Agent | blueberrytravel | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | MC | ||||||||
Effective Date | 03/02/2020 | ||||||||
Expiry Date | 03/08/2020 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | HENRY CHAULUMA KAUNDA | ||||||||
Policy Number | BB64 | ||||||||
Country of Origin | Malawi | ||||||||
Destination Area | Lumumbashi, DRC | ||||||||
Address | Blueberry Travel Limited | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
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Net Premium (Before Tax) | 41,310.50 | ||||||||
Total Premium (After Tax) | 48,126.73 | ||||||||
Signed by |