Agent | Libertas Lilongwe | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | 001 | ||||||||
Effective Date | 03/14/2020 | ||||||||
Expiry Date | 03/21/2020 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | Limbikani Agatha Sengani Malunje | ||||||||
Policy Number | T/LL581 | ||||||||
Country of Origin | Malawi | ||||||||
Destination Area | Uganda | ||||||||
Address | P.O. Box 280 | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
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Net Premium (Before Tax) | 48,212.75 | ||||||||
Total Premium (After Tax) | 51,881.14 | ||||||||
Signed by |