Agent | Ulendo Travel Group | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | LL002 | ||||||||
Effective Date | 11/08/2019 | ||||||||
Expiry Date | 11/16/2019 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | VILJOEN/KAREN ELIZABETH | ||||||||
Policy Number | T/UTG320 | ||||||||
Country of Origin | MALAWI | ||||||||
Destination Area | UNITED KINGDOM | ||||||||
Address | P.O. Box 1009 | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
| ||||||||
Net Premium (Before Tax) | 43744 | ||||||||
Total Premium (After Tax) | 50950 | ||||||||
Signed by |