| Agent | Ultimate Travel-LL | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | UTLL006 | ||||||||
| Effective Date | 01/05/2020 | ||||||||
| Expiry Date | 03/30/2020 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | THOKOZANI DUNCAN KALUA | ||||||||
| Policy Number | U/UT020 | ||||||||
| Country of Origin | MALAWI | ||||||||
| Destination Area | SWITZERLAND | ||||||||
| Address | P.O.BOX 1041 | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 115665.68 | ||||||||
| Service Fees | 30000 | ||||||||
| Total Premium (After Tax) | 145665.68 | ||||||||
| Signed by |
