Agent | Rennies Travel | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | LL016 | ||||||||
Effective Date | 10/01/2017 | ||||||||
Expiry Date | 10/07/2017 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | MADARISO ALI TIZIFA | ||||||||
Policy Number | T/RT311 | ||||||||
Country of Origin | MALAWI | ||||||||
Destination Area | BARCELONA | ||||||||
Address | RENNIES TRAVEL | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
| ||||||||
Net Premium (Before Tax) | 38,363.00 | ||||||||
Service Fees | 25000 | ||||||||
Total Premium (After Tax) | 44,692.90 | ||||||||
Signed by |