Agent | Rennies Travel | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | LL016 | ||||||||
Effective Date | 03/13/2018 | ||||||||
Expiry Date | 03/25/2018 | ||||||||
Plan | Plan B (World Wide Including USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | BENSON LAURENT KASINJIRO | ||||||||
Policy Number | T/RT442 | ||||||||
Country of Origin | MAL;AWI | ||||||||
Destination Area | USA | ||||||||
Address | Rennies Travel | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
| ||||||||
Net Premium (Before Tax) | 68,186.58 | ||||||||
Service Fees | 11813.42 | ||||||||
Total Premium (After Tax) | 68,186.58 | ||||||||
Signed by |