| Agent | Continental Travel and Tours | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Agent Code | 010 | ||||||||
| Effective Date | 05/02/2020 | ||||||||
| Expiry Date | 07/30/2020 | ||||||||
| Plan | Plan A (World Wide Excluding USA & Canada) | ||||||||
| Cover | Medical Only A-C | ||||||||
| Name of Policy Holder | Tadala Lisa Kadzombe | ||||||||
| Policy Number | 153 | ||||||||
| Country of Origin | Malawi | ||||||||
| Destination Area | Germany | ||||||||
| 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) | 96,773.15 | ||||||||
| Total Premium (After Tax) | 134,423.39 | ||||||||
| Signed by |
