34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>1100000</MaximumLimit>
  <StartDate>01/24/2019</StartDate>
  <EndDate>03/07/2019</EndDate>
  <DestinationPlan>Argentina</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Reut</Firstname>
    <Middlename/>
    <Lastname>Sargisszadeh elazar</Lastname>
    <Age>29</Age>
    <Dob>05/26/1989</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>01/24/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>62 E Serene Ave #214</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Nevada</State>
      <City>Las Vegas </City>
      <Postcode>89123</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>reut1989@gmail.com</Email>
    <Phone>
      <Home>7133869512</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Rafaela Leah elazar</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4342574031070157</CreditcardNumber>
      <NameonCreditcard>Reut  elazar</NameonCreditcard>
      <CreditcardExpirationMonth>4</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2023</CreditcardExpirationYear>
      <CreditcardAmount>50.74</CreditcardAmount>
      <CreditcardCodeNumber>707</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>