IN ULIPS, THE INVESTMENT RISK IN THE INVESTMENT PORTFOLIO IS BORNE BY THE POLICYHOLDER

Features of ICICI Pru1 Wealth

ICICI Pru1 Wealth is a plan which is designed to give you life cover and help you grow
your wealth over the long-term. This policy is unit linked which means that the benefits
you receive will depend on the performance of the fund(s) you have selected.
This document has been designed to help you understand your policy better by explain-
ing some of its key features.
The complete details of all the features is available in the Policy Document. Do go through
that document as well to get a complete understanding of your policy.

How does this plan work?

1 At the time of entering this policy, you would have made two important choices:
The premium amount that you will pay, i.e. One Time Premium amount
The number of years after which your policy matures i.e. Policy Term
Your premium will get invested in the funds of your choice. Your investment will grow
as per the returns earned by these funds. At the end of 10 years i.e. in Mar
Mar 2035
2027 your
policy will mature and a lump sum amount which is equal to your fund value will be paid
out to you.

What is the premium that I have to pay and for how many
2 years?
You don t have to pay any more premiums, as you have already paid a one-time
201
8
premium of ` 15,00,000/-
1,00,00,000/- .

How will my money be invested in this policy?

3 Your money will be invested in the funds selected by you. This plan comes with a
suite of various funds. You can switch from one fund to another as many times as
you want without any charge. Over time, the fund value reflects the returns earned
by the fund(s) selected by you.
For details of the funds that you are currently invested in refer your Premium receipt.
 What are the benefits that I get from this policy?
4 (A) Partial Withdrawal Benefit: In case of any sudden requirement of money, you can withdraw
money from your fund value. This feature is called Partial Withdrawal. You can make a partial
withdrawal after 5 years. After Mar 2030 , you Mar
can withdraw
2015 up to 20% of your fund value. For
`
`

further details refer Part D of your Policy document

(B) Wealth Boosters: At the end of your policy term, extra units worth 2% of the premium
`
amount and Top up amount, minus partial withdrawal amount (if applicable), will be added to
your policy fund value.
`
(C) Maturity Benefit: At the end of your policy term, i.e. inMar
Mar2018
2035, you will receive a lump `
sum amount equal to your policy fund value.
(D) Life Insurance Benefit: In this policy, if the person insured dies during the policy
term, we will pay the person specified in your policy (the nominee) a lump-sum.
The amount paid will be the maximum of the 3 following:
10,00,00,000/-
Your Sum Assured which is ` 75,00,000/-
Fund Value at the time of death
105% of the premium amount paid inclusive of Top up if any
The nominee or any other family member
Girish Kumarcan
Raoinitiate the process of receiving this amount by
visiting the claims section of our website, www.iciciprulife.com

What charges do I have to pay for this policy?

5 This policy has only 2 charges:

Fund Management Charge (FMC): This is a percentage of your Fund Value. FMC for
RGE
S
Money Market Fund is 0.75% p.a. For the remaining funds that you can choose from CHA
in this policy, the FMC is 1.35% p.a.
Mortality Charge: This is the cost of your life insurance cover. This will vary depend-
ing on your age, fund value and your life insurance cover.
`

`
What happens if I decide to close my policy before the `

6 end of the policy term?

It is in your best interest that you stay invested in your policy till the end of your
policy term, i.e Mar
Mar 2035
2021.
If you want to close your policy after completion of 5 years, your fund value will be paid out to you
and your policy will be closed.
If you want to close your policy before completion of 5 years, your fund value after deduction of
discontinuance charges will be transferred to discontinuance fund. For complete details, please
refer to Part D Point 9 of your Policy Document.

“The values appearing in this feature document are based on the information provided and the type of cover sought by you in the duly filed
proposal form. It is pertinent to note that any change affected by you in the details provided in the proposal form may lead to a change in the
benefits or premium payable under this policy.” COMP/DOC/Jul/2020/107/3944

