| Agent | Kingfisher | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | TBA | ||||||||
| Effective Date | 12/18/2017 | ||||||||
| Expiry Date | 01/31/2018 | ||||||||
| Plan | Plan B (World Wide Including USA & Canada) | ||||||||
| Cover | Medical Only A-C | ||||||||
| Name of Policy Holder | George Dennis Yiannakis | ||||||||
| Policy Number | T/KF167 | ||||||||
| Country of Origin | Malawi | ||||||||
| Destination Area | USA | ||||||||
| Address | Private Bag 154 | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 134,502.40 | ||||||||
| Service Fees | 0.00 | ||||||||
| Total Premium (After Tax) | 156,695.30 | ||||||||
| Signed by |
+265 111 832 844
+265 888 832 844
info@libertas.co.mw
Ground Floor, Unit House, Victoria Avenue, Blantyre
