54.86.99.59
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>500</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>04/27/2016</StartDate>
  <EndDate>05/01/2016</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>MARIA</Firstname>
    <Middlename>C</Middlename>
    <Lastname>HEREDIA AGUDELO</Lastname>
    <Age>22</Age>
    <Dob>09/05/1993</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>04/27/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>CALLE 28 # 84-195</Address1>
      <Address2>ANTIOQUIA</Address2>
      <Country>Colombia</Country>
      <State/>
      <City>MEDELLIN</City>
      <Postcode>050026</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>mariacamila1818@gmail.com</Email>
    <Phone>
      <Home>573182252170</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>HORACIO DELGADO</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Significant other</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5536934001318221</CreditcardNumber>
      <NameonCreditcard>HORACIO G DELGADO</NameonCreditcard>
      <CreditcardExpirationMonth>12</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2016</CreditcardExpirationYear>
      <CreditcardAmount>7.88</CreditcardAmount>
      <CreditcardCodeNumber>190</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>