Agent | Libertas General Insurance | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | BT001 | ||||||||
Effective Date | 03/02/2019 | ||||||||
Expiry Date | 03/10/2019 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | Steven William Kayuni | ||||||||
Policy Number | T/BT410 | ||||||||
Country of Origin | Malawi | ||||||||
Destination Area | Geneva | ||||||||
Address | P/Bag 333 | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
| ||||||||
Net Premium (Before Tax) | 42,490.80 | ||||||||
Total Premium (After Tax) | 50,501.78 | ||||||||
Signed by |