| 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 |
