| Agent | Paul Chikondi Antonio | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | MC01 | ||||||||
| Effective Date | 12/10/2018 | ||||||||
| Expiry Date | 11/16/2018 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | JONATHAN MWAGOMBA | ||||||||
| Policy Number | T/MQ04 | ||||||||
| Country of Origin | Malawi | ||||||||
| Destination Area | DELHI | ||||||||
| Address | METROPOLITAN TRAVELS AND TOURS | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 48,131.04 | ||||||||
| Total Premium (After Tax) | 48,131.04 | ||||||||
| Signed by |
