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Jan 30, 2022

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AgentManica Travel
Agent CodeLL016
Effective Date11/12/2018
Expiry Date11/17/2018
PlanPlan A (World Wide Excluding USA & Canada)
CoverFull Package A-I
Name of Policy HolderEMMANUEL JOFILISI MWANALEZA
Policy NumberT/RT672
Country of OriginMALAWI
Destination AreaITALY
Address

Manica Travel

ADL House, City Center | P.O Box 31335

Number of Passengers1
List of persons insured
Name Passport Number Age Premium
EMMANUEL JOFILISI MWANALEZA MA136495 38 41,310.50
Net Premium (Before Tax)48,126.73
Service Fees9873.27
Total Premium (After Tax)58,000.00
Signed by