ACS

Statement of Account December 05, 2008 to September 01, 2011
00726300
Mr. Anchal .
Tarni Street
Sardhana
Meerut
Uttar Pradesh
250342
Date: September 01,2011

Policy Number: 00726300
Policy Owner
Mr. Anchal .
Life Insured
Mr. Anchal .
Policy Status
In Force
Plan
Met Growth RP
Fund
Multiplier
Sum Assured (in Rs.)
300000
Premium Mode
Annual
Modal Premium (in Rs.)
15000.00
Consolidated Charges for the period from May 01, 2009 to September 01, 2011
Charges
Value
Premium Allocation Charges
Rs.0.00
Top-up charges
Rs.0.00
Fund Switch Charges
Rs.0.00
Total Amount
Rs.0.00
Summary Of Account
Account Summary as on September 01,2011
Fund Option
Multiplier
Transaction Description
Amount (Rs.)
Units
0.00000
Opening Balance
Premium Collection
45000.00
2303.18292
-15000.00
-1089.22970
Additional Cess
-2.71
-0.11381
Educational Cess
-5.45
-0.22880
-185.68
-7.89552
Service Tax
Service Tax - Mortality Charge
Policy Administration Charge
Mortality Charge
Unit Dealing
Service Tax Recovery
-86.21
-3.52300
-3543.75
-144.78992
-862.03
-35.22704
-1854.00
-134.62879
-6.79
-0.25862
887.28772
Closing Balance
Summary of Total Balance of accounts as on August 30,2011 Rs . 19872.76052
Account Details as on September 01,2011

Fund Option
Transaction
Date
Multiplier
Transaction Description
05/12/2008
Opening Balance
06/12/2008
Premium Collection
06/12/2008
07/12/2009
Premium Collection
07/12/2009
Additional Cess
Amount(Rs)
NAV
NAV Date
Units Bought/
Sold
Total Units
0.00000
0.00000
1089.22970
15000.00
13.77120
06/12/2008
1089.22970
-15000.00
13.77120
06/12/2008
-1089.22970
0.00000
15000.00
23.05660
07/12/2009
650.57294
650.57294
-0.17
23.05660
07/12/2009
-0.00737
650.56557
Page 1 of 6
MetLife India Insurance Co.Ltd.

Registered Office:'Brigade Seshamahal',5 Vani Vilas Road, Basavanagudi, Bangalore -560004.
24 Hour Helpline: 1-800-425-6969 or +91-80-2650 2244 Email: indiaservice@metlife.co.in
www.metlife.co.in
07/12/2009
Educational Cess
07/12/2009
Service Tax
-0.34
23.05660
07/12/2009
-0.01475
650.55082
-16.88
23.05660
07/12/2009
-0.73211
07/12/2009
649.81871
Additional Cess
-0.04
23.05660
07/12/2009
-0.00173
649.81698
07/12/2009
Educational Cess
-0.08
23.05660
07/12/2009
-0.00347
649.81351
07/12/2009
Service Tax - Mortality

Charge
-4.13
23.05660
07/12/2009
-0.17912
649.63439
07/12/2009
-168.75
23.05660
07/12/2009
-7.31895
642.31544
07/12/2009
Mortality Charge
-41.31
23.05660
07/12/2009
-1.79168
640.52376
06/01/2010
Additional Cess
-0.17
24.07470
06/01/2010
-0.00706
640.51670
06/01/2010
Educational Cess
-0.34
24.07470
06/01/2010
-0.01412
640.50258
06/01/2010
Service Tax
-16.88
24.07470
06/01/2010
-0.70115
639.80143
06/01/2010
Additional Cess
-0.04
24.07470
06/01/2010
-0.00166
639.79977
06/01/2010
Educational Cess
-0.08
24.07470
06/01/2010
-0.00332
639.79645
06/01/2010

