Agent | Continental Travel | ||||||||
---|---|---|---|---|---|---|---|---|---|
Agent Code | 010 | ||||||||
Effective Date | 02/04/2019 | ||||||||
Expiry Date | 02/09/2019 | ||||||||
Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
Cover | Medical Only A-C | ||||||||
Name of Policy Holder | Benson Laurent Kansinjiro | ||||||||
Policy Number | 122 | ||||||||
Country of Origin | Malawi | ||||||||
Destination Area | SWITZERLAND | ||||||||
Address | C/O Continental Travel and Tours | ||||||||
Number of Passengers | ONE | ||||||||
List of persons insured |
| ||||||||
Net Premium (Before Tax) | 40,130.20 | ||||||||
Total Premium (After Tax) | 59,752.00 | ||||||||
Signed by |