| Agent | Continental Travel | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | 010 | ||||||||
| Effective Date | 07/25/2019 | ||||||||
| Expiry Date | 08/23/2019 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Medical Only A-C | ||||||||
| Name of Policy Holder | Mary Kapira | ||||||||
| Policy Number | 136 | ||||||||
| Country of Origin | MALAWI | ||||||||
| Destination Area | India | ||||||||
| Address | Continental Travel & Tours, | ||||||||
| Number of Passengers | ONE | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 50,358.00 | ||||||||
| Total Premium (After Tax) | 63,667.07 | ||||||||
| Signed by |
