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>03/12/2016</StartDate>
  <EndDate>06/10/2016</EndDate>
  <DestinationPlan>Mali</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>christopher</Firstname>
    <Middlename/>
    <Lastname>udezu</Lastname>
    <Age>46</Age>
    <Dob>05/14/1969</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>03/12/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>100 meter norte american embassy</Address1>
      <Address2/>
      <Country>Costa Rica</Country>
      <State/>
      <City>san jose</City>
      <Postcode>1002</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>tualeki@yahoo.com</Email>
    <Phone>
      <Home>83412231</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147342002486035</CreditcardNumber>
      <NameonCreditcard>Stephanie Ryan</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>254.8</CreditcardAmount>
      <CreditcardCodeNumber>757</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>