| Agent | Continental Travel | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | 010 | ||||||||
| Effective Date | 11/29/2019 | ||||||||
| Expiry Date | 12/17/2019 | ||||||||
| Plan | Plan B (World Wide Including USA & Canada) | ||||||||
| Cover | Medical Only A-C | ||||||||
| Name of Policy Holder | Emily Chirwa | ||||||||
| Policy Number | 146 | ||||||||
| Country of Origin | Malawi | ||||||||
| Destination Area | Washington | ||||||||
| Address | C/O Continental Travel and Tours, | ||||||||
| Number of Passengers | One | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 43,320.60 | ||||||||
| Total Premium (After Tax) | 57,989.00 | ||||||||
| Signed by |
+265 111 832 844
+265 888 832 844
info@libertas.co.mw
Ground Floor, Unit House, Victoria Avenue, Blantyre