Charge
-4.13
24.07470
06/01/2010
-0.17155
639.62490
06/01/2010
-168.75
24.07470
06/01/2010
-7.00943
632.61547
06/01/2010
Mortality Charge
-41.25
24.07470
06/01/2010
-1.71342
630.90205
08/02/2010
Additional Cess
-0.17
21.69930
08/02/2010
-0.00783
630.89422
08/02/2010
Educational Cess
-0.34
21.69930
08/02/2010
-0.01567
630.87855
08/02/2010
Service Tax
-16.88
21.69930
08/02/2010
-0.77791
630.10064
08/02/2010
Additional Cess
-0.04
21.69930
08/02/2010
-0.00184
630.09880
08/02/2010
Educational Cess
-0.08
21.69930
08/02/2010
-0.00369
630.09511
08/02/2010

Charge
-4.15
21.69930
08/02/2010
-0.19125
629.90386
08/02/2010
-168.75
21.69930
08/02/2010
-7.77675
622.12711
08/02/2010
Mortality Charge
-41.51
21.69930
08/02/2010
-1.91296
620.21415
08/03/2010
Additional Cess
-0.17
23.21200
08/03/2010
-0.00732
620.20683
08/03/2010
Educational Cess
08/03/2010
Service Tax
08/03/2010
-0.34
23.21200
08/03/2010
-0.01465
620.19218
-16.88
23.21200
08/03/2010
-0.72721
619.46497
Additional Cess
-0.04
23.21200
08/03/2010
-0.00172
619.46325
08/03/2010
Educational Cess
-0.08
23.21200
08/03/2010
-0.00345
619.45980
08/03/2010

Charge
-4.14
23.21200
08/03/2010
-0.17836
619.28144
08/03/2010
-168.75
23.21200
08/03/2010
-7.26995
612.01149
08/03/2010
Mortality Charge
-41.41
23.21200
08/03/2010
-1.78399
610.22750
12/04/2010
Additional Cess
-0.17
24.22170
06/04/2010
-0.00702
610.22048
12/04/2010
Educational Cess
-0.34
24.22170
06/04/2010
-0.01404
610.20644
12/04/2010
Service Tax
-16.88
24.22170
06/04/2010
-0.69690
609.50954
12/04/2010
Additional Cess
-0.04
24.22170
06/04/2010
-0.00165
609.50789
12/04/2010
Educational Cess
-0.08
24.22170
06/04/2010
-0.00330
609.50459
12/04/2010

Charge
-4.14
24.22170
06/04/2010
-0.17092
609.33367
12/04/2010
-168.75
24.22170
06/04/2010
-6.96689
602.36678
12/04/2010
Mortality Charge
-41.38
24.22170
06/04/2010
-1.70839
600.65839
06/05/2010
Additional Cess
-0.17
23.00270
06/05/2010
-0.00739
600.65100
06/05/2010
Educational Cess
-0.34
23.00270
06/05/2010
-0.01478
600.63622
06/05/2010
Service Tax
-16.88
23.00270
06/05/2010
-0.73383
599.90239
06/05/2010
Additional Cess
-0.04
23.00270
06/05/2010
-0.00174
599.90065
06/05/2010
Educational Cess
-0.08
23.00270
06/05/2010
-0.00348
599.89717
06/05/2010

Charge
-4.15
23.00270
06/05/2010
-0.18041
599.71676
06/05/2010
-168.75
23.00270
06/05/2010
-7.33610
592.38066
06/05/2010
Mortality Charge
-41.47
23.00270
06/05/2010
-1.80283
590.57783
07/06/2010
Additional Cess
-0.17
22.72300
07/06/2010
-0.00748
590.57035
Page 2 of 6

www.metlife.co.in
07/06/2010
Educational Cess
07/06/2010
Service Tax
-0.34
22.72300
07/06/2010
-0.01496
590.55539
-16.88
22.72300
07/06/2010
-0.74286
07/06/2010
589.81253
Additional Cess
-0.04
22.72300
07/06/2010
-0.00176
589.81077
07/06/2010
Educational Cess
-0.08
22.72300
07/06/2010
-0.00352
589.80725
07/06/2010

