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Jan 30, 2022

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AgentKailash Pahlwani
Agent CodeMC
Effective Date11/29/2019
Expiry Date12/07/2019
PlanPlan A (World Wide Excluding USA & Canada)
CoverFull Package A-I
Name of Policy HolderSEKANI TCHUBA
Policy NumberBB019
Country of OriginMALAWI
Destination AreaRWANDA
Address

BLUEBERRY TRAVEL LIMITED
P.O BOX 1358
LILONGWE

Number of Passengers1
List of persons insured
Name Passport Number Age Premium
SEKANI TCHUBA SEKANI TCHUBA 24 41,314.20
Net Premium (Before Tax)41,314.20
Total Premium (After Tax)48,131.04
Signed by