| Agent | Rennies Travel | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | LL016 | ||||||||
| Effective Date | 10/21/2017 | ||||||||
| Expiry Date | 10/26/2017 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | TRINITY MAUNDE | ||||||||
| Policy Number | T/RT292 | ||||||||
| Country of Origin | MALAWI | ||||||||
| Destination Area | EUROPE | ||||||||
| Address | Rennies Travel | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 38,171.25 | ||||||||
| Service Fees | 11030.49 | ||||||||
| Total Premium (After Tax) | 44,469.51 | ||||||||
| Signed by |
