| Agent | MANICA TRAVEL | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | LL016 | ||||||||
| Effective Date | 10/07/2018 | ||||||||
| Expiry Date | 10/13/2018 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | RODRICK GIDEON WALUSA | ||||||||
| Policy Number | T/RT653 | ||||||||
| Country of Origin | MALAWI | ||||||||
| Destination Area | NETHERLANDS | ||||||||
| Address | MANICA TRAVEL | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 50,876.83 | ||||||||
| Service Fees | 9123.17 | ||||||||
| Total Premium (After Tax) | 60,000.00 | ||||||||
| Signed by |
+265 111 832 844
+265 888 832 844
info@libertas.co.mw
Ground Floor, Unit House, Victoria Avenue, Blantyre
