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Jan 30, 2022

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Agentblueberrytravel
Agent CodeMC
Effective Date02/29/2020
Expiry Date03/15/2020
PlanPlan A (World Wide Excluding USA & Canada)
CoverFull Package A-I
Name of Policy HolderMAC IAN CHISANKHO YONA
Policy NumberBB60
Country of OriginMalawi
Destination AreaTANZANIA
Address

Blueberry Travel LimitedP.O BOX 1358LILONGWE

Number of Passengers01
List of persons insured
Name Passport Number Age Premium
MAC IAN CHISANKHO YONA MA114555 49 46,031.70
Net Premium (Before Tax)46,031.70
Total Premium (After Tax)53,626.93
Signed by