| Agent | Ulendo Travel Group | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | LL2 | ||||||||
| Effective Date | 11/05/2018 | ||||||||
| Expiry Date | 11/15/2018 | ||||||||
| Plan | Plan B (World Wide Including USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | Emmanuel Prince Ngwira | ||||||||
| Policy Number | T/UTG294 | ||||||||
| Country of Origin | Malawi | ||||||||
| Destination Area | Israel | ||||||||
| Address | Pentecostal Life University | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 41328.00 | ||||||||
| Total Premium (After Tax) | 48200.00 | ||||||||
| Signed by |
