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Jan 30, 2022

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Agentbonvoyagetours
Agent CodeLL007
Effective Date10/23/2017
Expiry Date10/31/2017
PlanPlan A (World Wide Excluding USA & Canada)
CoverFull Package A-I
Name of Policy HolderHENDRY KURTZ ANDREW CHIMWAZA
Policy NumberT/BVT1004
Country of OriginMALAWI
Destination AreaCHINA
Address

Bon Voyage Tours Ltd
P.O Box 31134
LILONGWE 3

Number of Passengers2
List of persons insured
Name Passport Number Age Premium
HENDRY KURTZ ANDREW CHIMWAZA MA018824 66 62265.22
RICHARD CHIFFUNDO CHIMWAZA MA276735 37 40979.22
Net Premium (Before Tax)103244.44
Service Fees30000
Total Premium (After Tax)150,279.77
Signed by