| Agent | Ulendo Travel Group | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | LL02 | ||||||||
| Effective Date | 11/10/2019 | ||||||||
| Expiry Date | 11/30/2019 | ||||||||
| Plan | Plan B (World Wide Including USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | Aubrian Aubrey Chiume | ||||||||
| Policy Number | T/UTG314 | ||||||||
| Country of Origin | Malawi | ||||||||
| Destination Area | Ireland | ||||||||
| Address | Embassy of Ireland | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 42693 | ||||||||
| Total Premium (After Tax) | 49937 | ||||||||
| Signed by |
