SBI Life Insurance Company Ltd

Central Processing Centre

Plot No. 3/A, Sector -10
CBD Belapur
Navi Mumbai - 400614
Phone Number: 022 66456000
0.00 TRANSACTION CUM UNIT STATEMENT DATE : 20/04/2011
Policy Holder's Name Mr MUKESH KANTAPRASAD GAUTAM
SBILife Insurance Co. Ltd.
Address ACE REFRACTORY
SRT NO 19 4th Floor, Landmark Wardha
DIST KATNI Road, Ramdaspeth Nagpur
City KATANI Pc Maharashtra 440010
State MADHYA PRADESH
Pincode 483504
Policy Number 23018962405 Plan HORIZON-II
Risk Date 24/10/2007 Term 30
Status In Force Mode Half Yearly
TRANSACTION CUM UNIT STATEMENT FOR THE PERIOD FROM 24/10/2009 TO 19/04/2011
Trans Trans Total Bond Fund Equity Fund Money Market Fund
DATE CODE
Amount Charge NAV Units % NAV Units % NAV Units %
24/10/2009 OP 24,855.39 0.00 15.26 0.00 0.00 33.67 738.30 100.00 12.66 0.00 0.00
26/10/2009 AF 0.00 81.93 0.00 0.00 0.00 33.51 -2.45 -100.00 0.00 0.00 0.00
PR 0.00 25.00 0.00 0.00 0.00 33.51 -0.75 -100.00 0.00 0.00 0.00
3/11/2009 RP 6,000.00 661.80 0.00 0.00 0.00 31.06 171.84 100.00 0.00 0.00 0.00
24/11/2009 AF 0.00 81.93 0.00 0.00 0.00 34.51 -2.37 -100.00 0.00 0.00 0.00
PR 0.00 25.00 0.00 0.00 0.00 34.51 -0.72 -100.00 0.00 0.00 0.00
24/12/2009 AF 0.00 81.93 0.00 0.00 0.00 34.98 -2.34 -100.00 0.00 0.00 0.00
PR 0.00 25.00 0.00 0.00 0.00 34.98 -0.71 -100.00 0.00 0.00 0.00
25/1/2010 AF 0.00 81.93 0.00 0.00 0.00 33.94 -2.41 -100.00 0.00 0.00 0.00
PR 0.00 25.00 0.00 0.00 0.00 33.94 -0.74 -100.00 0.00 0.00 0.00
24/2/2010 AF 0.00 81.93 0.00 0.00 0.00 33.15 -2.47 -100.00 0.00 0.00 0.00
PR 0.00 25.00 0.00 0.00 0.00 33.15 -0.75 -100.00 0.00 0.00 0.00
25/3/2010 AF 0.00 81.93 0.00 0.00 0.00 35.89 -2.28 -100.00 0.00 0.00 0.00
PR 0.00 25.00 0.00 0.00 0.00 35.89 -0.70 -100.00 0.00 0.00 0.00
26/4/2010 AF 0.00 83.57 0.00 0.00 0.00 36.55 -2.29 -100.00 0.00 0.00 0.00
PR 0.00 25.00 0.00 0.00 0.00 36.55 -0.68 -100.00 0.00 0.00 0.00
27/4/2010 RP 6,000.00 661.80 0.00 0.00 0.00 36.47 146.38 100.00 0.00 0.00 0.00
24/5/2010 AF 0.00 83.57 0.00 0.00 0.00 34.13 -2.45 -100.00 0.00 0.00 0.00
PR 0.00 25.00 0.00 0.00 0.00 34.13 -0.73 -100.00 0.00 0.00 0.00
24/6/2010 AF 0.00 83.57 0.00 0.00 0.00 36.50 -2.29 -100.00 0.00 0.00 0.00
PR 0.00 25.00 0.00 0.00 0.00 36.50 -0.68 -100.00 0.00 0.00 0.00
26/7/2010 AF 0.00 75.77 0.00 0.00 0.00 37.35 -2.03 -100.00 0.00 0.00 0.00
PR 0.00 25.00 0.00 0.00 0.00 37.35 -0.67 -100.00 0.00 0.00 0.00
24/8/2010 AF 0.00 75.77 0.00 0.00 0.00 38.59 -1.96 -100.00 0.00 0.00 0.00
PR 0.00 25.00 0.00 0.00 0.00 38.59 -0.65 -100.00 0.00 0.00 0.00
24/9/2010 AF 0.00 75.77 0.00 0.00 0.00 41.17 -1.84 -100.00 0.00 0.00 0.00
PR 0.00 25.00 0.00 0.00 0.00 41.17 -0.61 -100.00 0.00 0.00 0.00
25/10/2010 AF 0.00 75.77 0.00 0.00 0.00 41.81 -1.81 -100.00 0.00 0.00 0.00
PR 0.00 25.00 0.00 0.00 0.00 41.81 -0.60 -100.00 0.00 0.00 0.00
1/11/2010 RP 6,000.00 300.00 0.00 0.00 0.00 41.80 136.36 100.00 0.00 0.00 0.00
24/11/2010 AF 0.00 75.77 0.00 0.00 0.00 40.10 -1.89 -100.00 0.00 0.00 0.00
PR 0.00 25.00 0.00 0.00 0.00 40.10 -0.62 -100.00 0.00 0.00 0.00
24/12/2010 AF 0.00 75.77 0.00 0.00 0.00 41.05 -1.85 -100.00 0.00 0.00 0.00
PR 0.00 25.00 0.00 0.00 0.00 41.05 -0.61 -100.00 0.00 0.00 0.00
24/1/2011 AF 0.00 75.77 0.00 0.00 0.00 39.37 -1.92 -100.00 0.00 0.00 0.00
PR 0.00 25.00 0.00 0.00 0.00 39.37 -0.64 -100.00 0.00 0.00 0.00
24/2/2011 AF 0.00 75.77 0.00 0.00 0.00 36.31 -2.09 -100.00 0.00 0.00 0.00
PR 0.00 25.00 0.00 0.00 0.00 36.31 -0.69 -100.00 0.00 0.00 0.00
24/3/2011 AF 0.00 75.77 0.00 0.00 0.00 38.04 -1.99 -100.00 0.00 0.00 0.00
PR 0.00 25.00 0.00 0.00 0.00 38.04 -0.66 -100.00 0.00 0.00 0.00

