| Agent | Ulendo Travel Group | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | LL02 | ||||||||
| Effective Date | 03/10/2018 | ||||||||
| Expiry Date | 03/22/2018 | ||||||||
| Plan | Plan B (World Wide Including USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | Emma Banda | ||||||||
| Policy Number | T/UTG257 | ||||||||
| Country of Origin | Malawi | ||||||||
| Destination Area | United State of America | ||||||||
| Address | Foreign Service Officer (Political Affairs) | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 40979.00 | ||||||||
| Total Premium (After Tax) | 48000.00 | ||||||||
| Signed by |
+265 111 832 844
+265 888 832 844
info@libertas.co.mw
Ground Floor, Unit House, Victoria Avenue, Blantyre
