Mr. Sagar Karande 1A 2006 Dreams Complex L.B.S Marg Bhandup west Mumbai 400078 12th February 2015 Maharashtra Dear Mr. Sagar Karande, Subject: Change in Acceptance Terms Proposal No.: 17338454 Life to be Assured: Mr. Sagar Karande 74494600 Thank you for choosing HDFC Standard Life for your insurance policy. We now have all the information we require to decide how much you need to pay to enjoy the benefits of your policy. At HDFC Standard Life we have a policy of offering the best value for money at all times. We base our standard premium rates on all our customers being in good health. We have taken into account all the facts that you provided on your application plus the information given to us, wherever required, by the medical profession to assess your application. To be fair to all our customers, sometimes we need to ask for an extra premium and in other cases we can't give cover at all. For your proposal, we have proposed change in terms of acceptance on financial grounds and Urine cotinine positive. For your cover details please see the table below:

Plan: HDFC Life Click 2 Protect Plus

Periodicity of premium payments: Annual

Term of policy: 30 years

Benefit Cover Sum to be Assured

(Rs.)

Standard Premium

(Rs.)

Extra Premium

(Rs.)

Total Premium

(Rs.)

Income Benefit

Income Plus Opt.-Incr.Incm(MB)

A

A

5,000,000

50,000

10,429.00

0.00

0.00

0.00

10,429.00

0.00

Total 10,429.00 0.00 10,429.00 A - Accepted by us D - Declined R - Accepted with extra Premium We have enclosed a new illustration of benefits that indicates the effect that these changes might have on the benefits of your policy. Amount in Rs. Amount in Rs. Total premium Add: Service Tax & Education Cess Less: Amount already paid Excess Amount

1,289.00

14,670.00

10,429.00

2,952.00

Please note that we have reduced the Sum Assured as indicated above. To take up your cover, simply fill in the attached consent form and send it to us within 30 days from the date of this letter. We will then send your policy document and confirm to you that you are covered. In case you have opted for ECS/SI mode of payment kindly provide a fresh ECS/SI mandate along with the consent letter. We will then send your policy document and confirm to you that you are covered. Please note that until we have these we cannot cover you for insurance of Rs. 5,000,000/- so it is important to get back to us at the earliest. If you choose not to take up the cover please tick the box marked 'I do not accept the revised terms' and we will refund your money, without any interest. We look forward to hearing from you. Yours sincerely Operations Department For HDFC Standard Life Insurance Company Encl.: As above cc: Mr. Self Sourced Business X 00399206 Corporate Office Maharashtra 400001

CONSENT LETTER HDFC SL Corporate Office 12th & 13th Flr Lodha Excelus Apollo Mills Compound NM Joshi Marg Mahalaxmi Mumbai 400011 Maharashtra Dear Sir / Madam, Subject: Your letter dated 12th February 2015 under Proposal No. 17338454 Life to be Assured: Mr. Sagar Karande 74494600 With reference to your aforesaid letter, I/We have read and fully understood the revised terms offered to me and have ticked the relevant box reflecting my decision. The revised cover details as proposed by you are as follows:

Plan: HDFC Life Click 2 Protect Plus

Periodicity of premium payments: Annual

Term of policy: 30 years Benefit Cover Sum to be

Assured (Rs.)

Standard Premium

(Rs.)

Extra Premium

(Rs.)

Total Premium

(Rs.) Income Benefit

Income Plus Opt.-Incr.Incm(MB)

A

A

5,000,000

50,000

10,429.00

0.00

0.00

0.00

10,429.00

0.00

Total 10,429.00 0.00 10,429.00 Amount in Rs. Amount in Rs. Total premium Add: Service Tax & Education Cess Less: Amount already paid Excess Amount

1,289.00

14,670.00

10,429.00

2,952.00 I/We hereby confirm that I/We have read the terms and conditions mentioned in this letter. (Choose One) I/We accept the same.

I/We do not accept the same. Signature__________________________ Mr. Sagar Karande Date : ______________ Place : ______________