The Life of Your Policy

(Policy Servicing Form for SBI Life Unit Linked Products)

Customer ID: Policy No.: Name of the Life Assured:.. ... Name of the Policy Holder(If different from Life Assured) ... Product Name: Guidelines for filling in the form:

(for office use only) CIF Code/IA Code:.. Branch Code Date & Time Stamp

1.
2.

This form is to be filled by the Life Assured/ Policy Holder himself in BLOCK LETTERS. Please tick the check boxes wherever required. The Life Assured/ Policy Holder must authenticate any cancellation or alterations in this form. Please refer to the General Information provided on page 2 of this form for details regarding the Sections in this form. Percentage To Equity Fund [N.A. for Unit Plus Elite] Equity Optimiser Fund [N.A. for Unit Plus RP & SP, Unit Plus Elite] Growth Fund Balanced Fund Bond Fund Equity Elite Fund [Available only Unit Plus Elite] Total: Percentage

1. SWITCHING FACILITY(Not available for Horizon/ Horizon II and Horizon II Pension)

3.

From Equity Fund [N.A. for Unit Plus Elite] Equity Optimiser Fund [N.A. for Unit Plus RP & SP, Unit Plus Elite] Growth Fund Balanced Fund Bond Fund Equity Elite Fund [Available only Unit Plus Elite] N.A Not Available For Unit Plus II Pension From Equity Pension Fund Equity Optimiser Fund Growth Pension Fund Balanced Pension Fund Bond Pension Fund

100%

Percentage

To Equity Pension Fund Equity Optimiser Fund Growth Pension Fund Balanced Pension Fund Bond Pension Fund Total:

Percentage

100%

PLEASE REFER TO THE LAST COLUMN OF THE TABLE GIVEN IN PARA 1 OF THE GENERAL INFORMATION SECTION ON PAGE 2

2. REDIRECTION FACILITY(2

nd Policy Year Onwards. Should be in multiples of 10% for Unit Plus RP, Unit Plus II RP and in multiples of 5% for Unit Plus Child and Unit Plus Elite. Not available for Horizon/ Horizon II and Horizon II Pension. Please refer Section 3 of the General In formation on page 2)

Percentage Equity Fund [N.A. for Unit Plus Elite] Equity Optimiser Fund [N.A. for Unit Plus RP & SP, Unit Plus Elite] Growth Fund Balanced Fund Bond Fund Equity Elite Fund [Available only Unit Plus Elite] N.A Not Available

For Unit Plus II Pension Equity Pension Fund Equity Optimiser Fund [N.A. for Unit Plus RP & SP, Unit Plus Elite] Growth Pension Fund Balanced Pension Fund Bond Pension Fund Equity Elite Fund [Available only Unit Plus Elite] Total

Percentage

100%

3. PARTIAL WITHDRAWAL FACILITY

Withdrawal Amount (in Rs.): Declaration/ Authorization:

(4th policy year onwards) Not available for Pension Plans i.e. Horizon II Pension & Unit Plus II Pension and for Unit Plus II RP, Horizon II, Unit Plus Child and Unit Plus Elite when there are unpaid premiums pertaining to the first 3 policy year.

/-

I, ; the Life Assured/ Policy Holder, hereby request SBI Life Insurance Co.Ltd.[SBI Life] to make necessary changes to my Policy in accordance with the information furnished above. I hereby accept and agree to be bound to such changes. I agree and accept that no request is valid until SBI Life receives ( receipt of this form by an Agent does not construe as receipt by SBI Life ) the request during the life time of the Life Assured and provided such request is accepted by SBI Life. Signature of the Policy Holder: __________________________________________ Date: _________ / __________ / _____________

For Office Use Only

Signature of the person attending the request: Name : Designation: Date:

Unit Plus RP Unit Plus SP Unit Plus II RP Unit Plus II SP Unit Plus Child Unit Plus Elite Horizon Horizon II Horizon II Pension

Signature of the person approving the request:

Growth Fund Balanced Bond Designation: Fund Fund

Equity Fund
Available Available Available Available Available Not Available

Equity Optimiser Fund

Not Available Not Available Available Available Available Not Available

Name : Date:

Equity Elite Fund

Percentage in multiples of

Available Available Available Not Available X 10% Available Available Available Not Available X 10% Available Available Available Not Available X 10% Available Available Available Not Available X 10% Available Available Available Not Available X 5% Available Available Available Available X 5% No switching and redirection facilities for these products. Automatic Asset Allocation with Automatic Rebalancing will apply according to the plan option and remaining term to maturity/vesting age.

