Agent | Libertas Lilongwe | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | LL001 | ||||||||
Effective Date | 09/11/2017 | ||||||||
Expiry Date | 09/24/2017 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | Vitumbiko F. O. Mzoma | ||||||||
Policy Number | T/LL307 | ||||||||
Country of Origin | Malawi | ||||||||
Destination Area | India | ||||||||
Address | Central Government Stores | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
| ||||||||
Net Premium (Before Tax) | 41,314.20 | ||||||||
Service Fees | 0.00 | ||||||||
Total Premium (After Tax) | 48,131.04 | ||||||||
Signed by |