Agent | Ultimate Travel-LL | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | UTLL006 | ||||||||
Effective Date | 02/23/2018 | ||||||||
Expiry Date | 03/03/2018 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | Julius Ng'oma | ||||||||
Policy Number | U/UT004 | ||||||||
Country of Origin | MALAWI | ||||||||
Destination Area | South Korea | ||||||||
Address | P.O. Box 1041 | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
| ||||||||
Net Premium (Before Tax) | 56,400.24 | ||||||||
Total Premium (After Tax) | 56,400.24 | ||||||||
Signed by |