| Agent | Travel Centre | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | LL01 | ||||||||
| Effective Date | 11/24/2019 | ||||||||
| Expiry Date | 11/30/2019 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | KANSINJIRO BENSONLAURENT | ||||||||
| Policy Number | 005 | ||||||||
| Country of Origin | MALAWI | ||||||||
| Destination Area | GENEVA | ||||||||
| Address | THE TRAVEL CENTRE | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 43969,90 | ||||||||
| Service Fees | 6595.49 | ||||||||
| Total Premium (After Tax) | 51224,93 | ||||||||
| Signed by |
