| Agent | Guardian Insurance | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | 3004 | ||||||||
| Effective Date | 12/10/2018 | ||||||||
| Expiry Date | 01/05/2019 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | Ruth Josephy Rosca | ||||||||
| Policy Number | T/GISLL458 | ||||||||
| Country of Origin | Malawi | ||||||||
| Destination Area | Europe | ||||||||
| Address | P.O. Box 701, | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 43,674.80 | ||||||||
| Service Fees | 0 | ||||||||
| Total Premium (After Tax) | 51,881.14 | ||||||||
| Signed by |
