| Agent | Manica Travel | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | LL016 | ||||||||
| Effective Date | 08/06/2019 | ||||||||
| Expiry Date | 08/13/2019 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | GEOFFREY FRANCE | ||||||||
| Policy Number | R/T666 | ||||||||
| Country of Origin | MALAWI | ||||||||
| Destination Area | KYRGYZSTAN | ||||||||
| Address | MANICA TRAVEL | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 43675 | ||||||||
| Service Fees | 13119 | ||||||||
| Total Premium (After Tax) | 64000 | ||||||||
| Signed by |
+265 111 832 844
+265 888 832 844
info@libertas.co.mw
Ground Floor, Unit House, Victoria Avenue, Blantyre
