| Agent | Satguru Travel Blantyre | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | BT 004 | ||||||||
| Effective Date | 12/13/2017 | ||||||||
| Expiry Date | 01/04/2018 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | KENNEDY BARRY | ||||||||
| Policy Number | STG/BT/STG 25 | ||||||||
| Country of Origin | MALAWI | ||||||||
| Destination Area | GLASGOW -UNITED KING DOM | ||||||||
| Address | PO BOX 2862 BLANTYRE | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 50,341.39 | ||||||||
| Total Premium (After Tax) | 50,341.39 | ||||||||
| Signed by |
