Agent | Libertas General Insurance Head Office | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | BT0001 | ||||||||
Effective Date | 11/24/2019 | ||||||||
Expiry Date | 12/01/2019 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | MERCY PHIRI | ||||||||
Policy Number | T/BT478 | ||||||||
Country of Origin | ZAMBIAN | ||||||||
Destination Area | SWITZERLAND | ||||||||
Address | C/O SOLOMON BANDA | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
| ||||||||
Net Premium (Before Tax) | 43,017.00 | ||||||||
Total Premium (After Tax) | 51,114.81 | ||||||||
Signed by |