Agent | Rennies Travel | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | LL016 | ||||||||
Effective Date | 06/28/2019 | ||||||||
Expiry Date | 07/06/2019 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | GRAY NTHINDA | ||||||||
Policy Number | T/RT150 | ||||||||
Country of Origin | MALAWI | ||||||||
Destination Area | AUSTRIA | ||||||||
Address | MANICA TRAVEL | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
| ||||||||
Net Premium (Before Tax) | 73,131.94 | ||||||||
Service Fees | 5000.00 | ||||||||
Total Premium (After Tax) | 78,131.00 | ||||||||
Signed by |