| Agent | Continental Travel | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | 010 | ||||||||
| Effective Date | 10/21/2018 | ||||||||
| Expiry Date | 10/28/2018 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Medical Only A-C | ||||||||
| Name of Policy Holder | Rosarius Caspar Kamanga | ||||||||
| Policy Number | 113 | ||||||||
| Country of Origin | MALAWI | ||||||||
| Destination Area | Greece | ||||||||
| Address | C/O Continental Travel and Tours | ||||||||
| Number of Passengers | ONE | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 36,913.28 | ||||||||
| Total Premium (After Tax) | 46,498.97 | ||||||||
| Signed by |
