| Agent | Ultimate Travel-LL | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | UTLL006 | ||||||||
| Effective Date | 10/10/2019 | ||||||||
| Expiry Date | 10/24/2019 | ||||||||
| Plan | Plan B (World Wide Including USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | ALINAFE JANE MKAVEA | ||||||||
| Policy Number | U/UT018 | ||||||||
| Country of Origin | MALAWI | ||||||||
| Destination Area | UNITED STATES OF AMERICA | ||||||||
| Address | PRIVATE BAG B-496 | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 116290.53 | ||||||||
| Service Fees | 70000 | ||||||||
| Total Premium (After Tax) | 186290.53 | ||||||||
| Signed by |
+265 111 832 844
+265 888 832 844
info@libertas.co.mw
Ground Floor, Unit House, Victoria Avenue, Blantyre
