+265 111 832 844

+265 888 832 844

info@libertas.co.mw

Ground Floor, Unit House, Victoria Avenue, Blantyre

Agentbonvoyagetours
Agent CodeLL007
Effective Date10/20/2018
Expiry Date10/28/2018
PlanPlan B (World Wide Including USA & Canada)
CoverFull Package A-I
Name of Policy HolderSosten Staphiel Chiotha
Policy NumberT/BVT1042
Country of OriginMALAWI
Destination AreaUnited States of America
Address

Bon Voyage Tours,
Plaza House
P.O Box 31134,
LILONGWE 3

Number of Passengers1
List of persons insured
Name Passport Number Age Premium
Sosten Staphiel Chiotha MA940573 64 122632.00
Net Premium (Before Tax)122632.00
Service Fees20000
Total Premium (After Tax)142632.00
Signed by