54.172.31.188
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>05/07/2016</StartDate>
  <EndDate>05/22/2016</EndDate>
  <DestinationPlan>Japan</DestinationPlan>
  <NoOfApplicants>3</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>MALEFU  JUSTICE</Firstname>
    <Middlename/>
    <Lastname>MOHLONI</Lastname>
    <Age>24</Age>
    <Dob>10/08/1991</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>SELLOANE BAROLIKA</Firstname>
    <Middlename/>
    <Lastname>MALENG</Lastname>
    <Age>21</Age>
    <Dob>11/10/1994</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>LEHLOHONOLO</Firstname>
    <Middlename/>
    <Lastname>MAFISA</Lastname>
    <Age>31</Age>
    <Dob>06/11/1984</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/07/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1460 Brown Circle</Address1>
      <Address2/>
      <Country>Lesotho</Country>
      <State/>
      <City>Boulder</City>
      <Postcode>80305</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>privatebank800@gmail.com</Email>
    <Phone>
      <Home>8237374645</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>john micky</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Brother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4388540037725214</CreditcardNumber>
      <NameonCreditcard>MALENG SELLOANE BAROLIKA</NameonCreditcard>
      <CreditcardExpirationMonth>3</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>74.24</CreditcardAmount>
      <CreditcardCodeNumber>377</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>