Charge
-4.15
22.72300
07/06/2010
-0.18263
589.62462
07/06/2010
-168.75
22.72300
07/06/2010
-7.42640
582.19822
07/06/2010
Mortality Charge
-41.50
22.72300
07/06/2010
-1.82634
580.37188
06/07/2010
Additional Cess
-0.04
23.83490
06/07/2010
-0.00168
580.37020
06/07/2010
Educational Cess
-0.08
23.83490
06/07/2010
-0.00336
580.36684
06/07/2010

Charge
-4.15
23.83490
06/07/2010
-0.17411
580.19273
06/07/2010
-168.75
23.83490
06/07/2010
-7.07995
573.11278
06/07/2010
Mortality Charge
-41.50
23.83490
06/07/2010
-1.74114
571.37164
06/08/2010
Unit Dealing
-1854.00
13.77120
06/12/2008
-134.62879
436.74285
06/08/2010
Additional Cess
-0.04
24.60040
06/08/2010
-0.00163
436.74122
06/08/2010
Educational Cess
-0.08
24.60040
06/08/2010
-0.00325
436.73797
06/08/2010

Charge
-4.14
24.60040
06/08/2010
-0.16829
436.56968
06/08/2010
-168.75
24.60040
06/08/2010
-6.85964
429.71004
06/08/2010
Mortality Charge
-41.44
24.60040
06/08/2010
-1.68453
428.02551
06/09/2010
Additional Cess
-0.04
25.21800
06/09/2010
-0.00159
428.02392
06/09/2010
Educational Cess
-0.09
25.21800
06/09/2010
-0.00357
428.02035
06/09/2010

Charge
-4.20
25.21800
06/09/2010
-0.16655
427.85380
06/09/2010
-168.75
25.21800
06/09/2010
-6.69165
421.16215
06/09/2010
Mortality Charge
-41.97
25.21800
06/09/2010
-1.66429
419.49786
17/09/2010
Service Tax Recovery
-6.79
26.23770
16/09/2010
-0.25862
419.23924
06/10/2010
Additional Cess
-0.04
27.70160
06/10/2010
-0.00144
419.23780
06/10/2010
Educational Cess
-0.09
27.70160
06/10/2010
-0.00325
419.23455
06/10/2010

Charge
-4.18
27.70160
06/10/2010
-0.15089
419.08366
06/10/2010
-168.75
27.70160
06/10/2010
-6.09171
412.99195
06/10/2010
Mortality Charge
-41.81
27.70160
06/10/2010
-1.50930
411.48265
08/11/2010
Additional Cess
-0.04
27.95690
08/11/2010
-0.00143
411.48122
08/11/2010
Educational Cess
-0.09
27.95690
08/11/2010
-0.00322
411.47800
08/11/2010

Charge
-4.18
27.95690
08/11/2010
-0.14952
411.32848
08/11/2010
-168.75
27.95690
08/11/2010
-6.03608
405.29240
08/11/2010
Mortality Charge
06/12/2010
Premium Collection
06/12/2010
-41.81
27.95690
08/11/2010
-1.49552
403.79688
15000.00
26.62500
06/12/2010
563.38028
967.17716
Additional Cess
-0.04
26.62500
06/12/2010
-0.00150
967.17566
06/12/2010
Educational Cess
-0.08
26.62500
06/12/2010
-0.00300
967.17266
06/12/2010

Charge
-4.01
26.62500
06/12/2010
-0.15061
967.02205
06/12/2010
-168.75
26.62500
06/12/2010
-6.33803
960.68402
06/12/2010
Mortality Charge
-40.06
26.62500
06/12/2010
-1.50460
959.17942
06/01/2011
Additional Cess
-0.04
26.83720
06/01/2011
-0.00149
959.17793
06/01/2011
Educational Cess
-0.08
26.83720
06/01/2011
-0.00298
959.17495
06/01/2011

