| Agent | bonvoyagetours | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | LL007 | ||||||||
| Effective Date | 11/26/2017 | ||||||||
| Expiry Date | 01/30/2018 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | CHARLES BLESSINGS JUMBE | ||||||||
| Policy Number | T/BVT1016 | ||||||||
| Country of Origin | MALAWI | ||||||||
| Destination Area | JAPAN | ||||||||
| Address | BON VOYAGE TOURS | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 93,658.40 | ||||||||
| Service Fees | 15000.00 | ||||||||
| Total Premium (After Tax) | 124,112.04 | ||||||||
| Signed by |
