| Agent | Ulendo Travel Group | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | LL002 | ||||||||
| Effective Date | 10/04/2020 | ||||||||
| Expiry Date | 10/09/2020 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | PRIOLEAU/ROBERT JAMES PATRICK | ||||||||
| Policy Number | T/UTG337 | ||||||||
| Country of Origin | Malawi | ||||||||
| Destination Area | SOUTH AFRICA | ||||||||
| Address | C/O Alliance one Tobacco | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 44886 | ||||||||
| Total Premium (After Tax) | 52292 | ||||||||
| Signed by |
