54.87.230.228
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<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>07/11/2016</StartDate>
  <EndDate>07/24/2016</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>4</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Marina</Firstname>
    <Middlename/>
    <Lastname>Martin Navas</Lastname>
    <Age>25</Age>
    <Dob>06/01/1991</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Laura</Firstname>
    <Middlename/>
    <Lastname>Martin Navas</Lastname>
    <Age>34</Age>
    <Dob>04/30/1982</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Mariano</Firstname>
    <Middlename/>
    <Lastname>Martin Navas</Lastname>
    <Age>61</Age>
    <Dob>05/19/1955</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Josefa</Firstname>
    <Middlename/>
    <Lastname>Navas Cobos</Lastname>
    <Age>62</Age>
    <Dob>05/01/1954</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>07/11/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>C/ Marqués de Mantua, 16, 4R</Address1>
      <Address2/>
      <Country>Spain</Country>
      <State/>
      <City>Málaga</City>
      <Postcode>29014</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>marina_1_91@hotmail.com</Email>
    <Phone>
      <Home>34952267494</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Rafael Martin Navas</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Brother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4744740024187951</CreditcardNumber>
      <NameonCreditcard>RAFAEL MARTIN-NAVAS</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>179.48</CreditcardAmount>
      <CreditcardCodeNumber>536</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>