| Agent | Libertas General Insurance Head Office | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | BT001 | ||||||||
| Effective Date | 11/10/2017 | ||||||||
| Expiry Date | 11/25/2017 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Medical Only A-C | ||||||||
| Name of Policy Holder | Qingxi Jiang | ||||||||
| Policy Number | T/BT279 | ||||||||
| Country of Origin | Malawi | ||||||||
| Destination Area | Germany | ||||||||
| Address | P.O Box 5256 | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 56,735.80 | ||||||||
| Total Premium (After Tax) | 67,097.21 | ||||||||
| Signed by |
+265 111 832 844
+265 888 832 844
info@libertas.co.mw
Ground Floor, Unit House, Victoria Avenue, Blantyre
