52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>05/13/2019</StartDate>
  <EndDate>05/17/2019</EndDate>
  <DestinationPlan>Russian Federation</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Leonid</Firstname>
    <Middlename/>
    <Lastname>Muratov</Lastname>
    <Age>55</Age>
    <Dob>09/10/1963</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/13/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>5900 Arlington Ave.</Address1>
      <Address2>Apt. 5-U</Address2>
      <Country>United States</Country>
      <State>New York</State>
      <City>Bronx</City>
      <Postcode>10471</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>lmtnc@optonline.net</Email>
    <Phone>
      <Home>6465415236</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4266841118036894</CreditcardNumber>
      <NameonCreditcard>Leonid Muratov</NameonCreditcard>
      <CreditcardExpirationMonth>6</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2023</CreditcardExpirationYear>
      <CreditcardAmount>13.0</CreditcardAmount>
      <CreditcardCodeNumber>172</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>