52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>05/23/2019</StartDate>
  <EndDate>06/02/2019</EndDate>
  <DestinationPlan>Japan</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Dhrupad</Firstname>
    <Middlename/>
    <Lastname>Bhardwaj</Lastname>
    <Age>25</Age>
    <Dob>08/27/1993</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Pratyusha</Firstname>
    <Middlename/>
    <Lastname>Gupta</Lastname>
    <Age>25</Age>
    <Dob>02/19/1994</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/23/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>240 Meeker Ave</Address1>
      <Address2>92</Address2>
      <Country>United States</Country>
      <State>New York</State>
      <City>Brooklyn</City>
      <Postcode>11211</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>dhrupad_bhardwaj@yahoo.com</Email>
    <Phone>
      <Home>4088935563</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Pratyusha Gupta</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Significant other</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147202318002621</CreditcardNumber>
      <NameonCreditcard>Dhrupad Bhardwaj</NameonCreditcard>
      <CreditcardExpirationMonth>9</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2023</CreditcardExpirationYear>
      <CreditcardAmount>24.2</CreditcardAmount>
      <CreditcardCodeNumber>1121</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>