| Agent | Ulendo Travel Group | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | LL002 | ||||||||
| Effective Date | 11/01/2019 | ||||||||
| Expiry Date | 11/03/2019 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | SULEMAN/MARTIN BAKI MR | ||||||||
| Policy Number | T/UTG322 | ||||||||
| Country of Origin | MALAWI | ||||||||
| Destination Area | SOUTH AFRICA | ||||||||
| Address | P.O. BOX 1912 | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 41371 | ||||||||
| Total Premium (After Tax) | 48197 | ||||||||
| Signed by |
