| Agent | Continental Travel | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | 010 | ||||||||
| Effective Date | 03/18/2019 | ||||||||
| Expiry Date | 04/12/2019 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Medical Only A-C | ||||||||
| Name of Policy Holder | Maria Chidumu | ||||||||
| Policy Number | 124 | ||||||||
| Country of Origin | MALAWI | ||||||||
| Destination Area | SWITZERLAND | ||||||||
| Address | C/o Continental Travel & Tours | ||||||||
| Number of Passengers | ONE | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 41,314.20 | ||||||||
| Total Premium (After Tax) | 58,131.04 | ||||||||
| Signed by |
