54.172.31.188
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>04/19/2016</StartDate>
  <EndDate>05/02/2016</EndDate>
  <DestinationPlan>Israel</DestinationPlan>
  <NoOfApplicants>5</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>kalman</Firstname>
    <Middlename/>
    <Lastname>yurman</Lastname>
    <Age>30</Age>
    <Dob>07/07/1985</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>aliza</Firstname>
    <Middlename/>
    <Lastname>yurman</Lastname>
    <Age>27</Age>
    <Dob>01/29/1989</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>tzvi</Firstname>
    <Middlename/>
    <Lastname>yurman</Lastname>
    <Age>3</Age>
    <Dob>06/11/2012</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>rachel</Firstname>
    <Middlename/>
    <Lastname>yurman</Lastname>
    <Age>2</Age>
    <Dob>03/24/2014</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>chana</Firstname>
    <Middlename/>
    <Lastname>yurman</Lastname>
    <Age>1</Age>
    <Dob>03/27/2016</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>04/19/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1251 Brunswick Ave</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>New York</State>
      <City>Far Rockaway</City>
      <Postcode>11691</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>kalyur4@gmail.com</Email>
    <Phone>
      <Home>9178855152</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>leah berg</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Sister</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>371245595201015</CreditcardNumber>
      <NameonCreditcard>kalman  yurman</NameonCreditcard>
      <CreditcardExpirationMonth>8</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>59.5</CreditcardAmount>
      <CreditcardCodeNumber>8581</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
7326481e
087ff78b
ff2d2cbe
1a33fc01
80d3b90b
ARS-01-0026184
ARS-01-0026185
ARS-01-0026186
ARS-01-0026187
ARS-01-0026188
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