| Agent | bonvoyagetours | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | LL007 | ||||||||
| Effective Date | 12/01/2018 | ||||||||
| Expiry Date | 12/10/2018 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | DEVINE MATARE | ||||||||
| Policy Number | T/BVT1049 | ||||||||
| Country of Origin | MALAWI | ||||||||
| Destination Area | POLAND | ||||||||
| Address | Bon Voyage Tours | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | MWK41,202.54 | ||||||||
| Service Fees | 15000.00 | ||||||||
| Total Premium (After Tax) | MWK63,000.96 | ||||||||
| Signed by |
