Agent | Libertas Lilongwe | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | LL001 | ||||||||
Effective Date | 12/09/2017 | ||||||||
Expiry Date | 12/23/2017 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | Lusungu Phiri | ||||||||
Policy Number | T/LL320 | ||||||||
Country of Origin | Malawi | ||||||||
Destination Area | ITALY | ||||||||
Address | P.O. Box 2460 | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
| ||||||||
Net Premium (Before Tax) | 48,131.50 | ||||||||
Service Fees | 0 | ||||||||
Total Premium (After Tax) | 48,131.50 | ||||||||
Signed by |