ICICI Prudential Life Insurance Company Limited. IRDAI Regn No. 105. CIN: L66010MH2000PLC127837.
Unit linked insurance products are subject to market risk, which affect the Net Asset Values & the customer shall be responsible for his/her decision. The names
of the Company, Product names or fund options do not indicate their quality or future guidance on returns. Funds do not offer guaranteed or assured returns.
Registered Address: 1089, Appasaheb Marathe Marg, Prabhadevi, Mumbai 400025. Reg No: 105. Tax laws are subject to amendments from time to time.
Please refer your policy document for more details of this policy. UIN: 105L175V06. COMP/DOC/Jul/2018/97/1397.
 Benefit Illustration for ICICI Pru1 Wealth
This shall form a part of the policy document
Proposal No :
Name of the Policyholder : Mr. X Name of the Product : ICICI Pru1 Wealth
Tag Line : A Non-Participating Linked Individual
Savings Life Insurance Plan
Age of Policyholder : 01-Jan-1980 (45 Years) Gender of the Policyholder : MALE
Name of the Life Assured : Mr. X Unique Identification No. : 105L175V06
Age of Life Assured : 01-Jan-1980 (45 Years) Applicable tax Rate : 18%
Gender of the Life Assured : MALE
Sum Assured : Rs 7,500,000/- Portfolio Strategy : Fixed
Policy Term : 10 Years Funds opted for : Balanced Advantage Fund: 100%
Premium Payment Term : One Pay Risk Level : High
Amount of Base Instalment : Rs 1,500,000/- Sales Channel : Agency
Premium
Premium Payment Option : Single pay Annualised Base Premium : Rs 1,500,000/-

How to read and understand this benefit illustration?

This benefit illustration is intended to show what charges are deducted from your premiums and how the unit fund, net of charges and taxes, may
grow over the years of the policy term if the fund earns a gross return of 8% p.a. or 4% p.a. These rates, i.e., 8% p.a. and 4% p.a. are assumed
only for the purpose of illustrating the flow of benefits if the returns are at this level. It should not be interpreted that the returns under the plan are
going to be either 8% p.a. or 4% p.a. 8 % p.a. or 4% p.a. are not the maximum or minimum limits of the returns that can be expected under the
product.
Net Yield mentioned corresponds to the gross investment return of 8% p.a., net of all charges but does not consider mortality, morbidity charges,
underwriting extra, if any, guarantee charges and cost of rider, if deducted by cancellation of units. It demonstrates the impact of charges exclusive
of taxes on the net yield. Please note that the mortality charges per thousand sum assured in general, increases with age.

The actual returns can vary depending on the performance of the chosen fund, charges towards mortality, morbidity, underwriting extra, cost of
riders etc. The investment risk in this policy is borne by the policyholder, hence, for more details on terms and conditions please read sales
literature carefully.
Part A of this statement presents a summary view of year-by-year charges deducted under the policy, fund value, surrender value and the death
benefit, at two assumed rates of return. Part B of this statement presents a detailed break-up of the charges, and other values.

Part A: Year on year summary of charges deducted under the policy, fund value, surrender value and the death benefit payable at the
end of respective years, at two assumed rates of return i.e. 4% p.a. & 8% p.a.

(Amount in Rupees.)
At 4% p.a. Gross Investment Return At 8% p.a. Gross Investment Return
Polic Annualized Mortality Other Applicable Fund at Surrender Death Mortality Other Applicable Fund at End Surrender Death Benefit
y Premium Charge Charges* Taxes End of Value Benefit Charge Charges* Tax of Year Value
Year Year
1 1,500,000 17,020 19,724 6,639 1,515,761 0 7,500,000 16,943 19,391 6,564 1,575,424 0 7,500,000
2 0 18,770 19,918 6,989 1,529,808 0 7,500,000 18,492 20,360 7,018 1,653,789 0 7,500,000
3 0 20,757 20,088 7,378 1,541,819 0 7,500,000 20,217 21,366 7,511 1,735,070 0 7,500,000
4 0 23,161 20,226 7,836 1,551,246 0 7,500,000 22,278 22,407 8,071 1,819,043 0 7,500,000
5 0 25,864 20,329 8,341 1,557,668 1,557,668 7,500,000 24,542 23,482 8,673 1,905,632 1,905,632 7,500,000
6 0 28,992 20,387 8,914 1,560,506 1,560,506 7,500,000 27,104 24,588 9,335 1,994,641 1,994,641 7,500,000
7 0 32,492 20,395 9,546 1,559,228 1,559,228 7,500,000 29,888 25,724 10,042 2,085,954 2,085,954 7,500,000
8 0 36,314 20,346 10,225 1,553,351 1,553,351 7,500,000 32,821 26,889 10,781 2,179,537 2,179,537 7,500,000
9 0 40,412 20,234 10,942 1,542,436 1,542,436 7,500,000 35,831 28,082 11,539 2,275,442 2,275,442 7,500,000
10 0 44,797 20,052 11,699 1,556,015 1,556,015 7,500,000 38,902 29,306 12,314 2,403,742 2,403,742 7,500,000

*Includes Premium Allocation Charge, Policy Administration Charge, Fund Management Charge and Rider Charges, if any. See Part B for details.

