52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>04/08/2018</StartDate>
  <EndDate>04/11/2018</EndDate>
  <DestinationPlan>Israel</DestinationPlan>
  <NoOfApplicants>5</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Chaim</Firstname>
    <Middlename/>
    <Lastname>Wassertheil</Lastname>
    <Age>55</Age>
    <Dob>04/28/1962</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Shimon </Firstname>
    <Middlename/>
    <Lastname>Wassertheil</Lastname>
    <Age>26</Age>
    <Dob>03/08/1992</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Rifka</Firstname>
    <Middlename/>
    <Lastname>Wassertheil</Lastname>
    <Age>21</Age>
    <Dob>01/27/1997</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Yakov</Firstname>
    <Middlename>O</Middlename>
    <Lastname>Wassertheil</Lastname>
    <Age>30</Age>
    <Dob>06/14/1987</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Meir</Firstname>
    <Middlename/>
    <Lastname>Wassertheil</Lastname>
    <Age>32</Age>
    <Dob>11/11/1985</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>04/08/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1870 53st</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>New York</State>
      <City>Brooklyn</City>
      <Postcode>11204</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>pridepaper@gmail.com</Email>
    <Phone>
      <Home>7182361737</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>379776084211000</CreditcardNumber>
      <NameonCreditcard>Alexander FRIEDLANDER</NameonCreditcard>
      <CreditcardExpirationMonth>9</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>44.26</CreditcardAmount>
      <CreditcardCodeNumber>8467</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
7e43c263
d0e396f1
021d7e4a
b35a9cdf
bc9e8af2
ARS-01-0040220
ARS-01-0040221
ARS-01-0040222
ARS-01-0040223
ARS-01-0040224
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