| Agent | Satguru Travel Blantyre | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | BT 004 | ||||||||
| Effective Date | 02/26/2018 | ||||||||
| Expiry Date | 03/14/2018 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | KAIMILA/YANKHO | ||||||||
| Policy Number | T/BT/STG28 | ||||||||
| Country of Origin | MALAWI | ||||||||
| Destination Area | FRANCE -SPAIN-ITALY-GREECE | ||||||||
| Address | PO BOX 2862 BLANTYRE | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 42,146.28 | ||||||||
| Total Premium (After Tax) | 42,146.28 | ||||||||
| Signed by |
