Agent | Rennies Travel | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | LL016 | ||||||||
Effective Date | 03/05/2018 | ||||||||
Expiry Date | 03/11/2018 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | JACQUELINE CHIZALEMA | ||||||||
Policy Number | T/RT432 | ||||||||
Country of Origin | MALAWI | ||||||||
Destination Area | AFRICA | ||||||||
Address | Rennies Travel | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
| ||||||||
Net Premium (Before Tax) | 30,938.61 | ||||||||
Service Fees | 8061.39 | ||||||||
Total Premium (After Tax) | 30,938.61 | ||||||||
Signed by |