STATEMENT OF ACCOUNT AS ON 23-JAN-2011

BAJAJ ALLIANZ NEW FAMILYGAIN ACCOUNT

To, Statement Date : 23-JAN-2011

MR ANILKUMAR RAI Policy No : 0083935121
AT USHARAVAN Issued Date : 24/01/2008
POST DAURI Sum Assured : 408000
JEETAPUR, JAUNPUR Frequency of Payment : Annual
UTTAR PRADESH Premium Amount : 12000

The policy has not completed 3 years, hence not eligible for Partial withdrawal/ Surrender

BAJAJ ALLIANZ EQUITY INDEX FUND II

Transaction Unitize Date Req ID Transaction Amount Allocation Net Unit Price Allocated Units
Date Rate % Investment
(Rs)
24-JAN-08 25-JAN-08 New Business Regular 12000 30 3600.00 17.4360 206.4694
24-JAN-09 02-FEB-09 Regular Premium Renewal 12000 97 11640.00 9.0030 1292.9024
Year
24-JAN-10 15-FEB-10 Regular Premium Renewal 12000 97 11640.00 15.4994 750.9968
Year
Charges -5406.77 -386.8729
Balance c/f 1863.4957

Summary Details
Fund Name NAV Total Units Fund Value
EQUITY INDEX FUND II 18.3472 1863.4957 34189.93
Total 1863.4957 34189.92

* Account Value Rs 34189.93

Note : This is a computer generated letter. No signature is required.

* "Account Value" is based on NAV available on 21/01/2011.
Note: Charges Include Mortality charge.Policy admin charges,Service tax,Education cess,Switch fee where ever applicable.