| Agent | Continental Travel | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | 010 | ||||||||
| Effective Date | 12/17/2019 | ||||||||
| Expiry Date | 12/22/2019 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Medical Only A-C | ||||||||
| Name of Policy Holder | ANWAR MUSSA | ||||||||
| Policy Number | 147 | ||||||||
| Country of Origin | Malawi | ||||||||
| Destination Area | Rome | ||||||||
| Address | C/O Continental Travel and Tours,Robert Mugabe Crescent,Centre House Arcade,P.O Box 31126,Lilongwe 3Malawi | ||||||||
| Number of Passengers | One | ||||||||
| List of persons insured |
| ||||||||
| Net Premium (Before Tax) | 37,974.00 | ||||||||
| Total Premium (After Tax) | 44,240.00 | ||||||||
| Signed by |
