| Agent | Falcon Travel | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | MC | ||||||||
| Effective Date | 11/03/2017 | ||||||||
| Expiry Date | 11/18/2017 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | JULIUS NG'OMA | ||||||||
| Policy Number | FTC016 | ||||||||
| Country of Origin | Malawi | ||||||||
| Destination Area | GERMANY | ||||||||
| Address | Falcon Travel Company | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | K49, 101.00 | ||||||||
| Total Premium (After Tax) | K49,101.00 | ||||||||
| Signed by |
+265 111 832 844
+265 888 832 844
info@libertas.co.mw
Ground Floor, Unit House, Victoria Avenue, Blantyre
