52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>07/22/2019</StartDate>
  <EndDate>08/03/2019</EndDate>
  <DestinationPlan>Spain</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Sophia</Firstname>
    <Middlename/>
    <Lastname>Allen</Lastname>
    <Age>33</Age>
    <Dob>05/14/1986</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Leslie</Firstname>
    <Middlename/>
    <Lastname>Stephen</Lastname>
    <Age>32</Age>
    <Dob>02/20/1987</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>07/22/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Turgeau, Rue Armand Holly #9</Address1>
      <Address2/>
      <Country>Haiti</Country>
      <State/>
      <City>Petion Ville</City>
      <Postcode>Ht6142</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>soallendentistry@gmail.com</Email>
    <Phone>
      <Home>49473099</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Sophia Allen</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Friend</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5177110000077407</CreditcardNumber>
      <NameonCreditcard>Sophia Allen</NameonCreditcard>
      <CreditcardExpirationMonth>4</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>29.26</CreditcardAmount>
      <CreditcardCodeNumber>861</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>