+265 111 832 844

+265 888 832 844

info@libertas.co.mw

Ground Floor, Unit House, Victoria Avenue, Blantyre

AgentRennies Travel
Agent CodeLL016
Effective Date10/21/2018
Expiry Date10/29/2018
PlanPlan A (World Wide Excluding USA & Canada)
CoverFull Package A-I
Name of Policy HolderJOSE AGWELO VIVEK
Policy NumberT/R586
Country of OriginMALAWI
Destination AreaFRANCE
Address

MANICA TRAVEL
P.O BOX 31335
LILONGWE

Number of Passengers1
List of persons insured
Name Passport Number Age Premium
JOSE AGWELO VIVEK ZA816231 50 43,671.00
Net Premium (Before Tax)50,876.00
Service Fees10000.00
Total Premium (After Tax)60,876.00
Signed by