| Agent | Satguru Travel | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | 114LLW004 | ||||||||
| Effective Date | 01/07/2018 | ||||||||
| Expiry Date | 01/17/2018 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | DINA GUMULIRA | ||||||||
| Policy Number | T/STG216 | ||||||||
| Country of Origin | MALAWI | ||||||||
| Destination Area | Germany( | ||||||||
| Address | Lilongwe Malawi | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 43,320.68 | ||||||||
| Total Premium (After Tax) | 43,320.68 | ||||||||
| Signed by |
