Agent | Libertas Lilongwe | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | LL001 | ||||||||
Effective Date | 09/30/2017 | ||||||||
Expiry Date | 10/20/2017 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | Dr. Mphatso Kamndaya | ||||||||
Policy Number | T/LL310 | ||||||||
Country of Origin | Malawi | ||||||||
Destination Area | Florence, Italy | ||||||||
Address | Private Bag 303 | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
| ||||||||
Net Premium (Before Tax) | 46,035.40 | ||||||||
Service Fees | 0.00 | ||||||||
Total Premium (After Tax) | 53,631.24 | ||||||||
Signed by |