| Agent | Manica Travel | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | ll016 | ||||||||
| Effective Date | 09/18/2019 | ||||||||
| Expiry Date | 09/24/2019 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | EDWARD FRANCIS MPEREYA | ||||||||
| Policy Number | T/RT865 | ||||||||
| Country of Origin | MALAWI | ||||||||
| Destination Area | GERMANY | ||||||||
| Address | MANICA TRAVEL | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | MIKEM@AMI-WORLDWIDE.COM | ||||||||
| Service Fees | 20000.00 | ||||||||
| Total Premium (After Tax) | 73631.24 | ||||||||
| Signed by |
