| Agent | Ulendo Travel Group | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | LL002 | ||||||||
| Effective Date | 06/16/2019 | ||||||||
| Expiry Date | 06/22/2019 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | FOSSA/MICHAEL STEVEN MR | ||||||||
| Policy Number | T/UTG309 | ||||||||
| Country of Origin | MALAWI | ||||||||
| Destination Area | MOZAMBIQUE | ||||||||
| Address | C/O Partners in Hope | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 45270 | ||||||||
| Total Premium (After Tax) | 52738 | ||||||||
| Signed by |
+265 111 832 844
+265 888 832 844
info@libertas.co.mw
Ground Floor, Unit House, Victoria Avenue, Blantyre
