Agent | Continental Travel | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | 010 | ||||||||
Effective Date | 12/11/2017 | ||||||||
Expiry Date | 12/16/2017 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Medical Only A-C | ||||||||
Name of Policy Holder | MONAOSYILE VILLA MHANGO | ||||||||
Policy Number | 084 | ||||||||
Country of Origin | MALAWI | ||||||||
Destination Area | PARIS | ||||||||
Address | CC/O CONTINENTAL TRAVEL AND TOURS | ||||||||
Number of Passengers | ONE | ||||||||
List of persons insured |
| ||||||||
Net Premium (Before Tax) | 38,484.16 | ||||||||
Total Premium (After Tax) | 54,834.05 | ||||||||
Signed by |