Agent | Libertas General Insurance Head Office | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | BT001 | ||||||||
Effective Date | 11/19/2017 | ||||||||
Expiry Date | 11/24/2017 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | Themba Mzilahowa | ||||||||
Policy Number | T/BT275 | ||||||||
Country of Origin | Malawi | ||||||||
Destination Area | Paris-France | ||||||||
Address | C/O Kingfisher | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
| ||||||||
Net Premium (Before Tax) | 43,674.80 | ||||||||
Total Premium (After Tax) | 51,881.14 | ||||||||
Signed by |