| Agent | Libertas General Insurance Head Office |
|---|
| Agent Code | BT001 |
|---|
| Effective Date | 04/25/2018 |
|---|
| Expiry Date | 05/26/2018 |
|---|
| Plan | Plan A (World Wide Excluding USA & Canada) |
|---|
| Cover | Full Package A-I |
|---|
| Name of Policy Holder | Lington Master Phekani |
|---|
| Policy Number | T/BT324 |
|---|
| Country of Origin | Malawi |
|---|
| Destination Area | Finland |
|---|
| Address | P.O 1005
Blantyre
|
|---|
| Number of Passengers | 1 |
|---|
| List of persons insured | | Name |
Passport Number |
Age |
Premium |
|---|
| Lington Master Phekani |
MA070295 |
68 |
84,500.60 |
|
|---|
| Net Premium (Before Tax) | 84,500.60 |
|---|
| Total Premium (After Tax) | 99,443.20 |
|---|
| Signed by |  |
|---|
