| Agent | Rennies Travel |
|---|
| Agent Code | LL016 |
|---|
| Effective Date | 10/01/2017 |
|---|
| Expiry Date | 10/16/2017 |
|---|
| Plan | Plan B (World Wide Including USA & Canada) |
|---|
| Cover | Full Package A-I |
|---|
| Name of Policy Holder | CHARLOTTE WEZI MESIKANO MALONDA |
|---|
| Policy Number | T/RT335 |
|---|
| Country of Origin | MALAWI |
|---|
| Destination Area | WORLD WIDE |
|---|
| Address | RENNIES TRAVEL
PO BOX 31335
LILONGWE
|
|---|
| Number of Passengers | 1 |
|---|
| List of persons insured | | Name |
Passport Number |
Age |
Premium |
|---|
| CHARLOTTE WEZI MESIKANO MALONDA |
MS002390 |
37 |
45,022.50 |
|
|---|
| Net Premium (Before Tax) | 45,022.50 |
|---|
| Total Premium (After Tax) | 52,451.21 |
|---|
| Signed by |  |
|---|
