Agent | Head office | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Agent Code | BT01 | ||||||||||||
Effective Date | 02/04/2020 | ||||||||||||
Expiry Date | 04/08/2020 | ||||||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||||||
Cover | Full Package A-I | ||||||||||||
Name of Policy Holder | ABDUR RAOOF YOOSUF NURMAHOMED | ||||||||||||
Policy Number | T/BT484 | ||||||||||||
Country of Origin | Malawi | ||||||||||||
Destination Area | Australia & Indonesia | ||||||||||||
Address | P. O. Box 5525 | ||||||||||||
Number of Passengers | 2 | ||||||||||||
List of persons insured |
| ||||||||||||
Net Premium (Before Tax) | 272808.40 | ||||||||||||
Service Fees | 1000 | ||||||||||||
Total Premium (After Tax) | 318821.79 | ||||||||||||
Signed by |