| Agent | Satguru Travel | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | 114LLW004 | ||||||||
| Effective Date | 12/08/2017 | ||||||||
| Expiry Date | 12/14/2017 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | MACFARLANE TRENCH KAMANGA | ||||||||
| Policy Number | T/STG215 | ||||||||
| Country of Origin | MALAWI | ||||||||
| Destination Area | Zambia | ||||||||
| Address | water aid Lilongwe | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 41,310.50 | ||||||||
| Total Premium (After Tax) | 41,310.50 | ||||||||
| Signed by |
