| 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 |
