| Agent | Manica Travel | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | LL016 | ||||||||
| Effective Date | 10/05/2019 | ||||||||
| Expiry Date | 10/13/2019 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | JOVIAL CHITHAMLANDU | ||||||||
| Policy Number | T/RT895 | ||||||||
| Country of Origin | MALAWI | ||||||||
| Destination Area | SPAIN | ||||||||
| Address | Manica Travel | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 41315.00 | ||||||||
| Service Fees | 25000 | ||||||||
| Total Premium (After Tax) | 73131.00 | ||||||||
| Signed by |
