Agent | Travel Centre | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | LL01 | ||||||||
Effective Date | 04/04/2018 | ||||||||
Expiry Date | 04/15/2018 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | HERBERT PATRICK SIBALE | ||||||||
Policy Number | 001 | ||||||||
Country of Origin | MALAWI | ||||||||
Destination Area | THAILAND | ||||||||
Address | THE TRAVEL CENTRE | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
| ||||||||
Net Premium (Before Tax) | 50468,59 | ||||||||
Service Fees | 6498.1 | ||||||||
Total Premium (After Tax) | 56 966,69 | ||||||||
Signed by |