| Agent | Libertas General Insurance Lilongwe Branch | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | LL001 | ||||||||
| Effective Date | 10/07/2017 | ||||||||
| Expiry Date | 10/22/2017 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | soraya Khan | ||||||||
| Policy Number | T/LL314 | ||||||||
| Country of Origin | Malawi | ||||||||
| Destination Area | Ireland | ||||||||
| Address | Area 3 | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 38,953.60 | ||||||||
| Total Premium (After Tax) | 45,380.94 | ||||||||
| Signed by |
