52.90.156.213
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>02/24/2016</StartDate>
  <EndDate>08/23/2016</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Aura</Firstname>
    <Middlename>A</Middlename>
    <Lastname>OSPINA SIERRA</Lastname>
    <Age>24</Age>
    <Dob>03/11/1991</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>02/24/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>532 20th St NW</Address1>
      <Address2>Apto 111</Address2>
      <Country>Colombia</Country>
      <State/>
      <City>Washington</City>
      <Postcode>20006</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>ale_ospina@hotmail.com</Email>
    <Phone>
      <Home>2028179009</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Jaqueline Ospina</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Sister</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4820990940149703</CreditcardNumber>
      <NameonCreditcard>RAFAEL LOPEZ</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>251.16</CreditcardAmount>
      <CreditcardCodeNumber>620</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>