34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>06/02/2017</StartDate>
  <EndDate>06/04/2017</EndDate>
  <DestinationPlan>Canada</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Katlian</Firstname>
    <Middlename>K</Middlename>
    <Lastname>Stark</Lastname>
    <Age>27</Age>
    <Dob>12/14/1989</Dob>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/02/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1510 Jennifer drive</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Alaska</State>
      <City>Fairbanks</City>
      <Postcode>99708</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>kkstark@alaska.edu</Email>
    <Phone>
      <Home>9074699232</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4342560998147328</CreditcardNumber>
      <NameonCreditcard>Katlian K Stark</NameonCreditcard>
      <CreditcardExpirationMonth>3</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>10.08</CreditcardAmount>
      <CreditcardCodeNumber>169</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>