52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>03/03/2018</StartDate>
  <EndDate>03/18/2018</EndDate>
  <DestinationPlan>Australia</DestinationPlan>
  <NoOfApplicants>4</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Dominik</Firstname>
    <Middlename/>
    <Lastname>Herzner</Lastname>
    <Age>34</Age>
    <Dob>09/06/1983</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Bartlomiej</Firstname>
    <Middlename/>
    <Lastname>Tadla</Lastname>
    <Age>35</Age>
    <Dob>07/16/1982</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Martin</Firstname>
    <Middlename/>
    <Lastname>Moser</Lastname>
    <Age>28</Age>
    <Dob>03/26/1989</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Enric</Firstname>
    <Middlename/>
    <Lastname>Bendicho</Lastname>
    <Age>29</Age>
    <Dob>04/21/1988</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>03/03/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Heilbrunnerstr.24</Address1>
      <Address2/>
      <Country>Germany</Country>
      <State/>
      <City>Munich</City>
      <Postcode>81671</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>thedrunkpromoter@gmail.com</Email>
    <Phone>
      <Home>04917622212458</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4622630008759338</CreditcardNumber>
      <NameonCreditcard>Glenn Stewart</NameonCreditcard>
      <CreditcardExpirationMonth>12</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>53.12</CreditcardAmount>
      <CreditcardCodeNumber>545</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>