Agent | Libertas General Insurance Head Office | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | BT001 | ||||||||
Effective Date | 10/02/2020 | ||||||||
Expiry Date | 10/10/2020 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Full Package A-I | ||||||||
Name of Policy Holder | SAMUEL FOSTER CHIWANDA | ||||||||
Policy Number | T/BT501 | ||||||||
Country of Origin | MALAWI | ||||||||
Destination Area | SOUTH AFRICA | ||||||||
Address | LLOYDS TRAVEL | ||||||||
Number of Passengers | 1 | ||||||||
List of persons insured |
| ||||||||
Net Premium (Before Tax) | 43,264.38 | ||||||||
Total Premium (After Tax) | 51403.00 | ||||||||
Signed by |