| Agent | Satguru Travel Blantyre |
|---|
| Agent Code | BT 004 |
|---|
| Effective Date | 04/12/2018 |
|---|
| Expiry Date | 04/29/2018 |
|---|
| Plan | Plan A (World Wide Excluding USA & Canada) |
|---|
| Cover | Full Package A-I |
|---|
| Name of Policy Holder | NGALAWA JOSEPH BAUTI ELVIN |
|---|
| Policy Number | T/BT/STG39 |
|---|
| Country of Origin | MALAWI |
|---|
| Destination Area | ZURICH-SWITZERLAND |
|---|
| Address | PO BOX 2862
BLANTYRE
|
|---|
| Number of Passengers | 1 |
|---|
| List of persons insured | | Name |
Passport Number |
Age |
Premium |
|---|
| NGALAWA JOSEPH BAUTI ELVIN |
MA101177 |
42 |
53,192.12 |
|
|---|
| Net Premium (Before Tax) | 45,658.47 |
|---|
| Total Premium (After Tax) | 53,192.12 |
|---|
| Signed by |  |
|---|
