34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>07/01/2020</StartDate>
  <EndDate>07/31/2020</EndDate>
  <DestinationPlan>Georgia</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Mohamad</Firstname>
    <Middlename/>
    <Lastname>Al Kotob</Lastname>
    <Age>24</Age>
    <Dob>05/16/1996</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>07/01/2020</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Dawhet Aramoun Moussawi St. Choueifet</Address1>
      <Address2/>
      <Country>Lebanon</Country>
      <State/>
      <City>Beirut</City>
      <Postcode>000961</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>kotob@groovyantoid.com</Email>
    <Phone>
      <Home>905342976559</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5343980433539713</CreditcardNumber>
      <NameonCreditcard>Mohamad  Al Kotob</NameonCreditcard>
      <CreditcardExpirationMonth>6</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2024</CreditcardExpirationYear>
      <CreditcardAmount>23.56</CreditcardAmount>
      <CreditcardCodeNumber>894</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>