Charge
-4.00
26.83720
06/01/2011
-0.14905
959.02590
06/01/2011
-168.75
26.83720
06/01/2011
-6.28791
952.73799
06/01/2011
Mortality Charge
-40.04
26.83720
06/01/2011
-1.49196
951.24603
07/02/2011
Additional Cess
-0.04
24.06980
07/02/2011
-0.00166
951.24437
Page 3 of 6

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07/02/2011
Educational Cess
-0.08
24.06980
07/02/2011
-0.00332
951.24105
07/02/2011

Charge
-4.05
24.06980
07/02/2011
-0.16826
951.07279
07/02/2011
-168.75
24.06980
07/02/2011
-7.01086
944.06193
07/02/2011
Mortality Charge
-40.47
24.06980
07/02/2011
-1.68136
942.38057
07/03/2011
Additional Cess
-0.04
24.19320
07/03/2011
-0.00165
942.37892
07/03/2011
Educational Cess
-0.08
24.19320
07/03/2011
-0.00331
942.37561
07/03/2011

Charge
-4.04
24.19320
07/03/2011
-0.16699
942.20862
07/03/2011
-168.75
24.19320
07/03/2011
-6.97510
935.23352
07/03/2011
Mortality Charge
-40.44
24.19320
07/03/2011
-1.67154
933.56198
13/04/2011
Additional Cess
-0.04
26.01260
06/04/2011
-0.00154
933.56044
13/04/2011
Educational Cess
-0.08
26.01260
06/04/2011
-0.00308
933.55736
13/04/2011

Charge
-4.03
26.01260
06/04/2011
-0.15492
933.40244
13/04/2011
-168.75
26.01260
06/04/2011
-6.48724
926.91520
13/04/2011
Mortality Charge
-40.31
26.01260
06/04/2011
-1.54963
925.36557
06/05/2011
Additional Cess
-0.17
24.64520
06/05/2011
-0.00690
925.35867
06/05/2011
Educational Cess
-0.34
24.64520
06/05/2011
-0.01380
925.34487
06/05/2011
Service Tax
-16.88
24.64520
06/05/2011
-0.68492
924.65995
06/05/2011
Additional Cess
-0.04
24.64520
06/05/2011
-0.00162
924.65833
06/05/2011
Educational Cess
-0.08
24.64520
06/05/2011
-0.00325
924.65508
06/05/2011

Charge
-4.05
24.64520
06/05/2011
-0.16433
924.49075
06/05/2011
-168.75
24.64520
06/05/2011
-6.84718
917.64357
06/05/2011
Mortality Charge
-40.54
24.64520
06/05/2011
-1.64495
915.99862
06/06/2011
Additional Cess
-0.17
24.51000
06/06/2011
-0.00694
915.99168
06/06/2011
Educational Cess
06/06/2011
Service Tax
06/06/2011
-0.34
24.51000
06/06/2011
-0.01387
915.97781
-16.88
24.51000
06/06/2011
-0.68870
915.28911
Additional Cess
-0.04
24.51000
06/06/2011
-0.00163
915.28748
06/06/2011
Educational Cess
-0.08
24.51000
06/06/2011
-0.00326
915.28422
06/06/2011

Charge
-4.06
24.51000
06/06/2011
-0.16565
915.11857
06/06/2011
-168.75
24.51000
06/06/2011
-6.88494
908.23363
06/06/2011
Mortality Charge
-40.55
24.51000
06/06/2011
-1.65443
906.57920
06/07/2011
Additional Cess
-0.17
25.05450
06/07/2011
-0.00679
906.57241
06/07/2011
Educational Cess
-0.34
25.05450
06/07/2011
-0.01357
906.55884
06/07/2011
Service Tax
-16.88
25.05450
06/07/2011
-0.67373
905.88511
06/07/2011
Additional Cess
-0.04
25.05450
06/07/2011
-0.00160
905.88351
06/07/2011
Educational Cess
-0.08
25.05450
06/07/2011
-0.00319
905.88032
06/07/2011