I, __________________________________, have explained the I, ______________________________, having received the

premiums,charges and benefits under the policy fully to the information with respect to the above, have understood the
prospect / policyholder. above statement before entering into the contract.
Place: Place:
Date: Signature of Agent / Intermediary / Official Date: Signature of Prospect / Policyholder

Part B : Detailed summary of year on year charges deducted and benefit payable at two assumed rates of return i.e. 4% p.a. & 8% p.a.
respectively.

(Amount in Rupees.) Gross Yield 8% p.a. Net Yield 6.76 %

Policy Annualised Premium Annualized Mortality Policy Applicabl Rider Fund FMC Wealth Fund at Surrender Death
Year Premium(AP) Allocation premium - Charge Admin e Taxes Charges4 before FMC Booster5 End of Value7 and 8 Benefit7
2 Charge(PAC Premium Charge Year6
)3 Allocation
charge
1 1,500,000 0 1,500,000 16,943 0 6,564 0 1,598,305 19,391 0 1,575,424 0 7,500,000
2 0 0 0 18,492 0 7,018 0 1,677,814 20,360 0 1,653,789 0 7,500,000
3 0 0 0 20,217 0 7,511 0 1,760,282 21,366 0 1,735,070 0 7,500,000
4 0 0 0 22,278 0 8,071 0 1,845,483 22,407 0 1,819,043 0 7,500,000
5 0 0 0 24,542 0 8,673 0 1,933,340 23,482 0 1,905,632 1,905,632 7,500,000
6 0 0 0 27,104 0 9,335 0 2,023,655 24,588 0 1,994,641 1,994,641 7,500,000
7 0 0 0 29,888 0 10,042 0 2,116,308 25,724 0 2,085,954 2,085,954 7,500,000
8 0 0 0 32,821 0 10,781 0 2,211,266 26,889 0 2,179,537 2,179,537 7,500,000
9 0 0 0 35,831 0 11,539 0 2,308,579 28,082 0 2,275,442 2,275,442 7,500,000
10 0 0 0 38,902 0 12,314 0 2,408,323 29,306 30,000 2,403,742 2,403,742 7,500,000

(Amount in Rupees.) Gross Yield 4% p.a.

Policy Annualised Premium Annualized Mortality Policy Applicabl Rider Fund FMC Wealth Fund at Surrender Death
Year Premium(AP) Allocation premium - Charge Admin e Taxes Charges4 before FMC Booster5 End of Value7 and 8 Benefit7
2 Charge(PAC Premium Charge Year6
)3 Allocation
charge
1 1,500,000 0 1,500,000 17,020 0 6,639 0 1,539,036 19,724 0 1,515,761 0 7,500,000
2 0 0 0 18,770 0 6,989 0 1,553,312 19,918 0 1,529,808 0 7,500,000
3 0 0 0 20,757 0 7,378 0 1,565,522 20,088 0 1,541,819 0 7,500,000
4 0 0 0 23,161 0 7,836 0 1,575,113 20,226 0 1,551,246 0 7,500,000
5 0 0 0 25,864 0 8,341 0 1,581,656 20,329 0 1,557,668 1,557,668 7,500,000
6 0 0 0 28,992 0 8,914 0 1,584,563 20,387 0 1,560,506 1,560,506 7,500,000
7 0 0 0 32,492 0 9,546 0 1,583,295 20,395 0 1,559,228 1,559,228 7,500,000
8 0 0 0 36,314 0 10,225 0 1,577,360 20,346 0 1,553,351 1,553,351 7,500,000
9 0 0 0 40,412 0 10,942 0 1,566,311 20,234 0 1,542,436 1,542,436 7,500,000
10 0 0 0 44,797 0 11,699 0 1,549,676 20,052 30,000 1,556,015 1,556,015 7,500,000

