| 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 | Maxwell Spencer Tsitsi | ||||||||
| Policy Number | 120 | ||||||||
| 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 |
+265 111 832 844
+265 888 832 844
info@libertas.co.mw
Ground Floor, Unit House, Victoria Avenue, Blantyre
