34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>05/07/2019</StartDate>
  <EndDate>05/08/2019</EndDate>
  <DestinationPlan>Spain</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>VLADYSLAV</Firstname>
    <Middlename/>
    <Lastname>BILSKYY</Lastname>
    <Age>42</Age>
    <Dob>07/29/1976</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/07/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>NAUKOVA 116</Address1>
      <Address2/>
      <Country>Ukraine</Country>
      <State/>
      <City>Lviv</City>
      <Postcode>79071</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>buildservice@yahoo.com</Email>
    <Phone>
      <Home>447452394010</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>TANYA BILSKA</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5415920009231249</CreditcardNumber>
      <NameonCreditcard>VLADYSLAV  BILSKIY</NameonCreditcard>
      <CreditcardExpirationMonth>7</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>7.5</CreditcardAmount>
      <CreditcardCodeNumber>717</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>