| Agent | Rennies Travel |
|---|
| Agent Code | LL016 |
|---|
| Effective Date | 11/27/2018 |
|---|
| Expiry Date | 12/02/2018 |
|---|
| Plan | Plan A (World Wide Excluding USA & Canada) |
|---|
| Cover | Full Package A-I |
|---|
| Name of Policy Holder | CHARLOTTE WEZI MESIKANO MALONDA |
|---|
| Policy Number | T/RT798 |
|---|
| Country of Origin | MALAWI |
|---|
| Destination Area | FRANCE |
|---|
| Address | MANICA TRAVEL
P.O.BOX 31335
LILONGWE
|
|---|
| Number of Passengers | 1 |
|---|
| List of persons insured | | Name |
Passport Number |
Age |
Premium |
|---|
| CHARLOTTE WEZI MESIKANO MALONDA |
MS002390 |
38 |
41,314.20 |
|
|---|
| Net Premium (Before Tax) | 48,131.04 |
|---|
| Service Fees | 15000 |
|---|
| Total Premium (After Tax) | 63,131.00 |
|---|
| Signed by |  |
|---|
