Agent | Libertas Lilongwe | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | 001 | ||||||||
Effective Date | 12/28/2019 | ||||||||
Expiry Date | 01/07/2020 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | Taistois Mndala | ||||||||
Policy Number | T/LL562 | ||||||||
Country of Origin | Malawi | ||||||||
Destination Area | Brussels | ||||||||
Address | Private Bag 261 Blantyre | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
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Net Premium (Before Tax) | 43,674.80 | ||||||||
Total Premium (After Tax) | 51,881.04 | ||||||||
Signed by |