| Agent | KINGFISER - LL | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | LL001 | ||||||||
| Effective Date | 10/09/2017 | ||||||||
| Expiry Date | 10/25/2017 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | MAKWEMBA MALONJE | ||||||||
| Policy Number | T/LL 316 | ||||||||
| Country of Origin | MALAWI | ||||||||
| Destination Area | JAPAN | ||||||||
| Address | C/O MITC | ||||||||
| Number of Passengers | MS002553 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 50,468.59 | ||||||||
| Total Premium (After Tax) | 50,468.59 | ||||||||
| Signed by |
