Agent | Kingfisher | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | BT014 | ||||||||
Effective Date | 12/11/2017 | ||||||||
Expiry Date | 12/13/2017 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | Makwemba Malonje | ||||||||
Policy Number | T/KF169 | ||||||||
Country of Origin | Malawi | ||||||||
Destination Area | Mozambique | ||||||||
Address | Private Bag 143 | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
| ||||||||
Net Premium (Before Tax) | 43,674.80 | ||||||||
Service Fees | 0.00 | ||||||||
Total Premium (After Tax) | 50,881.14 | ||||||||
Signed by |