Agent | Libertas Lilongwe | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | LL001 | ||||||||
Effective Date | 11/20/2017 | ||||||||
Expiry Date | 12/05/2017 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | Yosefe Kalekeni | ||||||||
Policy Number | T/LL326 | ||||||||
Country of Origin | Malawi | ||||||||
Destination Area | Sweden, France and Switzerland | ||||||||
Address | P/Bag A48 | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
| ||||||||
Net Premium (Before Tax) | 42,490.80 | ||||||||
Service Fees | 0.00 | ||||||||
Total Premium (After Tax) | 49,501.78 | ||||||||
Signed by |