| Agent | Ultimate Travel-LL | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | UTLL006 | ||||||||
| Effective Date | 02/16/2020 | ||||||||
| Expiry Date | 02/21/2020 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | BENSON ADAMSON LINJE | ||||||||
| Policy Number | U/UT020 | ||||||||
| Country of Origin | MALAWI | ||||||||
| Destination Area | GHANA | ||||||||
| Address | P.O. BOX 1041 | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 48456.25 | ||||||||
| Service Fees | 16000 | ||||||||
| Total Premium (After Tax) | 64456.25 | ||||||||
| Signed by |
