| Agent | Satguru Travel Blantyre |
|---|
| Agent Code | BT 004 |
|---|
| Effective Date | 05/06/2018 |
|---|
| Expiry Date | 05/15/2018 |
|---|
| Plan | Plan A (World Wide Excluding USA & Canada) |
|---|
| Cover | Full Package A-I |
|---|
| Name of Policy Holder | NTAMBALIKA GERSHOM MASIMBA |
|---|
| Policy Number | T/BT/STG44 |
|---|
| Country of Origin | MALAWI |
|---|
| Destination Area | JOHANNESBURG -SOUTH AFRICA |
|---|
| Address | PO BOX 2862
|
|---|
| Number of Passengers | 1 |
|---|
| List of persons insured | | Name |
Passport Number |
Age |
Premium |
|---|
| NTAMBALIKA GERSHOM MASIMBA |
MA820895 |
23 |
47,740.79 |
|
|---|
| Net Premium (Before Tax) | 40,979.22 |
|---|
| Total Premium (After Tax) | 47,740.79 |
|---|
| Signed by |  |
|---|
