| Agent | Ulendo Travel Group | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | LL002 | ||||||||
| Effective Date | 12/03/2018 | ||||||||
| Expiry Date | 12/08/2018 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | NAYUPE/PATRICK JOHN MR | ||||||||
| Policy Number | T/UTG302 | ||||||||
| Country of Origin | MALAWI | ||||||||
| Destination Area | INDIA | ||||||||
| Address | Malawi Aids Counselling and Resource Organisation | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | K43,557.00 | ||||||||
| Total Premium (After Tax) | K50,744.00 | ||||||||
| Signed by |
