| Agent | Travel Centre | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | LL01 | ||||||||
| Effective Date | 04/04/2020 | ||||||||
| Expiry Date | 04/25/2020 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | CHIBAMBO EVELYN LEDSON | ||||||||
| Policy Number | 006 | ||||||||
| Country of Origin | MALAWI | ||||||||
| Destination Area | DUBLIN IRELAND | ||||||||
| Address | C/O P.O. BOX 31499 | ||||||||
| Number of Passengers | 2 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 42 777,90 | ||||||||
| Service Fees | 6416.69 | ||||||||
| Total Premium (After Tax) | 49 836,25 | ||||||||
| Signed by |
