| Agent | Satguru Travel | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | LLW004 | ||||||||
| Effective Date | 10/28/2017 | ||||||||
| Expiry Date | 11/12/2017 | ||||||||
| Plan | Plan B (World Wide Including USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | ELIZA CHISOMO MHANGO | ||||||||
| Policy Number | Aug/41 | ||||||||
| Country of Origin | MALAWI | ||||||||
| Destination Area | WASHINGTON DC | ||||||||
| Address | LILONGWE MALAWI | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 101,187.60 | ||||||||
| Total Premium (After Tax) | 127,000 | ||||||||
| Signed by |
+265 111 832 844
+265 888 832 844
info@libertas.co.mw
Ground Floor, Unit House, Victoria Avenue, Blantyre