IN THIS POLICY, THE INVESTMENT RISK IS BORNE BY THE POLICYHOLDER AND THE ABOVE INTEREST RATES ARE ONLY FOR
ILLUSTRATION PURPOSE.
ICICI Pru1 Wealth is only the name of the policy and does not in any way indicate the quality of the policy, its future prospects or returns.
Multi Cap Growth Fund(ULIF 085 24/11/09 LMCapGro 105), Multi Cap Balanced Fund(ULIF 088 24/11/09 LMCapBal 105), Income Fund(ULIF 089
24/11/09 LIncome 105), Money Market Fund(ULIF 090 24/11/09 LMoneyMkt 105), Maximiser V(ULIF 114 15/03/11 LMaximis5 105), Value
Enhancer Fund (ULIF 139 24/11/17 VEF 105), Secure Opportunitites Fund (ULIF 140 24/11/17 SOF 105), Balanced Advantage Fund (ULIF 144
03/06/21 BalanceAdv 105), Sustainable Equity Fund (ULIF 145 03/06/21 SustainEqu 105), Mid Cap Hybrid Growth Fund (ULIF 147 05/01/23
MCHybrdGrt 105), Multicap 50 25 25 Index Fund (ULIF 152 220224 MultiCapIF 105), MidSmall Cap 400 Index Fund (ULIF 153 150424 MidSmal400
105), MidSmallCap 400 Momentum Quality 100 Index Fund (ULIF 156 251024 MscMomQual 105) and Smallcap250 Momentum Quality 100 Index
Fund (ULIF 157 301224 SmcMomQual 105) are the names of the different fund options and do not in any manner indicate the quality of the fund, its
future prospects or returns.

1. Includes Top-up Sum Assured (if any)

2. Includes Top-up premium (if any)
3. Includes allocation charge on Top-up premium (if any)

4. Includes rider charges (if any)

5. Allocated at the end of policy term and will be a percentage of the Single Premium. Wealth Booster will be made by allocation of

units.
6. Includes Top-up Fund Value (if any)

7. The Death Benefit and Surrender Values illustrated assume that the event occurs at the end of the policy year.

8. i.If a policy is surrendered during the first five policy years, the Fund Value including Top-up Fund Value, if any, after deduction of

Discontinuance Charge, shall be transferred to Discontinued Policy Fund (DP Fund) and the risk cover shall cease. The nominee or
the Policyholder, as the case may be, will be entitled to the DP Fund Value on the earlier of death and expiry of the lock-in period.
ii. On surrender of the policy after the completion of five policy years, the Policyholder is entitled to the Fund Value including Top-up
Fund Value, if any.
8. i.If a policy is surrendered during the first five policy years, the Fund Value including Top-up Fund Value, if any, after deduction of

Discontinuance Charge, shall be transferred to Discontinued Policy Fund (DP Fund) and the risk cover shall cease. The nominee or
the Policyholder, as the case may be, will be entitled to the DP Fund Value on the earlier of death and expiry of the lock-in period.
ii. On surrender of the policy after the completion of five policy years, the Policyholder is entitled to the Fund Value including Top-up
Fund Value, if any.
Disclaimers

1. Refer the sales brochure for explanation of terms used in this illustration.
2. Fund management charge is based on the specific fund option(s) chosen.
3. In case rider charges are collected explictly through collection of rider premium, and not by way of cancellation of units,
then, such charges are not considered in this illustration. In other cases, rider charges are included in Rider Charges.
4. For the purpose of illustrations, we have used 4% and 8% as the lower and the higher rates of investment returns
respectively, in the calculations. These returns in no way signify our expectations of investment return on the funds. For
each of the funds, the actual investment return may be higher or lower than the above rates based on the asset classes
and the risk taken.
5. The net yield has been calculated after applying all the charges (except Goods and Services tax and applicable cesses,
mortality charges and rider charges).
6. This document is for illustration purposes only.
7. The investments in the units are subject to market and other risks and there can be no assurance that the objectives of
any of the funds will be achieved.
8. The unit value of the units of each of the funds can go up or down depending on the factors and forces affecting the
financial markets from time to time and may also be affected by changes in the general level of interest rates.
9. Wealth Booster and Fund at End are as at the end of the applicable policy year. No Wealth Booster will be allocated if the
policy is discontinued by any means during the year.
10. Fund Value at start shall be: For 1st year, it is the amount available for investment; thereafter, it is previous year's end
Fund Value plus the amount available for investment in the current year.
11. The funds do not offer a guaranteed or assured return.
12. Past performance of any plan/ fund of the Company is not necessarily indicative of the future performance of any of the
plans.
13. The above information must be read in conjunction with the sales brochure and policy document.
14. In case of any conflict between this benefit illustration and your policy document, the latter shall prevail.
15. For more details on risk factors, terms and conditions please read the sales brochure carefully before concluding a
purchase.
16. This illustration is based on the terms and conditions of the life insurance policy as on date of the illustration.
17. This benefit illustration is merely an example and is based on the data provided by you in the application form. The
illustration is based on the basic mortality charge. However the illustration could change in case we charge extra premium
based on underwriting guidelines.
18. Tax benefits under the policy are subject to conditions under Section 80C and 10(10D) of the Income Tax Act, 1961. Tax
will be deducted at source on payouts made under all taxable policies subject to conditions as per Section 194DA
(applicable on polices issued to resident Indian) or 195 (applicable for policies issued to Non-resident) of Income Tax Act,
1961, Goods and Services tax and applicable cesses will be charged extra as per prevailing rates. Tax laws are subject to
amendments from time to time.
19. For any further clarifications, please feel free to contact your advisor or FSC or e-mail us on [email protected].

