Agent | Continental Travel | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | 010 | ||||||||
Effective Date | 05/07/2018 | ||||||||
Expiry Date | 06/10/2018 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Medical Only A-C | ||||||||
Name of Policy Holder | Dency Kapira | ||||||||
Policy Number | 092 | ||||||||
Country of Origin | MALAWI | ||||||||
Destination Area | India | ||||||||
Address | C/o Continental Travel and Tours | ||||||||
Number of Passengers | ONE | ||||||||
List of persons insured |
| ||||||||
Net Premium (Before Tax) | 48,003.60 | ||||||||
Total Premium (After Tax) | 55,924.19 | ||||||||
Signed by |