Agent | Ulendo Travel Group | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | LL002 | ||||||||
Effective Date | 03/01/2019 | ||||||||
Expiry Date | 03/09/2019 | ||||||||
Plan | Plan B (World Wide Including USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | DOVEL/KATHRYN LAURRAINE | ||||||||
Policy Number | T/UTG304 | ||||||||
Country of Origin | MALAWI | ||||||||
Destination Area | USA | ||||||||
Address | C/O Partners in Hope | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
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Net Premium (Before Tax) | 70,337.00 | ||||||||
Total Premium (After Tax) | 81,943.00 | ||||||||
Signed by |