| 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 |
