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Jan 30, 2022

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AgentContinental Travel
Agent Code010
Effective Date10/30/2017
Expiry Date11/05/2017
PlanPlan A (World Wide Excluding USA & Canada)
CoverMedical Only A-C
Name of Policy HolderBEN AMIGU BOTOLO
Policy Number076
Country of OriginMALAWI
Destination AreaBERLIN
Address

C/O CONTINENTAL TRAVEL AND TOURS
ROBERT MUGABE CRESCENT
CENTRE HOUSE ARCADE
P.O BOX 31126
LILONGW 3
MALAWI

Number of PassengersONE
List of persons insured
Name Passport Number Age Premium
BEN AMIGU BOTOLO MD 001561 54 73.41
Net Premium (Before Tax)53,882.94
Total Premium (After Tax)72,773.63
Signed by