| Agent | Libertas Lilongwe | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | 001 | ||||||||
| Effective Date | 12/10/2019 | ||||||||
| Expiry Date | 01/10/2020 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | Rabie Abo Chakra | ||||||||
| Policy Number | T/LL564 | ||||||||
| Country of Origin | Malawi | ||||||||
| Destination Area | Spain | ||||||||
| Address | P. O. Box 1971, Lilongwe | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 58, 097.87 | ||||||||
| Total Premium (After Tax) | 68,684.02 | ||||||||
| Signed by |
