| Agent | Continental Travel | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | 010 | ||||||||
| Effective Date | 11/06/2017 | ||||||||
| Expiry Date | 11/09/2017 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Medical Only A-C | ||||||||
| Name of Policy Holder | Azele Elias Malion | ||||||||
| Policy Number | 080 | ||||||||
| Country of Origin | MALAWI | ||||||||
| Destination Area | SOUTH AFRICA | ||||||||
| Address | C/O CONTINENTAL TRAVEL AND TOURS | ||||||||
| Number of Passengers | ONE | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 39,804.82 | ||||||||
| Total Premium (After Tax) | 46,435.79 | ||||||||
| Signed by |
