Professional Documents
Culture Documents
40
SPL
Your details
Name:
Age last Birthday:
Gender:
veena agrawal
41 Year(s)
Female
Your Policy details
Details
UIN:
101N101V01
Sum Assured:
50,00,000
10 year(s)
Policy Term:
10 year(s)
Annual
Premium Frequency:
Plan Option
8,730
Taxes:
1,310
10,040
10,040
08-Jun-2017
Not Applicable
veena agrawal
I_______________________________________________,
(Name) have explained the above illustration and the terms and conditions of this product to the policyholder.
veena agrawal
I_______________________________________________,
(Name) having received the information with respect to the above, have understood the above illustration before entering the
contract.
Intermediary's Signature:
Date :
Place:
08-Jun-16 09.17.40