Policy Investment Value As on April 19, 2011

Investment Equity Fund
Value
In Rs. Units Nav
45121.48 1141.94 39.51

Policy Number : 23018962405

CHANGE IN CUT OFF TIME FOR UNIT LINKED POLICIES
"If any transaction request is received before 3.00pm, same day's closing NAV shall be applicable for the allocation / cancellation of units and if the request is received after 3.00 pm
the next business day's closing NAV shall be applicable as per IRDA Guidelines effective from Ist June 2007"
"You can view the fund value of your policy at our website www.sbilife.co.in where the default password is the customer ID alloted toYou"
PageNo: 1
* Transaction Code
OP-Opening Balance
PR-Risk Premium
TP-Top Up Received
LD-Lapse Disinvestment
AF-Administration Fee SF-Switch Fee PW-Partial Withdrawal INT-Interest On Risk Premium
RP-Renewal Premium Received IP-Initial Payment BCD-Bank Charges Deductions
FS-Fund Switch RB-Rebalancing MF-Medical Fee Recovery
LRI-Lapse Re-Investment

Name Of Your IA / CIF :BHUJANGRAO NARAYANRAO THORAT Phone Number:

Policy Number : 23018962405

CHANGE IN CUT OFF TIME FOR UNIT LINKED POLICIES
"If any transaction request is received before 3.00pm, same day's closing NAV shall be applicable for the allocation / cancellation of units and if the request is received after 3.00 pm
the next business day's closing NAV shall be applicable as per IRDA Guidelines effective from Ist June 2007"
"You can view the fund value of your policy at our website www.sbilife.co.in where the default password is the customer ID alloted toYou"
PageNo: