+265 111 832 844

+265 888 832 844

info@libertas.co.mw

Ground Floor, Unit House, Victoria Avenue, Blantyre

AgentBON VOYAGE TOURS
Agent CodeLL007
Effective Date02/05/2018
Expiry Date05/01/2018
PlanPlan A (World Wide Excluding USA & Canada)
CoverFull Package A-I
Name of Policy HolderLAURAINE KADZAKUMANJA
Policy NumberT/BVT1017
Country of OriginMALAWI
Destination AreaNORWAY
Address

BON VOYAGE TOURS
P.O BOX 31134
LILONGWE 3

Number of Passengers3
List of persons insured
Name Passport Number Age Premium
LAURAINE KADZAKUMANJA MA031183 38 99,515.72
BLOSSOM HANNAH KATENGEZA MA851211 3 000000
ASHER SAMUEL KATENGEZA MA851218 1 000000
Net Premium (Before Tax)MK99,515.72
Service Fees20000
Total Premium (After Tax)MK135,935.81
Signed by