34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>500</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>04/09/2017</StartDate>
  <EndDate>04/16/2017</EndDate>
  <DestinationPlan>Colombia</DestinationPlan>
  <NoOfApplicants>4</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>JUAN</Firstname>
    <Middlename>C</Middlename>
    <Lastname>MATHEUS</Lastname>
    <Age>51</Age>
    <Dob>01/08/1966</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>ANGELICA</Firstname>
    <Middlename>M</Middlename>
    <Lastname>MONTOYA</Lastname>
    <Age>42</Age>
    <Dob>02/06/1975</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>KARLA</Firstname>
    <Middlename>S</Middlename>
    <Lastname>MATHEUS-MONTOYA</Lastname>
    <Age>7</Age>
    <Dob>09/09/2009</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>DANIELA</Firstname>
    <Middlename>C</Middlename>
    <Lastname>MATHEUS-MONTOYA</Lastname>
    <Age>2</Age>
    <Dob>10/13/2014</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>04/09/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>12303 NW 10TH DR</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Florida</State>
      <City>CORAL SPRINGS</City>
      <Postcode>33071</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>JMATHEUS@BELLSOUTH.NET</Email>
    <Phone>
      <Home>9543280663</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>ANELICA MONTOYA</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4737029906169371</CreditcardNumber>
      <NameonCreditcard>JUAN CARLOS MATHEUS</NameonCreditcard>
      <CreditcardExpirationMonth>4</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>39.6</CreditcardAmount>
      <CreditcardCodeNumber>204</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
c23925c3
c4ee7741
82d0938d
52b20941
ARS-01-0033212
ARS-01-0033213
ARS-01-0033214
ARS-01-0033215
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