34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>07/19/2021</StartDate>
  <EndDate>08/14/2021</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Stefano</Firstname>
    <Middlename/>
    <Lastname>Di Paolo</Lastname>
    <Age>39</Age>
    <Dob>03/11/1982</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>07/19/2021</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>8 B WILLOW VALE</Address1>
      <Address2>Ivy Cottage</Address2>
      <Country>United Kingdom</Country>
      <State/>
      <City>FROME</City>
      <Postcode>BA11 1BG</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>stefano@sweetbeeorganics.com</Email>
    <Phone>
      <Home>447778971225</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Elio DiPaolo</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Father</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5356701013313582</CreditcardNumber>
      <NameonCreditcard>Stefano  Di Paolo</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2024</CreditcardExpirationYear>
      <CreditcardAmount>44.28</CreditcardAmount>
      <CreditcardCodeNumber>005</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>