Agent | Libertas Lilongwe | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | LL001 | ||||||||
Effective Date | 04/30/2018 | ||||||||
Expiry Date | 05/06/2018 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | Godfrey Kangaude | ||||||||
Policy Number | T/LL381 | ||||||||
Country of Origin | Malawi | ||||||||
Destination Area | Italy | ||||||||
Address | P. O. Box 30860 | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
| ||||||||
Net Premium (Before Tax) | 43,674.80 | ||||||||
Service Fees | 0.00 | ||||||||
Total Premium (After Tax) | 50,188.14 | ||||||||
Signed by |