54.87.230.228
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>06/20/2016</StartDate>
  <EndDate>06/27/2016</EndDate>
  <DestinationPlan>Canada</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Moshe</Firstname>
    <Middlename>y</Middlename>
    <Lastname>fasten</Lastname>
    <Age>29</Age>
    <Dob>11/10/1986</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Reiza</Firstname>
    <Middlename/>
    <Lastname>Fasten</Lastname>
    <Age>24</Age>
    <Dob>09/29/1991</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/20/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1569 53rd street</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>New York</State>
      <City>brooklyn</City>
      <Postcode>11219</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>myfasten@gmail.com</Email>
    <Phone>
      <Home>3474074800</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5424180751640647</CreditcardNumber>
      <NameonCreditcard>Moshe y fasten</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>27.6</CreditcardAmount>
      <CreditcardCodeNumber>989</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
3c981a1d
52a86253
ARS-02-0027486
ARS-02-0027487
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