| Agent | MIKE CHIBWANA | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | SK002 | ||||||||
| Effective Date | 03/04/2014 | ||||||||
| Expiry Date | 03/08/2014 | ||||||||
| Plan | Plan B (World Wide Including USA & Canada) | ||||||||
| Cover | Full Package A-H | ||||||||
| Name of Policy Holder | MR SANE ZUKA | ||||||||
| Policy Number | 001 | ||||||||
| Country of Origin | MALAWI | ||||||||
| Destination Area | SOUTH AFRICA | ||||||||
| Address | P.O Box 560 | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | Mwk24,565.20 | ||||||||
| Total Premium (After Tax) | Mwk24,934.42 | ||||||||
| Signed by |
+265 111 832 844
+265 897 849 516
info@libertas.co.mw
Ground Floor, Unit House, Victoria Avenue, Blantyre
