| Agent | Ulendo Travel Group | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | LL002 | ||||||||
| Effective Date | 10/09/2017 | ||||||||
| Expiry Date | 10/16/2017 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | SULEMAN/MARTIN BAKI MR | ||||||||
| Policy Number | T/UTG244 | ||||||||
| Country of Origin | MALAWI | ||||||||
| Destination Area | DUBAI | ||||||||
| Address | P.O. BOX 1912 | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | K40,980.00 | ||||||||
| Total Premium (After Tax) | K47,741.00 | ||||||||
| Signed by |
