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STATEMENT OF ACCOUNT

Date : 31/03/2010 Page No : 1

Owner : DEVESH GOEL Contract No : 11583806


Assignee : Mode : INSTALMENT PREMIUM
Life Assured:
DEVESH GOEL Currency : INR
Address : F-122 SHASTRI NAGAR Sum Assured : ************125,000.00
MEERUT
Meerut
meerut UP
India 250001
Statement Period : 26/02/2008 To 31/03/2010
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Premium Paid : 75000.00 Top Up Premium Paid :
Allocation Charges : 8750.00 Top Up Charges :
Net Premium Allocated : 66250.00 Net Top Up Allocated :
No of Fund Switch processed : 0000 Free Fund Switch Balance : 0052
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Policy Type : Automatic Investment Plan- Reg


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Transaction Description Amount NAV as Units Total
Date Rs. on Date Units
------------------------------------------------------------------------------------------------
Fund Type : AIP - Equity Fund
Opening Balance .000
26/02/2008 Allocated Premium 18750.00 12.03370 1558.124 1558.124
26/02/2008 Initial Fee by Unit Deduction 250.00- 12.03370 20.775- 1529.289
31/03/2009 Allocated Premium 23750.00 6.73990 3523.791 4872.896
22/03/2010 Allocated Premium 23750.00 11.36410 2089.915 6844.725
0000000000 Funds Allocated 66250.00 7171.830 .000
0000000000 Mortality Charge 1246.00- 146.331- .000
0000000000 Policy Admin Fees 1040.00- 118.485- .000
0000000000 Service Tax 486.88- 57.536- .000
0000000000 Education Cess 13.38- 1.603- .000
0000000000 Outstanding Surrenders .000
31/03/2010 Closing Balance 78537.62 11.50380 6827.102

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STATEMENT OF ACCOUNT

Date : 31/03/2010 Page No : 2

Owner : DEVESH GOEL Contract No : 11583806


Assignee : Mode : INSTALMENT PREMIUM
Life Assured:
DEVESH GOEL Currency : INR
Sum Assured : ************125,000.00

Policy Type : Automatic Investment Plan- Reg


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Transaction Description Amount NAV as Units Total
Date Rs. on Date Units
------------------------------------------------------------------------------------------------
Total Value of Units as at 31/03/2010 is Rs ********78,537.63
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SUMMARY
Funds Allocated 66250.00
Mortality Charge 1246.00-
Policy Admin Fees 1040.00-
Initial Fee by Unit Deduction 250.00-
Service Tax 486.88-
Education Cess 13.38-
Total Charges 3036.26-
Outstanding Surrenders
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Should you require clarification, please do not hesitate to call your agent
Reliance Financial Limited at telephone number
for assistance.
Please quote your policy number in all your correspondence with us.
POLICY ADMINISTRATION DEPARTMENT
Reliance Financial Limited
As this is a computer generated document, no signature is required.
In case of any further clarification, you may call us at 30338181/180030008181 or email us
rlife.customerservice@relianceada.com or log on to www.reliancelife.com.
The Annual Investment Report(The Analyst) is available on our website.
Mortality, Policy Administration charges etc as per the terms and conditions of the policy will
by deducted from the policy be cancellation of units at prevailing unit price.
With effective from February 25, 2009 10.30 % of service tax (Inclusive of Education cess)
will be levied on application charges.
In respect of valid request received up to 3.00 pm between Monday - Thursday by the insurer, the
same days closing NAV shall be applicable.
In respect of valid request received after 3.00 pm between Monday - Thursday by the insurer, the
closing NAV of the next day shall be applicable.
In respect of valid request received after 3.00 pm on Friday by the insurer, the closing NAV of
the next business day shall be applicable.
For Further details please refer to the terms and conditions mentioned in the policy document.

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