| Agent | Manica Travel | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | LL016 | ||||||||
| Effective Date | 09/06/2019 | ||||||||
| Expiry Date | 09/22/2019 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Medical Only A-C | ||||||||
| Name of Policy Holder | SR MASSA VERONICA PATIENCE | ||||||||
| Policy Number | T/RT697 | ||||||||
| Country of Origin | MALAWI | ||||||||
| Destination Area | TOKYO | ||||||||
| Address | MANICA TRAVEL | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 41314 | ||||||||
| Service Fees | 15069 | ||||||||
| Total Premium (After Tax) | 63200 | ||||||||
| Signed by |
+265 111 832 844
+265 888 832 844
info@libertas.co.mw
Ground Floor, Unit House, Victoria Avenue, Blantyre
