Agent | Libertas General Insurance Head Office | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | BT0001 | ||||||||
Effective Date | 04/20/2020 | ||||||||
Expiry Date | 05/01/2020 | ||||||||
Plan | Plan B (World Wide Including USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | FRANCIS WILSON | ||||||||
Policy Number | T/BT494 | ||||||||
Country of Origin | MALAWI | ||||||||
Destination Area | CANADA | ||||||||
Address | P . O. BOX 48 | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
| ||||||||
Net Premium (Before Tax) | 78,039.00 | ||||||||
Total Premium (After Tax) | 91,915.44 | ||||||||
Signed by |