| Agent | Ulendo Travel Group | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | LL02 | ||||||||
| Effective Date | 02/24/2020 | ||||||||
| Expiry Date | 02/27/2020 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | Tamanda BAnda | ||||||||
| Policy Number | T/UTG332 | ||||||||
| Country of Origin | Malawi | ||||||||
| Destination Area | South Africa | ||||||||
| Address | JICA Expert (Project Coordination) | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 41,537.52 | ||||||||
| Total Premium (After Tax) | 48,391.21 | ||||||||
| Signed by |
