| Agent | Rennies Travel |
|---|
| Agent Code | LL016 |
|---|
| Effective Date | 09/30/2017 |
|---|
| Expiry Date | 10/12/2017 |
|---|
| Plan | Plan A (World Wide Excluding USA & Canada) |
|---|
| Cover | Full Package A-I |
|---|
| Name of Policy Holder | SALIMU ISAACFREDRICKMWENYE |
|---|
| Policy Number | RT/312 |
|---|
| Country of Origin | MALAWI |
|---|
| Destination Area | EUROPE |
|---|
| Address | RENNIES TRAVEL
PO BOX 31335
LILONGWE
|
|---|
| Number of Passengers | 1 |
|---|
| List of persons insured | | Name |
Passport Number |
Age |
Premium |
|---|
| SALIMU/ISAACFREDRICKMWENYE |
MA356209 |
39 |
33,495.00 |
|
|---|
| Net Premium (Before Tax) | 33,495.00 |
|---|
| Total Premium (After Tax) | 39,021.68 |
|---|
| Signed by |  |
|---|
