Agent | Libertas Lilongwe | ||||||||||||
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Agent Code | 001 | ||||||||||||
Effective Date | 06/05/2019 | ||||||||||||
Expiry Date | 06/11/2019 | ||||||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||||||
Cover | Full Package A-I | ||||||||||||
Name of Policy Holder | Alice Ntantha Kambochola | ||||||||||||
Policy Number | T/LL488 | ||||||||||||
Country of Origin | Malawi | ||||||||||||
Destination Area | Rome- Italy | ||||||||||||
Address | P.O. Box 1, | ||||||||||||
Number of Passengers | 2 | ||||||||||||
List of persons insured |
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Net Premium (Before Tax) | 73,696.56 | ||||||||||||
Total Premium (After Tax) | 73,696.56 | ||||||||||||
Signed by |