benefit any) (EOY) Benefit Benefit Value Payable
(EOY) (EOY) Income) Maturity) Death
(EOY) (EOY) (EOY) (EOY)
(EOY) Benefit

21,20,89 16,96,7 16,96,

23 - - - 68,577 27,431 - 96,008 - - - 8,25,000 -
6 17 717

21,66,89 17,33,5 17,33,

24 - - - 68,577 27,431 - 96,008 - - - 8,25,000 -
9 20 520

22,18,31 17,74,6 17,74,

25 - - - 68,577 27,431 - 96,008 - - - 8,25,000 -
9 55 655

22,76,04 18,20,8 18,20,

26 - - - 68,577 27,431 - 96,008 - - - 8,25,000 -
3 35 835

23,41,61 18,73,2 18,73,

27 - - - 68,577 27,431 - 96,008 - - - - -
3 90 290

24,16,10 19,32,8 19,32,

28 - - - 68,577 27,431 - 96,008 - - - - -
3 82 882

25,01,23 20,00,9 20,00,

29 - - - 68,577 27,431 - 96,008 - - - - -
6 89 989

25,99,26 20,79,4 20,79,

30 - - - 68,577 27,431 - 96,008 - - - - -
7 13 413

17,75,48 14,20,3 14,20,

31 - - - 68,577 27,431 7,50,000 8,46,008 - - - - -
3 87 387

UIN: 104N124V14 Axis Max Life Insurance Limited, Corporate Office – 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram – 122002 Page 5 of 8
 Guaranteed Non Guaranteed

Single/ Total Other

Policy Accrued
Annualized Annual Auto Debit Money Back Benefits, if Inbuilt Guaranteed
Year Total Guaranteed Total Special Surrender
Premium Premium Booster Base Loyalty (In case of any (Sum Additional Surrender
Survival Additions (if Maturity Death Surrender Value
(BOY) (BOY) Income Income Life Long Assured on Accidental Value (EOY)
(EOY) Benefit any) (EOY) Benefit Benefit Value Payable
(EOY) (EOY) Income) Maturity) Death
(EOY) (EOY) (EOY) (EOY)
(EOY) Benefit

17,81,96 14,25,5 14,25,

32 - - - 68,577 27,431 - 96,008 - - - - -
0 68 568

17,88,40 14,30,7 14,30,

33 - - - 68,577 27,431 - 96,008 - - - - -
9 27 727

17,94,89 14,35,9 14,35,

34 - - - 68,577 27,431 - 96,008 - - - - -
2 14 914

18,01,33 14,41,0 14,41,

35 - - - 68,577 27,431 - 96,008 - - - - -
8 71 071

18,07,80 14,46,2 14,46,

36 - - - 68,577 27,431 - 96,008 - - - - -
9 47 247

18,14,30 14,51,4 14,51,

37 - - - 68,577 27,431 - 96,008 - - - - -
7 46 446

18,20,82 14,56,6 14,56,

38 - - - 68,577 27,431 - 96,008 - - - - -
9 63 663

18,27,42 14,61,9 14,61,

39 - - - 68,577 27,431 - 96,008 - - - - -
5 40 940

18,34,16 14,67,3 14,67,

40 - - - 68,577 27,431 - 96,008 - - - - -
6 33 333

UIN: 104N124V14 Axis Max Life Insurance Limited, Corporate Office – 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram – 122002 Page 6 of 8
 Guaranteed Non Guaranteed

Single/ Total Other

Policy Accrued
Annualized Annual Auto Debit Money Back Benefits, if Inbuilt Guaranteed
Year Total Guaranteed Total Special Surrender
Premium Premium Booster Base Loyalty (In case of any (Sum Additional Surrender
Survival Additions (if Maturity Death Surrender Value
(BOY) (BOY) Income Income Life Long Assured on Accidental Value (EOY)
(EOY) Benefit any) (EOY) Benefit Benefit Value Payable
(EOY) (EOY) Income) Maturity) Death
(EOY) (EOY) (EOY) (EOY)
(EOY) Benefit

18,41,10 14,72,8 14,72,

41 - - - 68,577 27,431 - 96,008 - - - - -
2 81 881

18,48,40 14,78,7 14,78,

42 - - - 68,577 27,431 - 96,008 - - - - -
9 28 728

18,56,25 14,85,0 14,85,

43 - - - 68,577 27,431 - 96,008 - - - - -
8 07 007

18,64,95 14,91,9 14,91,

44 - - - 68,577 27,431 - 96,008 - - - - -
3 63 963

15,00,00 15,00,00 18,75,00 15,00,0 15,00,

45 - - - 68,577 27,431 - 96,008 - - -
0 0 0 00 000

UIN: 104N124V14 Axis Max Life Insurance Limited, Corporate Office – 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram – 122002 Page 7 of 8
Notes:
• EOY: End of Year, BOY = Beginning of Year
• Annualized Premium excludes underwriting extra premium, frequency loadings on premiums, the premiums paid towards the riders, if any, and Goods and Service Tax.
• Total Annual Premium includes underwriting extra premium, frequency loadings on premiums, the premiums paid towards the riders, if any but excludes Goods and Service Tax.
• The Surrender Value payable shall be higher of ‘Minimum Guaranteed Surrender Value’ and ‘Special Surrender Value’. Any additional Surrender Value over and above the ‘Minimum
Guaranteed Surrender Value’ is not guaranteed.
• The above benefits are assuming income payment mode as Annual and with the assumption that no special date is opted by you. For details on other income payment modes and
special date options, please refer the Policy Document.
• The Net Rate of Return has been calculated based on the total survival (including auto-debit booster) and total maturity benefit, assuming that all premiums have been paid as and
when due (excluding applicable taxes, cesses and levies and rider premiums, if any).
• Refer Sales literature (Prospectus) and Policy Document for explanation of terms used in this illustration.
• Surrender value (both GSV and SSV) shown above is after payment of survival benefit applicable during the year of surrender.
• The above benefit illustration assumes that all premiums (excluding the first premium) are paid via auto debit mode of premium payment. Note that auto debit boosters are
applicable only on the premiums paid via auto debit mode of premium payment. Auto debit booster shall be payable only to the fully paid-up policies where all due premiums have
been paid.

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

Place Date:7/25/25 Signature / Thumb Impression / Electronic

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

UIN: 104N124V14 Axis Max Life Insurance Limited, Corporate Office – 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram – 122002 Page 8 of 8