| Agent | Continental Travel | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | 010 | ||||||||
| Effective Date | 06/15/2019 | ||||||||
| Expiry Date | 06/24/2019 | ||||||||
| Plan | Plan B (World Wide Including USA & Canada) | ||||||||
| Cover | Medical Only A-C | ||||||||
| Name of Policy Holder | Godfrey Mphande | ||||||||
| Policy Number | 127 | ||||||||
| Country of Origin | MALAWI | ||||||||
| Destination Area | Ghana | ||||||||
| Address | C/O Continental Travel and Tours, | ||||||||
| Number of Passengers | ONE | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 40,997.88 | ||||||||
| Total Premium (After Tax) | 62,510.00 | ||||||||
| Signed by |
+265 111 832 844
+265 888 832 844
info@libertas.co.mw
Ground Floor, Unit House, Victoria Avenue, Blantyre
