34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>04/18/2017</StartDate>
  <EndDate>04/30/2017</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>JAMES </Firstname>
    <Middlename>A</Middlename>
    <Lastname>TIDMARSH</Lastname>
    <Age>25</Age>
    <Dob>11/13/1991</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>04/18/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>the old school house, school road </Address1>
      <Address2>school road </Address2>
      <Country>United Kingdom</Country>
      <State/>
      <City>deal kent </City>
      <Postcode>CT140JL</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>james_tidmarsh@yahoo.co.uk</Email>
    <Phone>
      <Home>07545307883</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4303811060352321</CreditcardNumber>
      <NameonCreditcard>James a tidmarsh </NameonCreditcard>
      <CreditcardExpirationMonth>8</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>16.12</CreditcardAmount>
      <CreditcardCodeNumber>501</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>