| Agent | bonvoyagetours |
|---|
| Agent Code | LL007 |
|---|
| Effective Date | 05/12/2019 |
|---|
| Expiry Date | 05/18/2019 |
|---|
| Plan | Plan A (World Wide Excluding USA & Canada) |
|---|
| Cover | Full Package A-I |
|---|
| Name of Policy Holder | Patience Ennilece Mgoli-Mwale |
|---|
| Policy Number | T/BVT1090 |
|---|
| Country of Origin | Malawi |
|---|
| Destination Area | Ethiopia |
|---|
| Address | Bon Voyage Tours
P O Box 31134
Lilongwe 3
Malawi
|
|---|
| Number of Passengers | 1 |
|---|
| List of persons insured | | Name |
Passport Number |
Age |
Premium |
|---|
| Patience Ennilece Mgoli-Mwale |
MA364692 |
37 |
MWK41,705.01 |
| Vincent Jayden Mgoli Mwale |
MA899373 |
1 |
MK00 |
|
|---|
| Net Premium (Before Tax) | MWK41,705.01 |
|---|
| Service Fees | 15000 |
|---|
| Total Premium (After Tax) | MWK63,586.00 |
|---|
| Signed by |  |
|---|
