Agent | Libertas Lilongwe | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | LL001 | ||||||||
Effective Date | 02/08/2018 | ||||||||
Expiry Date | 02/13/2018 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | Yohane Thawale Banda | ||||||||
Policy Number | T/LL 345 | ||||||||
Country of Origin | Malawi | ||||||||
Destination Area | Portugal - Lisbon | ||||||||
Address | Mchinji | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
| ||||||||
Net Premium (Before Tax) | 51,881.04 | ||||||||
Service Fees | 0 | ||||||||
Total Premium (After Tax) | 51,881.04 | ||||||||
Signed by |