| Agent | Manica Travel | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | LL016 | ||||||||
| Effective Date | 11/04/2018 | ||||||||
| Expiry Date | 11/25/2018 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | SHADRECK BULUKUTU STOVER CHIRWA | ||||||||
| Policy Number | T/RT621 | ||||||||
| Country of Origin | MALAWI | ||||||||
| Destination Area | HOLLAND | ||||||||
| Address | Manica Travel ADL House, City Center | P.O Box 31335 | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 59,127.13 | ||||||||
| Service Fees | 9872.87 | ||||||||
| Total Premium (After Tax) | 69,000.00 | ||||||||
| Signed by |
+265 111 832 844
+265 888 832 844
info@libertas.co.mw
Ground Floor, Unit House, Victoria Avenue, Blantyre
