54.86.99.59
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>04/20/2016</StartDate>
  <EndDate>04/26/2016</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Elisabetta</Firstname>
    <Middlename/>
    <Lastname>Lambertini</Lastname>
    <Age>39</Age>
    <Dob>12/10/1976</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>04/20/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>248 Park Ave.</Address1>
      <Address2/>
      <Country>Italy</Country>
      <State/>
      <City>Takoma Park</City>
      <Postcode>20912</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>elambertini@gmail.com</Email>
    <Phone>
      <Home>4439639888</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Alessandro Lambertini</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Brother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Discover</CreditcardType>
      <CreditcardNumber>6011001785342074</CreditcardNumber>
      <NameonCreditcard>Elisabetta  Lambertini</NameonCreditcard>
      <CreditcardExpirationMonth>8</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>13.16</CreditcardAmount>
      <CreditcardCodeNumber>641</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>