| Agent | BON VOYAGE TOURS | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | LL007 | ||||||||
| Effective Date | 11/06/2018 | ||||||||
| Expiry Date | 11/11/2018 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | SOSTEN STAPHIEL CHIOTHA | ||||||||
| Policy Number | T/BVT1045 | ||||||||
| Country of Origin | MALAWI | ||||||||
| Destination Area | LONDON | ||||||||
| Address | P O BOX 31134 | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | MWK62,604.54 | ||||||||
| Service Fees | 15000 | ||||||||
| Total Premium (After Tax) | MWK87,934.29 | ||||||||
| Signed by |
