Prepared by: Almarie sync

Version 6.2.0.1

ssenal iscoery ie Plan oe Principal - Mr Zeblon Thanjekayo Total Life Fund

Capital Disability

R 500,000.00

0% R 0.00

Severe Illness

0% R0.00

Income Continuation

R0.00

Key Features Medical AccessCoer R50 000 adance on deah claim erminal llness ene

oal Premim Payable

iscoery ie: 144227008 - Zeblon hanjekayo oe

R 257.20

Ahorised nancial serices proider. Re no: 1966/00901/06

1

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16/09/2016 11:47:25 AM

Prepared by: Almarie sync

Version 6.2.0.1

Page 1

PO Box 3888, Rivonia, 2128 155 West Street, Sandton 2146 Tel: 0860 005 433 www.discovery.co.za iscovery ife is an atorised nancial services provider. Reg no: 1660030106

ssenal ife Plan Date of commencement: 01/10/2016 Plan details Plan Type:

FlexRater

an ateoy:

Class 4

Inteato Type:

Non-Integrator

AI (isk Only):

CPI + FlexRater age factor

ABI:

CPI% p.a.

Owne details Owne Type: Natral Person

Policy Tax Status: Non Tax-edcble

elaonsip of te owne to te pincipal: Principal

Pesonal details Pincipal Name

Zeblon Tanjekayo

ate of birt

060170

Age next

47

Gender

Male

Smoker stats

Non-Smoker

dcaonal alicaon

No Matric

Gross annal income

R 61,560.00

Gross montly income

R 5,130.00

Occpaon

General Worker

aardos acvies

None

o te principal and spose sare te same iscovery ealt membersip nmber?

No

Vitality member Vitality Acve Reards for ife member KeyFIT member

No

Vitalitydrive member

No

iscovery Card older

No

&O..

No No

iscovery ife: 144227008 - Zeblon Tanjekayo Qote

1602016 11:47:22 AM

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isk enet and pemium details  pincipal

Pincipal lifes enets

ife Cover (Inclding AccessCover of R 250,000.00) Risk Category - A1 xpiry Age - Wole ife

% of Fund

100.00

Basic Fund/Benet

500,000.00

ove Inteato

Total ife Montly pemium Fund/enet (incl. loadins) amounts

Financial Inteato

0.00

0.00

Total montly pemium fo pincipals enets

500,000.00

257.20

 257.20  257.20

Total montly non-inteated isk pemium

Pemium incease details  isk enets Benets

Automac contiuon Incease ate

Risk benets

CPI pls FlexRater age factor

Pemium poecons  isk enets Inaon is assmed to be 5% per annm for all risk premim projecons on tis otaon. Yea

Total isk Pemiums

01/10/2017

21.66

01/10/2018

331.26

01/10/2019

376.81

01/10/2020

428.

01/10/2021

488.84

01/10/2022

557.52

01/10/2023

636.41

01/10/2024

727.10

01/10/2025

831.44

01/10/2026

51.58

01/10/2031

1,83.24

01/10/2036

3,84.55

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iscovery ife: 144227008 - Zeblon Tanjekayo Qote

1602016 11:47:22 AM

Version 6.2.0.1

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Page 3

Benet poecons  isk enets Inaon is assmed to be 5% per annm for all risk benet projecons on tis otaon.

Illustave ife Fund poecons Yea 01/10/2017 01/10/2018 01/10/2019 01/10/2020 01/10/2021 01/10/2022 01/10/2023 01/10/2024 01/10/2025 01/10/2026 01/10/2031 01/10/2036

Illustave ife Fund poecons at PI% p.a. 525,000.00 551,250.00 578,812.00 607,753.00 638,141.00 670,048.00 703,550.00 738,728.00 775,664.00 814,447.00 1,03,464.00 1,326,64.00

ommission In terms of te ong Term Insrance Act, commission paid to nancial advisers is reglated by la. ommission on te total isk pemiums First year commission

R 207.6 montly

Second year commission

R 6.23 montly

Reglated Commission Basis

3.25% Advisory Fee

Reneal Commission Calclaon Basis

One tird of te Inial Commission paid

ommission notes Commission is paid annally in advance and incldes any commissions on te Vitality or Vitality Acve Reards for ife benet (if selected). Commission on eac ftre premim increase (if applicable) ill be calclated on te same basis as son in te table above, bt ill redce as te remaining benet or premim paying term (as applicable) redces. For a iscovery Financial Consltant te reneal commission payable on te risk premims ill be a percentage of te commission oted above. Commission amonts reected above exclde VAT.

isk enet descipons Te benet descripon provided belo is only an overvie of some of te most important featres of te risk benet tat yo ave selected. Note tat tis is not yor policy docment. or policy contract ill contain te Terms and Condions of yor benets.

