Agent | Rennies Travel | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | LL016 | ||||||||
Effective Date | 11/20/2017 | ||||||||
Expiry Date | 12/17/2017 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | KASIYA STANLEY DANFORD | ||||||||
Policy Number | T/RT370 | ||||||||
Country of Origin | MALAWI | ||||||||
Destination Area | LUSAKA | ||||||||
Address | RENNIES TRAVEL | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
| ||||||||
Net Premium (Before Tax) | 33,495.00 | ||||||||
Total Premium (After Tax) | 39,021.68 | ||||||||
Signed by |