I, __________________________________, have explained the I, ______________________________, having received the

premiums,charges and benefits under the policy fully to the information with respect to the above, have understood the
prospect / policyholder. above statement before entering into the contract.
Place: Place:
Date: Signature of Agent / Intermediary / Official Date: Signature of Prospect / Policyholder

ICICI Prudential Life Insurance Company Limited.

1089, Appasaheb Marathe Marg, Prabhadevi, Mumbai - 400025
Email: [email protected]
www.iciciprulife.com
 CUSTOMER INFORMATION SHEET/KNOW
YOUR POLICY
This document provides key information about your policy. You are also advised to
go through your policy document.
In this policy, the investment risk in investment portfolio is borne by the policyholder

Sl Title Description Policy

No Clause
(Please refer to applicable Policy Clause
Number in next column) Number
1 Name of Insurance ICICI Pru1 Wealth Policy
Product and Unique schedule
Identification Number UIN: 105L175V06
(UIN)
2 Application number/ Policy
Policy number schedule
3 Type of Insurance A Non-Participating Linked Individual Policy
Policy Savings Life Insurance Plan schedule
4 Basic Policy details Installment Premium- 15,00,000/- Policy
schedule
Mode of premium payment- Single

Sum Assured on Death - 75,00,000/-

Premium Paying Option- Single Pay

Policy Term - 10 years

5 Policy Benefits payable on maturity- Part C -Clause

Coverage/benefits 1 and 2,8
payable Only the Fund Value including Wealth
Booster and Top-up Fund Value if any to
the policyholder provided the Policy has not
already been terminated. For more
information, refer to Part C , Clause 2 of
policy document

Benefits payable on death-

Death Benefit payable will be highest of:

a) Sum Assured, including Top-up

Sum Assured, if any
b) Fund Value as available on date
of intimation of death or Date of
 Foreclosure or Date of Maturity
whichever is earlier,
c) Minimum Death Benefit

In the event of death of the Life Assured on

the Date of Maturity only Maturity Benefit
(if applicable) is payable by the Company.
For more information, refer to Part C ,
Clause 1 of policy document.

Surrender benefits-

Surrender during lock-in period:

During the Lock-in Period, on the receipt of

intimation by Us that you wish to Surrender
the Policy, the Fund Value after deducting
applicable Discontinuance Charges shall be
credited to the Discontinued Policy Fund
and risk cover and rider cover, if any, shall
cease. You or the Claimant, as the case may be,
will be entitled to receive the Discontinued
Policy Fund Value applicable to your Policy, on
the earlier of death of the Life Assured or the
expiry of the Lock-in Period.

Surrender after lock-in period:

After completion of the Lock-in Period, on

the receipt of intimation by Us that you wish
to surrender the Policy, you will receive the
Surrender Value , as on the date of
surrender.

For more information related to surrender,

refer to Part C, Clause 8 of policy document.

Lock-in period for Linked Insurance

products-
Five consecutive completed years from the
risk commencement date.

