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>05/10/2017</StartDate>
  <EndDate>07/02/2017</EndDate>
  <DestinationPlan>United Kingdom</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Ayesha</Firstname>
    <Middlename/>
    <Lastname>Begum</Lastname>
    <Age>67</Age>
    <Dob>01/01/1950</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/10/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>113 McCamus</Address1>
      <Address2>1/4 Line</Address2>
      <Country>Canada</Country>
      <State>Ontario</State>
      <City>Millbrook</City>
      <Postcode>L0A1G0</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>mazharimazhar@gmail.com</Email>
    <Phone>
      <Home>14168263834</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Dr Azhar Iqbal</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Son</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5246797800600664</CreditcardNumber>
      <NameonCreditcard>MR Z IQBAL</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>209.52</CreditcardAmount>
      <CreditcardCodeNumber>571</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>