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Jan 30, 2022

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AgentTravel Centre
Agent CodeLL01
Effective Date04/04/2020
Expiry Date04/25/2020
PlanPlan A (World Wide Excluding USA & Canada)
CoverFull Package A-I
Name of Policy HolderMLONGOTI GLORY MPHATSO
Policy Number007
Country of OriginMALAWI
Destination AreaDUBLIN IRELAND
Address

C/O P.O. BOX 31499
LILONGWE 3

Number of Passengers2
List of persons insured
Name Passport Number Age Premium
MLONGOTI GLORY MPHATSO MB084692 15 57,42
MTHAWANJI EDEL MB085171 1 0,00
Net Premium (Before Tax)42 777,90
Service Fees6416.69
Total Premium (After Tax)49 836,25
Signed by