Agent | Rennies Travel | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | LL016 | ||||||||
Effective Date | 10/21/2017 | ||||||||
Expiry Date | 10/29/2017 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | LUSUBILO CHAKANIZA | ||||||||
Policy Number | T/RT290 | ||||||||
Country of Origin | MALAWI | ||||||||
Destination Area | EUROPE | ||||||||
Address | Rennies Travel | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
| ||||||||
Net Premium (Before Tax) | 26,556.75 | ||||||||
Service Fees | 11061.39 | ||||||||
Total Premium (After Tax) | 30,938.61 | ||||||||
Signed by |