Agent | Manica Travel | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | LL016 | ||||||||
Effective Date | 11/04/2018 | ||||||||
Expiry Date | 11/09/2018 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | GEOFFREY FRANCIS SALANJE | ||||||||
Policy Number | T/RT701 | ||||||||
Country of Origin | MALAWI | ||||||||
Destination Area | DOHA | ||||||||
Address | Manica Travel | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
| ||||||||
Net Premium (Before Tax) | 50,876.83 | ||||||||
Service Fees | 9123.17 | ||||||||
Total Premium (After Tax) | 60,000.00 | ||||||||
Signed by |