Agent | Libertas Lilongwe | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | 001 | ||||||||
Effective Date | 06/02/2019 | ||||||||
Expiry Date | 08/13/2019 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | Yosefe Kalekeni | ||||||||
Policy Number | T/LL485 | ||||||||
Country of Origin | Malawi | ||||||||
Destination Area | Europe | ||||||||
Address | P.O. Box 30620, | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
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Net Premium (Before Tax) | 86,165.60 | ||||||||
Total Premium (After Tax) | 100,382.92 | ||||||||
Signed by |