Agent | Libertas General Insurance Head Office | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | BT001 | ||||||||
Effective Date | 10/05/2018 | ||||||||
Expiry Date | 10/15/2018 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | Blossom Ngcobo | ||||||||
Policy Number | t/bt382 | ||||||||
Country of Origin | Malawi | ||||||||
Destination Area | Israel | ||||||||
Address | QUEENS | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
| ||||||||
Net Premium (Before Tax) | 46,031.70 | ||||||||
Total Premium (After Tax) | 53,631.24 | ||||||||
Signed by |