Agent | Libertas Lilongwe | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | LL003 | ||||||||
Effective Date | 03/19/2019 | ||||||||
Expiry Date | 03/24/2019 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | Rodwell Joseph Chizumila | ||||||||
Policy Number | T/LL/474 | ||||||||
Country of Origin | Malawi | ||||||||
Destination Area | Swtzerland | ||||||||
Address | Box 331, Lilongwe | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
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Net Premium (Before Tax) | 37,769.60 | ||||||||
Total Premium (After Tax) | 45,001.58 | ||||||||
Signed by |