+265 111 832 844

+265 888 832 844

info@libertas.co.mw

Ground Floor, Unit House, Victoria Avenue, Blantyre

AgentUlendo Travel Group
Agent CodeLL02
Effective Date11/06/2017
Expiry Date11/10/2017
PlanPlan A (World Wide Excluding USA & Canada)
CoverFull Package A-I
Name of Policy HolderEVELYN ZIONE UDEDI
Policy NumberT/UTG245
Country of OriginMalawi
Destination AreaTANZANIA
Address

Subira Msumba,
Administrative & Finance Assistant,
Partners in Hope
P. O. Box 302,
Lilongwe,
Malawi.

Number of Passengers1
List of persons insured
Name Passport Number Age Premium
EVELYN ZIONE UDEDI MA207349 31 47887.00
Net Premium (Before Tax)41104
Total Premium (After Tax)47887.00
Signed by