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 |