| Agent | Kingfisher | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | BT014 | ||||||||
| Effective Date | 10/14/2017 | ||||||||
| Expiry Date | 11/16/2017 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | Mr.Satinder Singh Nain | ||||||||
| Policy Number | T/KF162 | ||||||||
| Country of Origin | Malawi | ||||||||
| Destination Area | India | ||||||||
| Address | C/O Kingfisher | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 60,199.00 | ||||||||
| Total Premium (After Tax) | 71,131.84 | ||||||||
| Signed by |
