| Agent | Kailash Pahlwani | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | MC | ||||||||
| Effective Date | 10/06/2019 | ||||||||
| Expiry Date | 10/11/2019 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | TIYAMIKE HAROLD GOLIATI | ||||||||
| Policy Number | BB07 | ||||||||
| Country of Origin | MALAWI | ||||||||
| Destination Area | NORWAY | ||||||||
| Address | BLUEBERRY TRAVEL | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 41,314.20 | ||||||||
| Total Premium (After Tax) | 48,131.04 | ||||||||
| Signed by |
+265 111 832 844
+265 888 832 844
info@libertas.co.mw
Ground Floor, Unit House, Victoria Avenue, Blantyre
