| Agent | Guardian Insurance | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | 3004 | ||||||||
| Effective Date | 11/05/2018 | ||||||||
| Expiry Date | 11/18/2018 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | Allan Watipaso Kalolokesya | ||||||||
| Policy Number | T/GISLL461 | ||||||||
| Country of Origin | Malawi | ||||||||
| Destination Area | Italy | ||||||||
| Address | P.O. Box 30374, | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 41,314.20 | ||||||||
| Service Fees | 0 | ||||||||
| Total Premium (After Tax) | 49,131.04 | ||||||||
| Signed by |
