Agent | Libertas General Insurance Head Office | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | BT001 | ||||||||
Effective Date | 11/16/2018 | ||||||||
Expiry Date | 01/17/2019 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | Armaan Shiraz Mojoo | ||||||||
Policy Number | T/BT385 | ||||||||
Country of Origin | Malawi | ||||||||
Destination Area | Europe | ||||||||
Address | P.O Box 801 | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
| ||||||||
Net Premium (Before Tax) | 86,165.60 | ||||||||
Total Premium (After Tax) | 101,382.92 | ||||||||
Signed by |