| Agent | Satguru Travel Blantyre | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Agent Code | BT 004 | ||||||||||||
| Effective Date | 05/14/2018 | ||||||||||||
| Expiry Date | 05/19/2018 | ||||||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||||||
| Cover | Full Package A-I | ||||||||||||
| Name of Policy Holder | SAM KAMPONDENI | ||||||||||||
| Policy Number | T/BT/STG33 | ||||||||||||
| Country of Origin | MALAWI | ||||||||||||
| Destination Area | CORK -IRELAND | ||||||||||||
| Address | PO BOX 2862 | ||||||||||||
| Number of Passengers | 2 | ||||||||||||
| List of persons insured |
| ||||||||||||
| Net Premium (Before Tax) | 43,317.01 | ||||||||||||
| Total Premium (After Tax) | 50,464.32 | ||||||||||||
| Signed by |
