34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>02/24/2019</StartDate>
  <EndDate>06/25/2019</EndDate>
  <DestinationPlan>Canada</DestinationPlan>
  <NoOfApplicants>3</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Juliana</Firstname>
    <Middlename>B</Middlename>
    <Lastname>Oliveira</Lastname>
    <Age>43</Age>
    <Dob>07/19/1975</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Leandro</Firstname>
    <Middlename>P</Middlename>
    <Lastname>Cintra</Lastname>
    <Age>42</Age>
    <Dob>11/13/1976</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Gabriel</Firstname>
    <Middlename>O</Middlename>
    <Lastname>Cintra</Lastname>
    <Age>17</Age>
    <Dob>04/21/2001</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>02/24/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Rua Tabeliao Ferreira de Carvalho, 250/301 - Cidade Nova</Address1>
      <Address2/>
      <Country>Brazil</Country>
      <State/>
      <City>Belo Horizonte - Minas Gerais</City>
      <Postcode>31170-180</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>Lpcintra@gmail.com</Email>
    <Phone>
      <Home>5531999105385</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4529150004479223</CreditcardNumber>
      <NameonCreditcard>Leandro Pinheiro Cintra</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2023</CreditcardExpirationYear>
      <CreditcardAmount>738.1</CreditcardAmount>
      <CreditcardCodeNumber>834</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>