| Agent | Satguru Travel Blantyre | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | BT 004 | ||||||||
| Effective Date | 01/13/2018 | ||||||||
| Expiry Date | 01/29/2018 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | KALINDE | ||||||||
| Policy Number | T/BT/STG27 | ||||||||
| Country of Origin | MALAWI | ||||||||
| Destination Area | UNITED KING DOM/GERMANY | ||||||||
| Address | PO BOX 454 | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 43,671.10 | ||||||||
| Total Premium (After Tax) | 43,671.10 | ||||||||
| Signed by |
