Agent | Rennies Travel | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | LL016 | ||||||||
Effective Date | 09/24/2017 | ||||||||
Expiry Date | 09/30/2017 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | MARTHA MONDIWA | ||||||||
Policy Number | T/RT325 | ||||||||
Country of Origin | MALAWI | ||||||||
Destination Area | SOUTH AFRICA | ||||||||
Address | Rennies Travel | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
| ||||||||
Net Premium (Before Tax) | 26,556.75 | ||||||||
Service Fees | 14061.39 | ||||||||
Total Premium (After Tax) | 30,938.61 | ||||||||
Signed by |