| Agent | Satguru Travel | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | LLW004 | ||||||||
| Effective Date | 10/24/2017 | ||||||||
| Expiry Date | 11/05/2017 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | EUGENE K.A NYARKO | ||||||||
| Policy Number | Aug/36 | ||||||||
| Country of Origin | UNITED NATIONS | ||||||||
| Destination Area | GENEVA | ||||||||
| Address | LILONGWE MALAWI | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 43,674.80 | ||||||||
| Total Premium (After Tax) | 61,000 | ||||||||
| Signed by |
