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Jan 30, 2022

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Agentbonvoyagetours
Agent CodeLL007
Effective Date01/25/2020
Expiry Date02/03/2020
PlanPlan A (World Wide Excluding USA & Canada)
CoverFull Package A-I
Name of Policy HolderMICHAEL PRINCE SELALA MWASE
Policy NumberT/BVT1153
Country of OriginMALAWI
Destination AreaDUBAI
Address

BON VOYAGE TOURS LTD
PLAZA HOUSE
P.O BOX 31134
LILONGWE 3

Number of Passengers1
List of persons insured
Name Passport Number Age Premium
MICHAEL PRINCE SELALA MWASE MS001491 54 43851.56
Net Premium (Before Tax)43851.86
Service Fees20000
Total Premium (After Tax)71087.42
Signed by