180.211.112.179
<?xml version="1.0" encoding="UTF-8"?>
<Registration>
<ReferenceId>3a5dcd45</ReferenceId>
<Token>a1a5d84a4d4bcf63cab94217f247daa8</Token>
<QuoteId>7fa09f00</QuoteId>
<PlanSelection>
<PlanId>2</PlanId>
<DeductibleAmount>0</DeductibleAmount>
<MaximumLimit>550000</MaximumLimit>
</PlanSelection>
<PersonalInfo>
<Applicants>
<Applicant>
<Firstname>Vivek</Firstname>
<Middlename></Middlename>
<Lastname>Chavda</Lastname>
<Age>30</Age>
<Dob>01/01/1988</Dob>
<Gender>Male</Gender>
</Applicant>
</Applicants>
</PersonalInfo>
<DepartureInfo>
<HomeCountryDepartureDate></HomeCountryDepartureDate>
</DepartureInfo>
<ApplicantAddress>
<ResidenceAddress>
<Address1>Ahmedabad</Address1>
<Address2></Address2>
<Country>United States</Country>
<State>Indiana</State>
<City>Ahmedabad</City>
<Postcode>1234</Postcode>
</ResidenceAddress>
<MailForwardingAddress>
<Address1>Ahmedabad</Address1>
<Address2></Address2>
<Country>United States</Country>
<State>Indiana</State>
<City>Ahmedabad</City>
<Postcode></Postcode>
</MailForwardingAddress>
<CitizenshipCountry>United States</CitizenshipCountry>
<Email>vivek.chavda@radixweb.com</Email>
<Phone>
<Home></Home>
<Work></Work>
</Phone>
</ApplicantAddress>
<Beneficiary>
<AdDBeneficiaryName>Vivek</AdDBeneficiaryName>
<AdDBeneficiaryRelationship></AdDBeneficiaryRelationship>
<UniqueIndentifierType>Passport/SSN/Driving Licence</UniqueIndentifierType>
<UniqueIndentifierNumber></UniqueIndentifierNumber>
<IssuingCountry></IssuingCountry>
</Beneficiary>
<CourierCharges>yes</CourierCharges>
</Registration>