| Agent | bonvoyagetours | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | LL007 | ||||||||
| Effective Date | 04/19/2020 | ||||||||
| Expiry Date | 05/03/2020 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Medical Only A-C | ||||||||
| Name of Policy Holder | DONNEX DUNCAIN JUMBE | ||||||||
| Policy Number | T/BVT1166 | ||||||||
| Country of Origin | Malawi | ||||||||
| Destination Area | TANZANIA | ||||||||
| Address | BON VOYAGE TOURS | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 53921.14 | ||||||||
| Service Fees | 20000 | ||||||||
| Total Premium (After Tax) | 73922.00 | ||||||||
| Signed by |
