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>04/06/2017</StartDate>
  <EndDate>01/10/2018</EndDate>
  <DestinationPlan>India</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Patrick</Firstname>
    <Middlename>L</Middlename>
    <Lastname>Shevilin</Lastname>
    <Age>31</Age>
    <Dob>07/05/1985</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>04/06/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>19 Marine Drive</Address1>
      <Address2/>
      <Country>Australia</Country>
      <State/>
      <City>Narooma</City>
      <Postcode>2546</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>spatricksocks@hotmail.com</Email>
    <Phone>
      <Home>00919958892997</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Mike Shevlin</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Father</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4065890001533247</CreditcardNumber>
      <NameonCreditcard>Patrick L Shevilin</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>252.0</CreditcardAmount>
      <CreditcardCodeNumber>294</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>