| Agent | Ultimate Travel-LL | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | UTLL006 | ||||||||
| Effective Date | 11/01/2019 | ||||||||
| Expiry Date | 01/01/2020 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Medical Only A-C | ||||||||
| Name of Policy Holder | JUDITH NJANJI | ||||||||
| Policy Number | U/UT016 | ||||||||
| Country of Origin | MALAWI | ||||||||
| Destination Area | PORTUGAL | ||||||||
| Address | P.O. BOX 1041 | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 101739.45 | ||||||||
| Service Fees | 10000 | ||||||||
| Total Premium (After Tax) | 111739.45 | ||||||||
| Signed by |
+265 111 832 844
+265 888 832 844
info@libertas.co.mw
Ground Floor, Unit House, Victoria Avenue, Blantyre