Life Cover pon yor deat, yor nominated beneciaries or estate (ere no beneciaries ave been selected) ill be paid te vale of yor ife Fnd.

R50 000 Advance on Death Claim In an eort to spport yor nominated beneciaries it fneral arrangements, yor life cover atomacally incldes an pfront benet. Wit tis benet, R50 000 ill be paid itin 48 ors of sbming a valid deat cercate. In order to alify for te pfront benet, yor policy mst ave been in force for at least to years and te case of deat mst be knon. Te payment ill redce te life cover claim payment.

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1602016 11:47:22 AM

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Page 4

AccessCover or life cover atomacally incldes te Medical AccessCover Benet ic gives yo te opon to convert yor ife Cover into immediate cas at a predened conversion rate for a range of specied medical events nl age 65. Te amont of ife Cover yo are able to convert ill be eal to eiter 50% or 100% of yor total ife Cover benet (limited to a maximm of R25 million per life assred) depending on eter yo ave alifying ancillaries. If yo coose to convert yor ife Cover into cas trog te AccessCover yor ife Fnd ill redce for ftre claims. Note: Te premim tat yo pay for te life cover benet ill redce proporonately if yo coose to exercise yor AccessCover or AccessCover Pls Benet. To alify for AccessCover or AccessCover Pls, yo need to meet certain nderring criteria.

erminal llness enet Te Terminal Illness Benet is atomacally inclded it te ife Cover benet at no addional cost. Tis benet applies to assred lives tat ave been diagnosed it a terminal illness and are expected to live less tan 12 monts. iscovery ifes medical panel, in conjncon it te treang specialist, ill conrm te assred lifes life expectancy. Tere ill be no frter benet on te assred lifes deat aer payment of te Terminal Illness Benet.

ndewin nderrin reirements Please note tat on receipt of yor applicaon for insrance by iscovery ife yo ill be advised of any nderring reirements tat te iscovery ife nderriters may deem necessary before acceptance of yor applicaon.

Permanent exclsion Based on informaon disclosed on yor applicaon form, iscovery ife may permanently exclde certain body systems and related illnesses or specic aardos prsits. Tese exclsions ill be reected on yor Policy Scedle.

Policy claims exclsions iscovery ife reserves te rigt to refse claims en: or deat or te deat of any of yor dependants is de to sicide, and occrs itin to years of cover commencing or reinstatement of yor policy; or disability, severe illness, or family illness, or tat of any of yor dependants, as self-inicted; o fail to disclose informaon abot pysical disabilies or medical condions tat aect yo, or any of yor dependants, at te me tat cover commences; o fail to nofy iscovery ife of a cange in occpaon from tat nominated at policy incepon, ere te ne occpaon is classied by iscovery ife as falling into a risk category for ic te relevant benet old not ave been granted to te claimant; iscovery ife is nable to obtain scient medical evidence from te assred lives, yor dependants or treang medical praconer to fll or criteria for making a benet payment; Te disability, severe illness or family illness claim as as a reslt of: • Willfl and deliberate breaking of any la or illfl involvement in any riot, insrrecon, srpaon of poer, maral la or ar • Parcipaon in a aardos occpaon, and tis as not disclosed to iscovery ife at any point in me prior to te claim • Reglar parcipaon in any aardos sport or prsit ic as not disclosed to iscovery ife at any point in me prior to te claim • Intenonal and negligent consmpon of poisons, drgs and narcocs nless prescribed by a registered medical praconer (neiter yo nor yor dependants may perform te role of registered medical praconer in sc a case)

