Agent | Libertas General Insurance Head Office |
---|
Agent Code | BT001 |
---|
Effective Date | 04/06/2019 |
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Expiry Date | 07/06/2019 |
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Plan | Plan A (World Wide Excluding USA & Canada) |
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Cover | Full Package A-I |
---|
Name of Policy Holder | Talitha Abdul Gaffar |
---|
Policy Number | T/BT/413 |
---|
Country of Origin | Malawi |
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Destination Area | Germany |
---|
Address | Box 241,Blantyre
|
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Number of Passengers | 2 |
---|
List of persons insured | Name |
Passport Number |
Age |
Premium |
Talitha Abdul Gaffar |
MA923853 |
30 |
165,202.00 |
Ayden Khan |
MA923854 |
2 |
0 |
|
---|
Net Premium (Before Tax) | 165,202.00 |
---|
Total Premium (After Tax) | 193,506.93 |
---|
Signed by |  |