Agent | Libertas General Insurance Head Office | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | BT0001 | ||||||||
Effective Date | 12/17/2019 | ||||||||
Expiry Date | 01/04/2020 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | CHIKUMBUTSO MATHUMBA | ||||||||
Policy Number | T/BT481 | ||||||||
Country of Origin | MALAWI | ||||||||
Destination Area | ITALY | ||||||||
Address | P O BOX 5101 | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
| ||||||||
Net Premium (Before Tax) | 44,242.10 | ||||||||
Total Premium (After Tax) | 52,542.04 | ||||||||
Signed by |