Charge
-4.05
25.05450
06/07/2011
-0.16165
905.71867
06/07/2011
-168.75
25.05450
06/07/2011
-6.73532
898.98335
06/07/2011
Mortality Charge
-40.50
25.05450
06/07/2011
-1.61648
897.36687
08/08/2011
Additional Cess
-0.17
22.92850
08/08/2011
-0.00741
897.35946
08/08/2011
Educational Cess
-0.34
22.92850
08/08/2011
-0.01483
897.34463
08/08/2011
Service Tax
-16.88
22.92850
08/08/2011
-0.73620
896.60843
08/08/2011
Additional Cess
-0.04
22.92850
08/08/2011
-0.00174
896.60669
08/08/2011
Educational Cess
-0.08
22.92850
08/08/2011
-0.00349
896.60320
08/08/2011

Charge
-4.08
22.92850
08/08/2011
-0.17794
896.42526
08/08/2011
-168.75
22.92850
08/08/2011
-7.35984
889.06542
08/08/2011
Mortality Charge
-40.76
22.92850
08/08/2011
-1.77770
887.28772
01/09/2011
Closing Balance
887.28772
887.28772
Page 4 of 6

www.metlife.co.in
Current Unit Balance : 887.28772
NAV as on August 30,2011 :22.39720
Current Fund Value:

19872.76052
The units allocated to your account are subject to clearance of the cheque(s). Please notify us in writing, within 14 calendar days
from the date of the receipt of this statement, in case of any discrepancy in your Account Statement.
IRDA vide its Circular No.053/IRDNActl_ULIP_G/February-07, dated 20th February 2007, has permitted Insurance companies to
invest in Money Market Instruments upto 40% (increased from 20%) of its Unit Linked Funds. This has been done with the
intention to enhance the flexibility in operation of the Unit Linked Funds. In compliance with this circular MetLife India Insurance
Co. Ltd has written to IRDA and received approval to enhance the Money Market exposure in all its unit linked funds upto 40%.
This is the maximum permissible exposure and not targeted exposure which would be much lower.
In case of any queries related to the information provided in this notice or any other, please feel free to
contact us at our 24 Hour helpline: 1-800-425-6969 (from all landline and mobile) or email us at indiaservice@metlife.co.in.
Our customer service executives would be happy to help and assist you
Yours Sincerely,
MetLife India Insurance Co. Ltd.
Page 5 of 6

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Service Guidelines
Premium Allocation
Charge
Premium Allocation Charge The Premium Allocation Charges are applied

whenever the Regular premium and Top-up premium is applied to the policy.
Please refer the Terms and Conditions enclosed along with the Policy
Document for details on the percentage of Premium Allocation Charge
applicable on your policy.
Mortality Charges
Mortality charge is deducted at the beginning of each month by cancellation of

an appropriate number of units at the relevant Net Asset Value.
The Mortality charge is deducted from the fund with the highest Fund Value and
the balance if any from next such fund and so on.
Please refer the Cost of Insurance Rate table enclosed along with the Policy
Document for details on the monthly mortality charges arrived at on your policy.
Policy Administration
Charge
The following policy administration charges are deducted from the fund value as
given below:
Met Smart Plus Met Smart Premier Met Advantage
Plus
Year 1 (each month)
Rs.200
Rs.200
Rs.25
Year 2+ (each month)
Rs.75
Rs.75
The above charges will be deducted at the beginning of each month by
cancellation of an appropriate number of units using the relevant Net Asset
Value of these units. The policy administration charge is deducted from the fund
with the highest Fund Value and the balance if any from next such fund and so
on.
Premium Payment
1. For all Renewal Premium Payments (including Advance premium), the