Equity Pension Fund Unit Plus II Pension

[

Available

Equity Optimiser Fund Available

Growth Pension Fund Available

Balanced Pension Fund Available

Bond Pension Fund Available

Equity Elite Fund Not Available

Minimum percentage X 10%

GENERAL INSTRUCTIONS
1. Fund option and Minimum Percentage Available under each SBI Life Unit Linked product 2. Switching Facility (Not available for Horizon/Horizon II / Horizon II Pension):
[i] Minimum Switch amount in respect of Unit Plus Regular & Single, Unit Plus-II Regular & Single Unit Plus-II Pension Regular & Single and Unit Plus Child is Rs.10,000 [ii] No minimum switch amount for Unit Plus Elite Switch To Percentage should be in multiples of 10 or 5 as stated in the last column of the table in Para 1 above. d. 4 Switches are free per Policy Year. Additional charged at Rs.100/- per Switching Request. An unused free switch can not be carried forward to the next policy year e. Total of Switch To percentage must be equal to 100%

a. b.

Available at any point of time for Inforce policies only.

c.

f.
g.

The Switch From & Switch To column should not have same funds. For ex. Request such as Switch from 100% Equity to 50% Equity & 50% Growth shall be considered invalid
Illustration: You want to switch 50% of your investment in Equity Fund and 60% of your investment in Bond Fund into Growth Fund and Balanced Fund in the percentage 60% and 40% respectively. Thus you will enter the values as:

From
Equity Fund [N.A. for Unit Plus Elite] Equity Optimiser Fund [N.A. for Unit Plus Elite] Growth Fund Balanced Fund Bond Fund Equity Elite Fund [Available only Unit Plus Elite]

Percentage 50%

To
Equity Fund [N.A. for Unit Plus Elite] Equity Optimiser Fund [N.A. for Unit Plus Elite] Growth Fund Balanced Fund Bond Fund Equity Elite Fund [Available only Unit Plus Elite]

Percentage

60% 40%

60%

N.A.- Not Available

3.

Total:

100%

Redirection Facility(Not

available for Unit Plus Single, Unit Plus II Single, Unit Plus II Pension Single Premium, Horizon, Horizon II & Horizon II Pension) Available from 2nd Policy Year Onwards. Free of cost but limited to ONE per Policy Year. The percentage mentioned for redirection, must be in multiples as stated in the last column of the table given in Para 1 above Is subject to 2 months prior notice to the receipt of next Regular Premium. Confirmation of such Redirection will be communicated to you. If Total of New Allocation Percentage specified is less than 100%, the balance will be invested into Bond Fund by default. If Total is more than 100%, the request will not be processed.

a. b.
c. d.

e.
4. Partial

Withdrawal Facility (not applicable for Pension plans):

Available from 4th Policy Year onwards (for Horizon, Unit Plus & Unit Plus Child Plans ) and from 4th Policy Year or attainment of 18 years of age in case of minor life assured, whichever is later (Horizon II, Unit Plus II & Unit Plus Elite) In case of Unit Plus II plans, it is available only if first 3 full years premiums are paid 4 Withdrawals are free per Policy Year for Unit Plus & Unit Plus II Plans, Unit Plus Child and Unit Plus Elite and 2 per policy year for Horizon and Horizon II Should be in multiples of Rs.1,000 Minimum & Maximum Withdrawal amount differs for each product. For details, please refer to the policy conditions contained in the Schedule-II of each product.

a. b. c.
d.

e. a.
b.

5. Common Conditions:
NAV used for liquidation / investment of Units i. If request is received before 3.00 p.m. : Closing NAV of the day ii. If request is received after 3.00 p.m. : Closing NAV of the next business day Invalid Request i. If the signature of the policyholder on the request differs from the one as per our records OR ii. If the request is not filled as per the conditions/guidelines mentioned in the foregoing paragraphs it will be treated as an invalid request. In such case , a fresh valid request complete in all respects will be processed on the date of receipt and the existing NAV as on the date of such receipt will be applicable.

SBI Life Insurance Co. Ltd. Registered Office: State Bank Bhavan, Madam Cama Road, Nariman Point, Mumbai - 400021 Corporate Office: Turner Morrison Bldg, GN Vaidya Marg, Fort, Mumbai 400023 Central Processing Centre: Kapas Bhavan, Plot No. 3A, Sec 10, CBD Belapur, Navi Mumbai. Regn No. 111 Call Toll Free No: 1800 22 9090 To download this form visit us at www.sbilife.co.in

Insurance is the subject matter of solicitation.