52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>100</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>06/03/2018</StartDate>
  <EndDate>06/10/2018</EndDate>
  <DestinationPlan>Mexico</DestinationPlan>
  <NoOfApplicants>5</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Leonid</Firstname>
    <Middlename/>
    <Lastname>Gorelik</Lastname>
    <Age>56</Age>
    <Dob>02/12/1962</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Anna</Firstname>
    <Middlename/>
    <Lastname>Faynblut</Lastname>
    <Age>48</Age>
    <Dob>08/06/1969</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Daniel</Firstname>
    <Middlename/>
    <Lastname>Gorelik</Lastname>
    <Age>22</Age>
    <Dob>04/25/1996</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Lauren</Firstname>
    <Middlename/>
    <Lastname>Gorelik</Lastname>
    <Age>24</Age>
    <Dob>04/20/1994</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Ray</Firstname>
    <Middlename/>
    <Lastname>Trogun</Lastname>
    <Age>25</Age>
    <Dob>03/16/1993</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/03/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>12815 Gores Mill Rd.</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Maryland</State>
      <City>Reisterstown</City>
      <Postcode>21136</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>laurmigi@yahoo.com</Email>
    <Phone>
      <Home>4104404484</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Alla Shereshevsky</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Sister</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4246315229073026</CreditcardNumber>
      <NameonCreditcard>Len  Gorelik</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2023</CreditcardExpirationYear>
      <CreditcardAmount>56.15</CreditcardAmount>
      <CreditcardCodeNumber>104</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
095e1c6d
1339108c
99c5c2ff
04a6f383
9361acee
ARS-01-0041540
ARS-01-0041541
ARS-01-0041542
ARS-01-0041543
ARS-01-0041544
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