In Years		Figures in Rs
Policy Year	Age at the End of Policy Year	Annualised Premium at the Beginning of Policy Year (excluding Rider Premium and NSAP loading, if any and all extra premium, Goods and Services Tax)	Guaranteed Benefits				Non - Guaranteed Benefits
			Death Benefit during the Policy Term	Survival Benefits during the Policy Term	Maturity Benefit at end of the Policy Term	Minimum GuaranteedSurrender Value at the end of the year before payment of survival benefits
			Death Benefit during the Policy Term	Survival Benefits during the Policy Term	Maturity Benefit at end of the Policy Term			[POLICYYEAR]	[LI_AGE]	[ANN_PREM_YEARLY]	[DB_G]	[MBACK]	[MB_G]	[GSV]