| Agent | Metropolitan Travels & Tours | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | MC01 | ||||||||
| Effective Date | 11/26/2018 | ||||||||
| Expiry Date | 11/30/2018 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Medical Only A-C | ||||||||
| Name of Policy Holder | Loveness Mposa | ||||||||
| Policy Number | T/MQ01 | ||||||||
| Country of Origin | Malawi | ||||||||
| Destination Area | Belgium | ||||||||
| Address | P.O. BOX 951 | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 40,130.20 | ||||||||
| Service Fees | 0 | ||||||||
| Total Premium (After Tax) | 46,751.68 | ||||||||
| Signed by |
+265 111 832 844
+265 888 832 844
info@libertas.co.mw
Ground Floor, Unit House, Victoria Avenue, Blantyre
