Agent | Libertas General Insurance Head Office | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | BT001 | ||||||||
Effective Date | 04/06/2019 | ||||||||
Expiry Date | 07/06/2019 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | Shakila Gaffar | ||||||||
Policy Number | T/BT/414 | ||||||||
Country of Origin | Malawi | ||||||||
Destination Area | Germany | ||||||||
Address | Box 241,Blantyre | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
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Net Premium (Before Tax) | 173,507.80 | ||||||||
Total Premium (After Tax) | 203,136.59 | ||||||||
Signed by |