| Agent | Ulendo Travel Group | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | LL2 | ||||||||
| Effective Date | 11/10/2018 | ||||||||
| Expiry Date | 11/17/2018 | ||||||||
| Plan | Plan B (World Wide Including USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | Ms Elizabeth Mairead Petersen | ||||||||
| Policy Number | T/UTG293 | ||||||||
| Country of Origin | Malawi | ||||||||
| Destination Area | Tanzania | ||||||||
| Address | Embassy of Ireland | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 43424.00 | ||||||||
| Total Premium (After Tax) | 50600.00 | ||||||||
| Signed by |
+265 111 832 844
+265 888 832 844
info@libertas.co.mw
Ground Floor, Unit House, Victoria Avenue, Blantyre