Survival Benefits excluding that payable on

maturity-Not Applicable
 Options to policyholders for availing
benefits, if any, covered under the policy-
Not Applicable

Other benefits/options payable, specific to

the policy, if any- Not Applicable

6 Options available (in Partial Withdrawal- Part D –

case of Linked Clause 2 , 3 , 4
Insurance Products) Partial withdrawals will be allowed after
completion of Lock-In Period provided the and 6
monies are not in Discontinued Policy
Fund. Total amount of partial withdrawals
in a Policy Year cannot exceed 20% of the
Fund Value in a Policy Year. For more
information, refer to Part D , Clause 4 of
policy document

Top –ups-

You have an option to pay Top-up

premiums any time during the first five
years of the policy term. All top-up
premiums will be subject to underwriting.
The minimum Top-up premium is Rs.
2,000/-. For more information, refer to Part
D, Clause 3 of policy document

Switches-

You have an option to switch units

between the funds available under this
plan. The minimum value of a switch is
₹2,000. For more information, refer to Part
D, Clause 2 of policy document

Settlement option-

You have an option to receive the Maturity

Benefit as a structured payout over a
period of up to 5 years after maturity. This
option has to be chosen on or before Date
of Maturity. For more information, refer to
Part D, Clause 6 of policy document
7 Option available (in Not Applicable
case of Annuity
product)
8 Riders opted, if any Rider Policy
NA Document and
Policy
Schedule

9 Exclusions (events Suicide- Part F, Clause

where insurance In case of death of the life assured due to 12
coverage is not suicide within 12 months from the date of
payable), if any commencement of the policy , the claimant
shall be entitled to the fund value, as available
on the date of intimation of death.
, refer to Part F, Clause 12 of policy
document
10 Waiting /lien Period, Not Applicable
if any
11 Grace Period Not Applicable

12 Free Look Period 30 days Part D -Clause

1
For more information, refer to Part D,
Clause 1 of policy document
13 Lapse, paid-up and Not applicable
revival of the Policy
14 Policy Loan, if NA
applicable
15 Claims/Claims Turn around Time – For TAT details for Part F ,Clause
Procedure death claim refer to 11
https://www.iciciprulife.com/contact-
us/our-services-turn-around-times.html

For any assistance on Claims, you can call

Us on 18002660 (for calls within India) or
+91 8069385555 (for calls outside India).
You can also register a health or a death
claim by sending us an email at
[email protected]

The claim form can be downloaded from

the following links:
 Digital Claim Form Link:
https://buy.iciciprulife.com/buy/Claim-
Intimation.htm?execution=e2s1

Physical Claim Form Link:

https://www.iciciprulife.com/insurance-
library/life-insurance-claims-related-
faqs.html#linked_content

For information on documents required to

process claims, please refer to the policy
document (Part F, Clause 11) under the
section ‘Specimen Policy Document’
available on our website at
https://www.iciciprulife.com/services/dow
nload-centre.html
16 Policy Servicing Turn around Time – For TAT details for Part G ,Clause
policy servicing - refer to 1
https://www.iciciprulife.com/contact-
us/our-services-turn-around-times.html

For any clarification or assistance, You

may contact Our advisor or call Our
customer service representative (between
10.00 a.m. to 7.00 p.m, Monday to
Saturday; excluding national holidays) on
18002660 or visit Our website:
www.iciciprulife.com.
Alternatively, You may communicate with
Us at any of our branches or the customer
service helpline number 18002660 or
email at [email protected]. For
updated contact details, We request You
to regularly check Our website.
17 Grievances i. You may write to gro by visiting the Part G
/Complaints grievance redressal page of our website:
https://www.iciciprulife.com/services/gri
evance-redressal.html Alternatively,
you can contact the Grievance redressal
officer at our branches or write to us at
[email protected]

ii. https://www.iciciprulife.com/services/gri
evance-redressal.html
 iii. Kindly refer the Insurance Ombudsman
details under part G under the ‘Specimen
Policy Document’ available at Download
Centre | ICICI Prulife . This is subject to
change from time to time
Additionally, the contact details of
Ombudsman can be accessed through
https://www.cioins.co.in/Ombudsman
The concerns of senior citizens will be
resolved on priority ensuring there is a
speedy disposal of the grievances.

Note: In case of any conflict, the terms and conditions mentioned in the policy
document shall prevail.
Declaration by the Policyholder

I have read the above and confirm having noted the details.

Place: (Signature of the Policyholder)

Date