| Agent | Falcon Travel | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | MC | ||||||||
| Effective Date | 08/01/2018 | ||||||||
| Expiry Date | 08/14/2018 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | AISHA ELIZA JABU | ||||||||
| Policy Number | FTC017 | ||||||||
| Country of Origin | Malawi | ||||||||
| Destination Area | Delhi, India | ||||||||
| Address | Post Office Box 31755 Lilongwe | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 40755.90 | ||||||||
| Total Premium (After Tax) | 47480.62 | ||||||||
| Signed by |
+265 111 832 844
+265 888 832 844
info@libertas.co.mw
Ground Floor, Unit House, Victoria Avenue, Blantyre
