| Agent | bonvoyagetours |
|---|
| Agent Code | LL007 |
|---|
| Effective Date | 10/28/2018 |
|---|
| Expiry Date | 10/31/2018 |
|---|
| Plan | Plan A (World Wide Excluding USA & Canada) |
|---|
| Cover | Full Package A-I |
|---|
| Name of Policy Holder | : Baldwin Samuel Chiyamwaka |
|---|
| Policy Number | T/BVT1043 |
|---|
| Country of Origin | Malawi |
|---|
| Destination Area | Zimbabwe |
|---|
| Address | Bon Voyage Tours
P O Box 31134
Lilongwe 3
Malawi
|
|---|
| Number of Passengers | 1 |
|---|
| List of persons insured | | Name |
Passport Number |
Age |
Premium |
|---|
| : Baldwin Samuel Chiyamwaka |
MD001654 |
54 |
MK43,320.68 |
|
|---|
| Net Premium (Before Tax) | MK43,320.68 |
|---|
| Service Fees | 15000 |
|---|
| Total Premium (After Tax) | MK65,468.59 |
|---|
| Signed by |  |
|---|
