| Agent | Standard Bank | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | LL001 | ||||||||
| Effective Date | 12/23/2019 | ||||||||
| Expiry Date | 01/07/2020 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | LUSEKELO MSUKWA | ||||||||
| Policy Number | T/LL570 | ||||||||
| Country of Origin | MALAWI | ||||||||
| Destination Area | LONDON HEATHROW-UNITED KINGDOM | ||||||||
| Address | P.O BOX 1111 | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 44,242.10 | ||||||||
| Total Premium (After Tax) | 52,542.04 | ||||||||
| Signed by |
