Agent | Manica Travel | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | LL016 | ||||||||
Effective Date | 12/05/2018 | ||||||||
Expiry Date | 12/14/2018 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | STEVEN WILLIAM KAYUNI | ||||||||
Policy Number | T/RT751 | ||||||||
Country of Origin | MALAWI | ||||||||
Destination Area | NETHERLANDS | ||||||||
Address | Manica Travel ADL House, City Center | P.O Box 31335 | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
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Net Premium (Before Tax) | 48,126.73 | ||||||||
Service Fees | 11873.27 | ||||||||
Total Premium (After Tax) | 60,000.00 | ||||||||
Signed by |