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info@libertas.co.mw

Ground Floor, Unit House, Victoria Avenue, Blantyre

AgentRennies Travel
Agent CodeLL016
Effective Date09/15/2019
Expiry Date09/24/2019
PlanPlan A (World Wide Excluding USA & Canada)
CoverFull Package A-I
Name of Policy HolderLIMBANI ELIYA NSAPATO
Policy NumberT/RT812
Country of OriginMALAWI
Destination AreaNETHERLANDS
Address

MANICA TRAVEL
P.O.BOX 31335
LILONGWE

Number of Passengers1
List of persons insured
Name Passport Number Age Premium
LIMBANI ELIYA NSAPATO MA588897 41 41314.20
Net Premium (Before Tax)48131.04
Service Fees9868.96
Total Premium (After Tax)58000.00
Signed by