| Agent | Ultimate Travel | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | UTLL006 | ||||||||
| Effective Date | 02/16/2014 | ||||||||
| Expiry Date | 02/22/2014 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-H | ||||||||
| Name of Policy Holder | ANNIE BANDA | ||||||||
| Policy Number | T/UT002 | ||||||||
| Country of Origin | Malawi | ||||||||
| Destination Area | SOUTH AFRICA | ||||||||
| Address | ULTIMATE TRAVEL | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | MWK4333.54 | ||||||||
| Total Premium (After Tax) | MWK30597.44 | ||||||||
| Signed by |
+265 111 832 844
+265 897 849 516
info@libertas.co.mw
Ground Floor, Unit House, Victoria Avenue, Blantyre
