Agent | Libertas General Insurance Head Office | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | BT001 | ||||||||
Effective Date | 02/10/2019 | ||||||||
Expiry Date | 02/16/2019 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Medical Only A-C | ||||||||
Name of Policy Holder | Stuart Sindani | ||||||||
Policy Number | T/BT405 | ||||||||
Country of Origin | Malawi | ||||||||
Destination Area | Nairobi-Kenya | ||||||||
Address | P.O Box 30537 | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
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Net Premium (Before Tax) | 40,129.61 | ||||||||
Total Premium (After Tax) | 47,751.68 | ||||||||
Signed by |