Agent | Libertas Lilongwe | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | 001 | ||||||||
Effective Date | 09/28/2018 | ||||||||
Expiry Date | 10/11/2018 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | Kayisi M'bwana Sadala | ||||||||
Policy Number | T/LLKF449 | ||||||||
Country of Origin | Malawi | ||||||||
Destination Area | Geneva | ||||||||
Address | P.O. Box 4005, | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
| ||||||||
Net Premium (Before Tax) | 43,674.80 | ||||||||
Service Fees | 0 | ||||||||
Total Premium (After Tax) | 51,881.14 | ||||||||
Signed by |