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 |