Agent | Marsh Malawi Ltd | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | MMB01 | ||||||||
Effective Date | 10/15/2017 | ||||||||
Expiry Date | 10/25/2017 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | Jean Rene Ngando Moukala | ||||||||
Policy Number | T/MM04 | ||||||||
Country of Origin | Malawi | ||||||||
Destination Area | Europe | ||||||||
Address | C/O Marsh Malawi. | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
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Net Premium (Before Tax) | 62,770.50 | ||||||||
Total Premium (After Tax) | 74,127.63 | ||||||||
Signed by |