| Agent | Travel Centre | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | LL01 | ||||||||
| Effective Date | 05/18/2018 | ||||||||
| Expiry Date | 06/01/2018 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | IGNATIO BRIGHT BOKOSI | ||||||||
| Policy Number | 002 | ||||||||
| Country of Origin | MALAWI | ||||||||
| Destination Area | EUROPE | ||||||||
| Address | THE TRAVEL CENTRE | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 45662,14 | ||||||||
| Service Fees | 6849.32 | ||||||||
| Total Premium (After Tax) | 53196,39 | ||||||||
| Signed by |
