Agent | Metropolitan Travels & Tours | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | MC01 | ||||||||
Effective Date | 12/07/2018 | ||||||||
Expiry Date | 12/16/2018 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | MERCY CHIRAMBO | ||||||||
Policy Number | T/MQ03 | ||||||||
Country of Origin | Malawi | ||||||||
Destination Area | POLAND | ||||||||
Address | Metropolitan Travels And Tours | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
| ||||||||
Net Premium (Before Tax) | 41,314.20 | ||||||||
Total Premium (After Tax) | 48,131.04 | ||||||||
Signed by |