| Agent | Ulendo Travel Group | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | LL002 | ||||||||
| Effective Date | 07/09/2019 | ||||||||
| Expiry Date | 08/10/2019 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | WRIGHT/RICHENDA MS | ||||||||
| Policy Number | T/UTG307 | ||||||||
| Country of Origin | MALAWI | ||||||||
| Destination Area | GERMANY | ||||||||
| Address | C/O Warm heart Therapy centre | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | K55,853.00 | ||||||||
| Total Premium (After Tax) | K65,069.00 | ||||||||
| Signed by |
