June 15,2010 UIN : 122L001V02

Mr. Pankeel Naresh Solanki

612 / D - 6,
Anita CHS Ltd., Sector - 6, Charkop Kandivli, West Mumbai,
Mumbai-400067
Maharashtra
02228692091

We have added a benefit to your policy through Indexation

Dear Mr. Solanki,
As our policy anniversary approaches we have a reason for you to celebrate. We have added the benefit of
indexation to your policy, which will enable you to protect the real value of your policy against inflation. It also
ensures that you receive a meaningful amount on maturity of your policy. For your information the indexation rate
for this year is 5%. Your premium details are as follows:

Premium Premium Due Date

Current (Rs.) 11,025.00
15-Jun-2010
Indexed (Rs.) 11,576.00

On opting for Indexation, the Sum Assured (*) in your policy will be increased by the same proportion as your premium.

In case you have any further clarifications regarding the above mentioned details, we can be reached at
customerservices@avivaindia.com. Alternatively, you can also get in touch with our Customer Services Helpline
number 1800-180-2266/0124 2709046 (Monday to Saturday, 8AM to 10PM).

This is a computer-generated letter and hence does not require signature.

----------------------------------------------------- Please detach this slip and return with payment --------------------------------------------------

Please make your Cheque / Demand Draft payable to "AVIVA LIFE INSURANCE ACCOUNT POLICY NO: WLG1589683"

Options Modal Premium (Rs.) Premium Frequency

Yes, I want to opt for Indexation 11,576.00 Annual

No, I do not want to opt for Indexation 11,025.00 Annual

Please fill in the following details to avail regular updates on your policy

Mobile : ____________________________ E-mail :

______________________________________________________

Note: Please detach this payment slip and send it along with your payment to any Aviva office. Please ensure that your cheque is drawn on a Local bank. Please note that
premium will be adjusted towards unit allocation on the due date even if it has been received in advance. *Sum Assured is not applicable for Pension Plus policies. On
receipt of premium, units shall be allocated as per IRDA guidelines.
Aviva Branch Offices are the “Official Places” for Acceptance of Premium/Transaction requests for determining Cut off Time for allocation/surrender of Units, as per the
IRDA guidelines. In respect of premiums paid by using the Drop box, Skypak drop boxes or Free Cheque pick up facility, the cut off time for allocation of units shall be
reckoned from the time the premium received at the official places mentioned above. Disclaimer: Failure of any of the modes of premium payment options due to any
reason whatsoever will not automatically discharge the proposer from his liability of remitting the renewal premium on time
 ÌWLG1ÇZÄsÈÂ11,025.00Â15-Jun-Ç4*CÎ

To, WLG1589683
Mr. Pankeel Naresh Solanki
612 / D - 6,
Anita CHS Ltd., Sector - 6, Charkop Kandivli, West
Mumbai,
Mumbai-400067
Maharashtra
02228692091