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Jan 30, 2022

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AgentKailash Pahlwani
Agent CodeMC
Effective Date11/01/2019
Expiry Date10/09/2019
PlanPlan A (World Wide Excluding USA & Canada)
CoverFull Package A-I
Name of Policy HolderCAROLINE NGONGONDO
Policy NumberBB017
Country of OriginMALAWI
Destination AreaNIGERIA
Address

BLUEBERRY TRAVEL
P.O BOX 1358
LILONGWE

Number of Passengers1
List of persons insured
Name Passport Number Age Premium
CAROLINE NGONGONDO MA250204 34 41,310.50
Net Premium (Before Tax)41,310.50
Total Premium (After Tax)48,126.73
Signed by