| Agent | Ulendo Travel Group | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | LL02 | ||||||||
| Effective Date | 08/10/2019 | ||||||||
| Expiry Date | 09/08/2019 | ||||||||
| Plan | Plan B (World Wide Including USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | Ms Seona Dillon Mc Loughlin | ||||||||
| Policy Number | T/UTG313 | ||||||||
| Country of Origin | Malawi | ||||||||
| Destination Area | Ireland | ||||||||
| Address | Embassy of Ireland | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 57450 | ||||||||
| Total Premium (After Tax) | 66930 | ||||||||
| Signed by |
