| Agent | Libertas Lilongwe | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | 001 | ||||||||
| Effective Date | 08/10/2019 | ||||||||
| Expiry Date | 09/11/2019 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | Matungala Dianaben Diane | ||||||||
| Policy Number | T/LL507 | ||||||||
| Country of Origin | Congo | ||||||||
| Destination Area | Germany | ||||||||
| Address | P.O. Box 31659 | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 55,477.80 | ||||||||
| Service Fees | 0 | ||||||||
| Total Premium (After Tax) | 65,631.64 | ||||||||
| Signed by |
+265 111 832 844
+265 888 832 844
info@libertas.co.mw
Ground Floor, Unit House, Victoria Avenue, Blantyre