Impotant notes Pemium payment tems and condions Premims are payable montly in advance by debit order only. Premims oted apply for te specied occpaon(s) and aardos prsits and may cange if any of tese alter. Mont 1: iscovery ife ill grant a period of 30 calendar days for yo to sele arrear premims. Mont 2: Sold premims sll not be seled, iscovery ife ill grant an addional 30 calendar days for yo to sele arrear premims and cover ill be sspended. Mont 3: iscovery ife ill cancel yor contract if te otstanding premims are not paid itin 20 days from te last recorded debit order date.

eviewaility and Pemium uaantees Te ife Plan provides nie premim garantees at no addional cost. Te revieability and garantee of or premims operate as follos: Te premim for yor iscovery ife Plan as been calclated to provide yo it cover for te enre period of te policy based on or crrent assmpons of claims and oter factors. Tese premims may be revieed at te end of te rst 10 years and every 10 years tereaer, and if deemed necessary, may be increased by a maximm of 25% of te premim at tat point in me. Tis maximm potenal increase may be redced as yor Vitality Stats improves. &O..

iscovery ife: 144227008 - Zeblon Tanjekayo Qote

1602016 11:47:22 AM

Version 6.2.0.1

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Page 5

In revieing or premims e ill analyse factors sc as claims experience, investment retrns and lapses based on te actal experience for or policies, as ell as similar policies in te indstry. We ill also take into consideraon te impact of ftre medical advances and pracces. Canges in premim ill not depend on yor individal circmstances, for example yor ealt, at te me of te revie. Sold yo not accept any of tese increases, yor benets may be redced to an appropriate level for te premim being paid.

it to cancel If yo are not enrely appy it yor contract or any of te benets, yo ave te rigt to cancel itin 30 days of receiving yor Policy Scedle and Fact File from iscovery ife. In te event of cancellaon, premims less any claims or risk carges ill be refnded to yo. o may cancel yor policy by calling iscovery ife's Call Centre on 0860 103 05.

eplacement contact If yo do replace any policy, iscovery ife ants yo to ensre tat yo make an informed coice. It is important tat yo nderstand te potenal conseences it migt ave on yor nancial planning. Please discss te implicaons of tis it yor nancial adviser.

Geneal enquiies and complaints Any complaints in respect of tis otaon or oter iscovery ife prodct related eries sold be directed to: Tel: 0860 00 54 33 Fax: 0860 543 33 e-mail:[email protected].a

ompliance If yo ave received inadeate informaon or nsasfactory service or ave complaints relang to te advice received, please direct tese eries to: Te Cief Compliance Ocer iscovery Tel: (011) 52 1321 Fax: (011) 53 2715 -mail: Compliance@iscovery.co.a

laims To claim a benet, contact yor nancial adviser or te iscovery ife Call Centre at 0860 005433. iscovery ife ill provide forms and protocols for medical and oter informaon reired.

alidity of infomaon Tis otaon is only valid if prepared by te latest version of iscovery ifes otaon program and is sbject to iscoverys internal systems validaons and bsiness rles. Tis otaon is only valid for 21 days from te 1602016. Any applicaon reslng from tis otaon ill be sbject to iscovery ife's rien acceptance. iscovery ife ill not be eld liable for any errors or omissions ic may ave occrred in te prodcon of tis docment. If tere are any discrepancies beteen tis otaon and te policy contract to be issed, te policy contract ill prevail. IWe conrm and accept tis otaon (144227008) to be a tre and correct smmary of all te informaon sed in prodcing te otaon accepted by myselforselves. Signatre of Contracng Party: ate: Name in Print:

&O..

iscovery ife: 144227008 - Zeblon Tanjekayo Qote

1602016 11:47:22 AM

ssen al isco ery ie Plan oe -

PO Box 3888, Rivonia, 2128. 155 West Street, Sandton 2146. Tel: 0860 005 433 iscovery ife is an a t orised nancial services provider. Reg no: 1 66 003 01 06 www.discovery.co.za. Owne details. Policy Tax Status: Owne Type: Nat ral Person. Non Tax- ed c ble ela ons ip of t e owne to t e p incipal: Principal. Pe sonal details.

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