Agent | Libertas Lilongwe | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Agent Code | LL001 | ||||||||||||
Effective Date | 11/26/2017 | ||||||||||||
Expiry Date | 12/15/2017 | ||||||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||||||
Cover | Full Package A-I | ||||||||||||
Name of Policy Holder | Nia Dini Josaya | ||||||||||||
Policy Number | T/LL334 | ||||||||||||
Country of Origin | Malawi | ||||||||||||
Destination Area | IRELAND | ||||||||||||
Address | P.O. Box | ||||||||||||
Number of Passengers | 2 | ||||||||||||
List of persons insured |
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Net Premium (Before Tax) | 43,644.81 | ||||||||||||
Service Fees | 0 | ||||||||||||
Total Premium (After Tax) | 43,644.81 | ||||||||||||
Signed by |