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>06/15/2017</StartDate>
  <EndDate>06/26/2017</EndDate>
  <DestinationPlan>United Kingdom</DestinationPlan>
  <NoOfApplicants>3</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Varma </Firstname>
    <Middlename/>
    <Lastname>Ratan</Lastname>
    <Age>58</Age>
    <Dob>02/25/1959</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Simla</Firstname>
    <Middlename/>
    <Lastname>Ratan</Lastname>
    <Age>60</Age>
    <Dob>12/04/1956</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Aneela</Firstname>
    <Middlename/>
    <Lastname>Ratan</Lastname>
    <Age>29</Age>
    <Dob>08/04/1987</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/15/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>7 Byam Tr</Address1>
      <Address2/>
      <Country>Trinidad and Tobago</Country>
      <State/>
      <City>St. Augustine</City>
      <Postcode>00000</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>varma.ratan@gmail.com</Email>
    <Phone>
      <Home>8686841267</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4219314617489145</CreditcardNumber>
      <NameonCreditcard>Varma   Ratan</NameonCreditcard>
      <CreditcardExpirationMonth>8</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>79.32</CreditcardAmount>
      <CreditcardCodeNumber>909</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>