Agent | Continental Travel | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | 010 | ||||||||
Effective Date | 01/15/2019 | ||||||||
Expiry Date | 01/20/2019 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Medical Only A-C | ||||||||
Name of Policy Holder | Joseph Mathyola Nakari Mwanamvekha | ||||||||
Policy Number | 119 | ||||||||
Country of Origin | MALAWI | ||||||||
Destination Area | Germany | ||||||||
Address | C/O Continental Travel and Tours, | ||||||||
Number of Passengers | ONE | ||||||||
List of persons insured |
| ||||||||
Net Premium (Before Tax) | 40,021.74 | ||||||||
Total Premium (After Tax) | 56,625.33 | ||||||||
Signed by |