Agent | Manica Travel | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | LL016 | ||||||||
Effective Date | 03/18/2019 | ||||||||
Expiry Date | 03/24/2019 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | KUMWENDA WELLS | ||||||||
Policy Number | T/RT635 | ||||||||
Country of Origin | MALAWI | ||||||||
Destination Area | KENYA | ||||||||
Address | MANICA TRAVEL | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
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Net Premium (Before Tax) | 62,774.20 | ||||||||
Total Premium (After Tax) | 89,000.00 | ||||||||
Signed by |