Agent | Manica Travel | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | LL016 | ||||||||
Effective Date | 03/25/2019 | ||||||||
Expiry Date | 04/26/2019 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | NAMANGWIYO EMMANUEL | ||||||||
Policy Number | EMMANUEL | ||||||||
Country of Origin | MALAWI | ||||||||
Destination Area | ROME | ||||||||
Address | MANICA TRAVEL | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
| ||||||||
Net Premium (Before Tax) | 60,199.00 | ||||||||
Service Fees | 8000 | ||||||||
Total Premium (After Tax) | 78,000.00 | ||||||||
Signed by |