| Agent | Hubertus Clausius | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | 007 | ||||||||
| Effective Date | 04/11/2014 | ||||||||
| Expiry Date | 05/04/2014 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-H | ||||||||
| Name of Policy Holder | Robert Gezienes Spoolder | ||||||||
| Policy Number | T/BT009 | ||||||||
| Country of Origin | Malawi | ||||||||
| Destination Area | Dubai/Spain/Portugal | ||||||||
| Address | P.O. Box 30402 | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 30,865.00 | ||||||||
| Total Premium (After Tax) | 35,958.31 | ||||||||
| Signed by |
+265 111 832 844
+265 897 849 516
info@libertas.co.mw
Ground Floor, Unit House, Victoria Avenue, Blantyre
