| Agent | Continental Travel | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | 010 | ||||||||
| Effective Date | 04/20/2019 | ||||||||
| Expiry Date | 05/03/2019 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Medical Only A-C | ||||||||
| Name of Policy Holder | Grace Mwenda | ||||||||
| Policy Number | 125 | ||||||||
| Country of Origin | MALAWI | ||||||||
| Destination Area | Germany | ||||||||
| Address | C/o Continental Travel & Tours | ||||||||
| Number of Passengers | 1 | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 37,871.68 | ||||||||
| Total Premium (After Tax) | 55,500.00 | ||||||||
| Signed by |
+265 111 832 844
+265 888 832 844
info@libertas.co.mw
Ground Floor, Unit House, Victoria Avenue, Blantyre
