Agent | Libertas General Insurance Head Office | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | BT01 | ||||||||
Effective Date | 09/26/2020 | ||||||||
Expiry Date | 10/02/2020 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | HANISHA VLADIMIRO MISSON | ||||||||
Policy Number | T/BT495 | ||||||||
Country of Origin | MALAWI | ||||||||
Destination Area | HOLLAND | ||||||||
Address | P.O.BOX 51242, LIMBE | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
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Net Premium (Before Tax) | 42430.80 | ||||||||
Total Premium (After Tax) | 49431.88 | ||||||||
Signed by |