Agent | Ulendo Travel Group | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | LL002 | ||||||||
Effective Date | 09/17/2017 | ||||||||
Expiry Date | 09/23/2017 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | GONDWE/FRANCIS LAMECK MR | ||||||||
Policy Number | T/UTG241 | ||||||||
Country of Origin | MALAWI | ||||||||
Destination Area | SOUTH AFRICA AND MOZAMBIQUE | ||||||||
Address | C/O Partners in Hope | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
| ||||||||
Net Premium (Before Tax) | K40,980.00 | ||||||||
Total Premium (After Tax) | K47,741.00 | ||||||||
Signed by |