| Agent | Libertas Lilongwe | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | 001 | ||||||||
| Effective Date | 02/20/2020 | ||||||||
| Expiry Date | 03/08/2020 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Full Package A-I | ||||||||
| Name of Policy Holder | Effie Tadala Lekera | ||||||||
| Policy Number | T/LL570 | ||||||||
| Country of Origin | Malawi | ||||||||
| Destination Area | Baecelona, Spain | ||||||||
| Address | Private Bag B 391, | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 43,268.25 | ||||||||
| Total Premium (After Tax) | 51,407.51 | ||||||||
| Signed by |
