| Agent | Rennies Travel |
|---|
| Agent Code | LL016 |
|---|
| Effective Date | 02/13/2018 |
|---|
| Expiry Date | 02/18/2018 |
|---|
| Plan | Plan A (World Wide Excluding USA & Canada) |
|---|
| Cover | Full Package A-I |
|---|
| Name of Policy Holder | ATUWENI TUPOCHILE GRACE PHIRI |
|---|
| Policy Number | T/RT414 |
|---|
| Country of Origin | MALAWI |
|---|
| Destination Area | FRANCE |
|---|
| Address | RENNIES TRAVEL
P.O.BOX 31335
LILONGWE
|
|---|
| Number of Passengers | 1 |
|---|
| List of persons insured | | Name |
Passport Number |
Age |
Premium |
|---|
| ATUWENI TUPOCHILE GRACE PHIRI |
MS002787 |
38 |
33,498.00 |
|
|---|
| Net Premium (Before Tax) | 33,498.00 |
|---|
| Service Fees | 19747 |
|---|
| Total Premium (After Tax) | 39,025.17 |
|---|
| Signed by |  |
|---|
