UND Guidelines For Super Saver

Documents required Application signed by client and RO Illustration signed by the client Passport Copy with Valid GCC Visa Page Financial Questionnaire for Annual Premium > 10K In case of Riders attached UND54 to be signed by client in case of aggregate death coverage of $300K RBP – No Medicals required In case of Profession Electrical Marine related services Marine Merchant Oil and Natural Gas

Owner/Holder and Insured The person who pays premium is ‘Owner/holder’ The person in whose name the plan is made is ‘Insured’ Free Accidental death cover is on Owner’s life If Insured dies – SS is closed and A/C value paid to beneficiary If Owner dies – SS can be continued by another person (Insurable interest) paying the premiums; or A/C value paid to beneficiary

Check list – Application (W/O Riders) Full name as in passport (should match with Illustration) Passport No, Sex, DOB as in passport, Age last Birthday (as in Illustration) Nationality (as in passport), any other nationality, place of birth, Marital Status Residence Address with Flat No, Street No, Area, Emirate, Country, Tel Occupational Status – all the fields, with Office address; PO Box Average Annual Income – last 3 years Other sources of income Send correspondence to – Other insured in case – owner/holder and Insured is different (Q (b) ) Existing insurance if any – across all companies Premium duration – If single, mention “ Single Premium” ( as in Illustration) Premium amts always to be mentioned in Annualized terms (as in Illustration) Fund allocation to be in multiples of 10% ( in line with strategy in illustration) Multiple Beneficiaries can be selected Last page to be signed by RO and client with date and place

Check list – Application (with Riders) In addition to everything for a case w/o riders; Tick the selected riders as in Illustration, mention amt of coverage, years No medicals if RBP is selected by the client Tick the rider coverage is for Owner or Insured Answer YES/NO for all the Questions in Part A and B In case any of the Questions are YES, then fill the table below Write Question for which answer is YES, Name of the person for whom the answer is YES (Owner or Insured) Mention the total annual premium of all riders in – ‘Supplementary riders’ column and write Planned Premium Total Riders premium to match with Illustration Check the Med. Chart and attach – Med. Exam Sheet Original to be send to be given to client to submit to ALICO doctor Second copy to be sent to ALICO Third copy to be retained in the bank

OTHERS NO corrections, and counter signature by client not accepted In case of any amendment required in the application – UND 6 to be used In case UND 6 is not with you, written letter to ALICO with client signature mentioning the amendment