| Agent | bonvoyagetours | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | LL007 | ||||||||
| Effective Date | 10/20/2018 | ||||||||
| Expiry Date | 10/28/2018 | ||||||||
| Plan | Plan B (World Wide Including USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | Sosten Staphiel Chiotha | ||||||||
| Policy Number | T/BVT1042 | ||||||||
| Country of Origin | MALAWI | ||||||||
| Destination Area | United States of America | ||||||||
| Address | Bon Voyage Tours, | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 122632.00 | ||||||||
| Service Fees | 20000 | ||||||||
| Total Premium (After Tax) | 142632.00 | ||||||||
| Signed by |