reference NAV date considered is the Payment Date or the Due Date of
payment, whichever is later. The below mentioned points shall be applicable
when the Payment Date is post the Premium Due Date.
2. To get the same day's NAV pay your premium/ Dump in/ Top up premium
before 1500 hours at your nearest MetLife Office. Outstation Cheques and
Demand Draft payments would be given an NAV as on the date of clearance.
3. When you pay Dump in/ Top up amounts, do indicate this in writing. If this is
not indicated, the money would be treated as outlined in the terms and
conditions of your policy. In case there is a past due payment on your policy or
the policy is lapsed, the payment would first be appropriated towards the past
due payment or towards reinstating your policy, as the case may be.
4. For local cheques / DD's payments sent through post, drop box, etc the NAV
will depend on the date and time of receipt at MetLife's Office, If received before
1500 hours on any day, the NAV would be that of the same valuation date.
Outstation Cheques and Demand Draft payments would be given an NAV as on
the date of clearance.
5. Please pay your premium within the grace period (30 days from due date) to
keep your policy in-force and continue enjoying the benefits & privilege under
the coverage.
Frequency of premium
payment
Can be changed at any time by giving a request in writing. The change will be
effective from the next policy anniversary only.
Switch of Fund Options
Facility of switch between fund options is available after 6 months from the date
of issue of your policy. This can be done by submitting the Fund Switch Request
Form by 1500 hours to get the same day's NAV.
Withdrawal
Facility of partial withdrawal from the Policy Account is available after 3 years
from the date of issue of the policy. This can be done by submitting the
Withdrawal Request Form by 1500 hours to get the same day's NAV. (applicable
for Met Smart Plus, Met Smart Premier, Met Smart Plus Single Pay and Met
Smart Premier Single pay.)
Sum Assured
You have the option to increase/decrease the Sum assured after the first 3
policy years by making a written request to the Company prior to the Policy
Anniversary date.
Address Change
Address changes may be done anytime by giving us a request in writing.
Assignment
You may change/add a beneficiary to the policy by submitting the beneficiary

change request form.
Beneficiary Change
To assign your policy to another person / institution, please fill up our

assignment deed in 2 originals and submit along with the policy document.
Page 6 of 6

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Statement of Account December 05, 2008 to September 01, 2011

Date: September 01,2011

Sum Assured (in Rs.)

Modal Premium (in Rs.)

Premium Allocation Charges

Fund Switch Charges

Premium Allocation Charges

Account Details as on September 01,2011

Premium Allocation Charges

MetLife India Insurance Co.Ltd.

Service Tax - Mortality

Policy Administration Charge

Service Tax - Mortality

Policy Administration Charge

Service Tax - Mortality

Policy Administration Charge

Service Tax - Mortality

Policy Administration Charge

Service Tax - Mortality

Policy Administration Charge

Service Tax - Mortality

Policy Administration Charge

MetLife India Insurance Co.Ltd.

Service Tax - Mortality

Policy Administration Charge

Service Tax - Mortality

Policy Administration Charge

Service Tax - Mortality

Policy Administration Charge

Service Tax - Mortality

Policy Administration Charge

Service Tax Recovery

Service Tax - Mortality

Policy Administration Charge

Service Tax - Mortality

Policy Administration Charge

Service Tax - Mortality

Policy Administration Charge

Service Tax - Mortality

Policy Administration Charge

MetLife India Insurance Co.Ltd.

Service Tax - Mortality

Policy Administration Charge

Service Tax - Mortality

Policy Administration Charge

Service Tax - Mortality

Policy Administration Charge

Service Tax - Mortality

Policy Administration Charge

Service Tax - Mortality

Policy Administration Charge

Service Tax - Mortality

Policy Administration Charge

Service Tax - Mortality

Policy Administration Charge

MetLife India Insurance Co.Ltd.

Current Unit Balance : 887.28772

NAV as on August 30,2011 :22.39720

Current Fund Value:

MetLife India Insurance Co.Ltd.

Premium Allocation Charge The Premium Allocation Charges are applied

Mortality charge is deducted at the beginning of each month by cancellation of