54.221.1.109
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>07/14/2014</StartDate>
  <EndDate>10/31/2014</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Tessa</Firstname>
    <Middlename>K</Middlename>
    <Lastname>Zawadzki</Lastname>
    <Age>21</Age>
    <Dob>09/10/1992</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>07/14/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>4 Columbus Street </Address1>
      <Address2></Address2>
      <Country>Australia</Country>
      <State></State>
      <City>Mandurah</City>
      <Postcode>6210</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>tessakit@hotmail.com</Email>
    <Phone>
      <Home>0450492660</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Jorja-Mae Zawadzki</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Sister</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5326555202427380</CreditcardNumber>
      <NameonCreditcard>Tessa K Zawadzki</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>151.8</CreditcardAmount>
      <CreditcardCodeNumber>981</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>