| Agent | Satguru Travel Blantyre | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | BT 004 | ||||||||
| Effective Date | 02/23/2018 | ||||||||
| Expiry Date | 03/03/2018 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | TASOSA TITUS EBER CHAWEZI | ||||||||
| Policy Number | T/BT/STG30 | ||||||||
| Country of Origin | MALAWI | ||||||||
| Destination Area | BARCELONA-SPAIN | ||||||||
| Address | PO BOX 2862 | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 40,975.55 | ||||||||
| Total Premium (After Tax) | 40,975.55 | ||||||||
| Signed by |
