Agent | Continental Travel | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | 010 | ||||||||
Effective Date | 03/13/2018 | ||||||||
Expiry Date | 03/25/2018 | ||||||||
Plan | Plan B (World Wide Including USA & Canada) | ||||||||
Cover | Medical Only A-C | ||||||||
Name of Policy Holder | McKnight Synos Kalanda | ||||||||
Policy Number | 088 | ||||||||
Country of Origin | MALAWI | ||||||||
Destination Area | UNITED STATES OF AMERICA | ||||||||
Address | C/O CONTINENTAL TRAVEL AND TOURS | ||||||||
Number of Passengers | ONE | ||||||||
List of persons insured |
| ||||||||
Net Premium (Before Tax) | 82,002.48 | ||||||||
Total Premium (After Tax) | 95,532.00 | ||||||||
Signed by |