Agent | Libertas Lilongwe | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | 001 | ||||||||
Effective Date | 11/11/2018 | ||||||||
Expiry Date | 11/16/2018 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | Caroline Pauline Bakasa | ||||||||
Policy Number | T/MarshLL450 | ||||||||
Country of Origin | Malawi | ||||||||
Destination Area | Kigali - Rwanda | ||||||||
Address | P.O. Box 31107 | ||||||||
Number of Passengers | Caroline Pauline Bakasa | ||||||||
List of persons insured |
| ||||||||
Net Premium (Before Tax) | 41,34.20 | ||||||||
Service Fees | 0 | ||||||||
Total Premium (After Tax) | 49,131.04 | ||||||||
Signed by |