Agent | Ulendo Travel Group | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | LL02 | ||||||||
Effective Date | 11/06/2017 | ||||||||
Expiry Date | 11/10/2017 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | EVELYN ZIONE UDEDI | ||||||||
Policy Number | T/UTG245 | ||||||||
Country of Origin | Malawi | ||||||||
Destination Area | TANZANIA | ||||||||
Address | Subira Msumba, | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
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Net Premium (Before Tax) | 41104 | ||||||||
Total Premium (After Tax) | 47887.00 | ||||||||
Signed by |