Agent | Libertas Lilongwe | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | LL001 | ||||||||
Effective Date | 12/12/2017 | ||||||||
Expiry Date | 01/02/2018 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | Anne-Marie Ng'ombe | ||||||||
Policy Number | T/LL343 | ||||||||
Country of Origin | Malawi | ||||||||
Destination Area | Italy | ||||||||
Address | P. O. Box 102 | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
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Net Premium (Before Tax) | 42,490.98 | ||||||||
Total Premium (After Tax) | 49,501.78 | ||||||||
Signed by |