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Jan 30, 2022

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Agentbonvoyagetours
Agent CodeLL007
Effective Date03/31/2019
Expiry Date04/11/2019
PlanPlan A (World Wide Excluding USA & Canada)
CoverFull Package A-I
Name of Policy HolderJANE MAYEMU ANSAH
Policy NumberT/BVT1075
Country of OriginMALAWI
Destination AreaUNITED ARAB EMIRATES AND BOTSWANA
Address

BON VOYAGE TOURS
PLAZA HOUSE
P.O BOX 31134
LILONGWE 3

Number of Passengers1
List of persons insured
Name Passport Number Age Premium
JANE MAYEMU ANSAH MD002159 64 62943.86
Net Premium (Before Tax)62943.86
Service Fees10000
Total Premium (After Tax)83330.00
Signed by