Agent | Ulendo Travel Group | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | LL02 | ||||||||
Effective Date | 03/15/2020 | ||||||||
Expiry Date | 02/19/2020 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | Johannes Josephus Gerardus Van Oosterhout | ||||||||
Policy Number | T/UTG334 | ||||||||
Country of Origin | Malawi | ||||||||
Destination Area | South Africa | ||||||||
Address | Partners in Hope | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
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Net Premium (Before Tax) | 43910.89 | ||||||||
Total Premium (After Tax) | 51,156.18 | ||||||||
Signed by |