52.90.170.232
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>06/22/2016</StartDate>
  <EndDate>06/26/2016</EndDate>
  <DestinationPlan>Canada</DestinationPlan>
  <NoOfApplicants>4</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Benjamin</Firstname>
    <Middlename/>
    <Lastname>Matta</Lastname>
    <Age>35</Age>
    <Dob>06/25/1980</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Aviya</Firstname>
    <Middlename/>
    <Lastname>Matta</Lastname>
    <Age>7</Age>
    <Dob>12/15/2008</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Noya</Firstname>
    <Middlename/>
    <Lastname>Matta</Lastname>
    <Age>6</Age>
    <Dob>03/03/2010</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Shalev</Firstname>
    <Middlename/>
    <Lastname>Matta</Lastname>
    <Age>4</Age>
    <Dob>04/11/2012</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/22/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>37 Seneca Loop</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>New York</State>
      <City>Staten Island</City>
      <Postcode>10314</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>benji.matta@gmail.com</Email>
    <Phone>
      <Home>7184130273</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Orit Matta</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4029445134776844</CreditcardNumber>
      <NameonCreditcard>Benjamin  Matta</NameonCreditcard>
      <CreditcardExpirationMonth>2</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>43.15</CreditcardAmount>
      <CreditcardCodeNumber>214</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
cbca90d4
82f26dbd
ead8b2e6
4449ecb8
ARS-02-0027550
ARS-02-0027551
ARS-02-0027552
ARS-02-0027553
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