Agent | Ultimate Travel-LL | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | UTLL006 | ||||||||
Effective Date | 11/24/2018 | ||||||||
Expiry Date | 12/01/2018 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | RUTH MAKUTA | ||||||||
Policy Number | MA444678 | ||||||||
Country of Origin | MALAWI | ||||||||
Destination Area | IRELAND | ||||||||
Address | P.O. BOX 1041 | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
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Net Premium (Before Tax) | 58,781.46 | ||||||||
Total Premium (After Tax) | 58,781.46 | ||||||||
Signed by |