Agent | Libertas General Insurance Head Office | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | BT0001 | ||||||||
Effective Date | 11/17/2019 | ||||||||
Expiry Date | 12/08/2019 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | PRISCA KAIMA | ||||||||
Policy Number | T/BT471 | ||||||||
Country of Origin | MALAWI | ||||||||
Destination Area | DUBLIN, IRELAND | ||||||||
Address | P O BOX 5863 | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
| ||||||||
Net Premium (Before Tax) | 52,848.58 | ||||||||
Total Premium (After Tax) | 62,568.60 | ||||||||
Signed by |