1. Base Annual Premium at the Beginning of Policy Year(excluding Rider Premium and NSAP loading, if any and all extra premium, Goods and Services Tax)

2. Payable as per the option chosen.

Terms and Conditions

• 1. Income tax benefits are available under Section 80C and Section 10(10D) of The Income Tax Act, 1961, subject to conditions stipulated therein and which are subject to change from time to time. You may please consult your tax advisor for further details.
• 2. The proposal deposit receipt given in respect of the consideration amount paid to the company does not bind the company to accept the risk on the life of the life proposed under the proposal for insurance. The above premium is for a healthy individual and would be subject to underwriting.
  Any extra premiums charged are subject to underwriting of proposal, and may change based on the Board approved underwriting policy.
• 3. Death benefit will be paid in Lump sum immediately.
• 4. Star Union Dai-ichi Life insurance is the name of the company and 'SUD Life Century Plus' is only the name of the Plan and does in no way indicate the quality of the policy, its future prospects or returns.
• 5. The following is the Rider available under the plan.
  I. SUD Life Accidental Death and Total & Permanent Disability Benefit Rider - Traditional (UIN - 142B005V01)
  Benefits Available under the Rider, if opted for:
         a. Accidental Death benefit : On death of the Life Assured due to Accident, 100% of Rider Sum Assured will be paid provided the policy is in force as on the date of death of the Life Assured and the Rider contract ceases thereafter.
         b. Accidental Total and Permanent disability benefit : Rider Sum Assured will be paid in 10 equal half-yearly installments wherein each installment amount will be equal to Rider Sum Assured multiplied by 10%, provided the policy is in force( as on the date of occurrence of event) and the Rider contract will cease after payment of the last instalment.
  II. SUD Life Family Income Benefit Rider - Traditional (UIN - 142B007V01)
  Death Benefits Available under the Rider, if opted for:
  On death of the Life Assured, provided the rider benefit is In-force, the Nominee/Legal heir will be paid a Monthly Income Benefit for a fixed period of 10 Years.
  The Monthly Income Benefit is equal to (10% of Rider Sum Assured)/12 and will be paid at the end of every policy month following the date of death of
  the Life Assured and will continue to be paid for fixed period of 10 Years.
• 6. Goods and Services Tax will be charged on premiums as per prevailing tax laws. The rate currently applicable for Base Plan is 4.5%. The rate currently applicable on Rider Plan is 18%.This is subject to any change in the tax rate.
• 7. For more details on risk factor, terms and conditions, please read the Sales brochure of the plan carefully before concluding a sale.

In case you require any clarification, please consult your insurance advisor or call our office.

Name of the Specified Person/Agent/Other sales Representative:

Specified Person/Agent/Other sales Representative Code:

Signature of the Authorised person :                                                                                           Prospect's/Policyholder's signature

Place:
Date: