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Jan 30, 2022

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AgentUlendo Travel Group
Agent CodeLL002
Effective Date09/30/2019
Expiry Date10/09/2019
PlanPlan B (World Wide Including USA & Canada)
CoverFull Package A-I
Name of Policy HolderBALAKASI/KELVIN TIKHALE MR
Policy NumberT/UTG318
Country of OriginMALAWI
Destination AreaUNITED STATES OF AMERICA
Address

C/O Partners in Hope
P.O. Box 302
Lilongwe
Malawi

Number of Passengers1
List of persons insured
Name Passport Number Age Premium
BALAKASI/KELVIN TIKHALE MR MA422085 31 Full Package
Net Premium (Before Tax)70433
Total Premium (After Tax)82054
Signed by