Agent | blueberrytravel | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | MC | ||||||||
Effective Date | 03/07/2020 | ||||||||
Expiry Date | 02/29/2020 | ||||||||
Plan | Plan B (World Wide Including USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | MARTIN TAMANDA KANJADZA | ||||||||
Policy Number | BB062 | ||||||||
Country of Origin | MALAWI | ||||||||
Destination Area | UNITED STATES OF AMERICA | ||||||||
Address | BLUEBERRY TRAVEL LIMITED | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
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Net Premium (Before Tax) | 115,991.30 | ||||||||
Total Premium (After Tax) | 135,129.86 | ||||||||
Signed by |