Reliance Life Insurance
A Reliance Capital Company
 Reliance Life Traditional Golden Years Plan
Name of the Life Insured :
Advisor/Employee Code :
Name of the Insurance Advisor :
Sex :
Date of Quotation :
Age :
 Policy Term :
Premium Paying Term :
Mode of Premium Payment :
Installment premium :
Annualised premium :



Insurance is the subject matter of solicitation.
Reliance Life Insurance Company Limited is a fully licensed life insurance company registered with the Insurance Regulatory and Development Authority (Registration No: 121) in accordance with the provisions of the Insurance Act 1938.
1.For authoritative details of the fees and the terms and conditions applicable to the particular person/policy, kindly refer to the specifications
in the policy document after issuance.

2. The current rate of service tax along with education cess is 10.30%. The service tax rate will be revised as and when notified by the Government.

3. The Life Insurance Council under the Insurance Regulatory and Development Authority has specified illustrative gross returns on investment
of 6% p.a. & 10% p.a. as the lower and higher limits to be used in all Benefit Illustrations.

4. For more details on risk factor, terms and conditions, please read Sales brochure of the particular plan carefully before concluding a sale.