ICEA LIFE ASSURANCE COMPANY LIMITED

Rwenzori Courts

P.O BOX 33953

KAMPALA KAMPALA

(256 - 414) 232337

life@icea.co.ug

Print Date: Friday, September 17, 2021

YONAH MALOBA
P.O Box TBA
MUTUKULA
Policy Statement As At 17-Sep-2021

Life Assured: YONAH MALOBA Policy No: 127/EAW/038187 Class:ENDOWMENT ASSURANCE

WITH PROFITS - LIMITED

Date commencement: 08-Jan-2020 Intermediary: TLA 127-1-053327

Last Premium Date: 08-Jun-2021

Modal Premium Premium Frequency MONTHLY Expiry/Maturity Date: 08-Jan-2030

105,000.00
Next Premium Date: 08-Jul-2021

Date Prem. Received Premium Amount (UGX) Cheque Number Receipt No.
08-Jan-2020 840,000.00 B/F
03-Feb-2020 210,000.00 005MTN20200203 2020120012970
23-Jul-2020 210,000.00 007AIRTEL20200723 2020120069417
24-Aug-2020 210,000.00 CASH 2020120078346
17-Sep-2020 20,000.00 007AIRTEL20200917 2020120088025
24-Mar-2021 105,000.00 CASH 2021120030537
08-Jun-2021 300,000.00 cash 2021120060286

Total Premiums received under the policy UGX 1,895,000.00

Total Premium Units Paid to date 18.05
Total Premium Units Outstanding to date 2.95
Total Premium Outstanding UGX 310,000.00
Interest on Outstanding Premium 0.00

Awarded Automatic Premium Loan (APL) 0.00

Automatic Premium Loan (APL) Interest 0.00
Outstanding Automatic Premium Loan (APL) 0.00

We take this opportunity to thank you for insuring with us.

Yours Faithfully,
For and on behalf of

ICEA LIFE ASSURANCE COMPANY LIMITED

You can now pay your premiums via MTN Mobile Money or Airtel Money. Call 0800100120.

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