Agent | blueberrytravel | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | MC | ||||||||
Effective Date | 02/11/2020 | ||||||||
Expiry Date | 08/11/2020 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Medical Only A-C | ||||||||
Name of Policy Holder | FAITH ODETTA KASAKATIRA | ||||||||
Policy Number | BB46 | ||||||||
Country of Origin | MALAWI | ||||||||
Destination Area | SOUTH AFRICA | ||||||||
Address | BLUEBERRY TRAVEL | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
| ||||||||
Net Premium (Before Tax) | 198,290.40 | ||||||||
Service Fees | 0 | ||||||||
Total Premium (After Tax) | 231,008.32 | ||||||||
Signed by |