| Agent | Travel Centre | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | LL01 | ||||||||
| Effective Date | 02/29/2020 | ||||||||
| Expiry Date | 03/12/2020 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | GONGWA SUSAN GRACE | ||||||||
| Policy Number | 008 | ||||||||
| Country of Origin | MALAWI | ||||||||
| Destination Area | BERLIN | ||||||||
| Address | C/O The Travel Centre | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 40 755,90 | ||||||||
| Service Fees | 6724.72 | ||||||||
| Total Premium (After Tax) | 47 480,62 | ||||||||
| Signed by |
