| Agent | bonvoyagetours | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | LL007 | ||||||||
| Effective Date | 07/04/2019 | ||||||||
| Expiry Date | 07/11/2019 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | Chisomo Roxanna Gunda | ||||||||
| Policy Number | T/BVT1089 | ||||||||
| Country of Origin | Malawi | ||||||||
| Destination Area | Italy | ||||||||
| Address | Bon Voyage Tours | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | MWK44,087.94 | ||||||||
| Service Fees | 15000 | ||||||||
| Total Premium (After Tax) | MWK66,365 | ||||||||
| Signed by |
