| Agent | bonvoyagetours |
|---|
| Agent Code | LL007 |
|---|
| Effective Date | 05/24/2019 |
|---|
| Expiry Date | 06/02/2019 |
|---|
| Plan | Plan B (World Wide Including USA & Canada) |
|---|
| Cover | Full Package A-I |
|---|
| Name of Policy Holder | June Josephine Kambalametore |
|---|
| Policy Number | T/BVT1096 |
|---|
| Country of Origin | Malawi |
|---|
| Destination Area | Canada |
|---|
| Address | Bon Voyage Tours
P O Box 31134
Lilongwe3
Malawi
|
|---|
| Number of Passengers | 1 |
|---|
| List of persons insured | | Name |
Passport Number |
Age |
Premium |
|---|
| June Josephine Kambalametore |
MA903300 |
35 |
MWK71,477.60 |
|
|---|
| Net Premium (Before Tax) | MWK71,477.60 |
|---|
| Service Fees | 20000 |
|---|
| Total Premium (After Tax) | MWK103,300.00 |
|---|
| Signed by |  |
|---|
