Agent | Libertas Lilongwe | ||||||||
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Agent Code | 001 | ||||||||
Effective Date | 11/14/2019 | ||||||||
Expiry Date | 11/27/2019 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | Jessie Spector Banda | ||||||||
Policy Number | T/LL534 | ||||||||
Country of Origin | Malawi | ||||||||
Destination Area | Dublin, Ireland | ||||||||
Address | P. O. Box 2323, Lilongwe | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
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Net Premium (Before Tax) | 41314.20 | ||||||||
Total Premium (After Tax) | 49131.04 | ||||||||
Signed by |