34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>08/04/2019</StartDate>
  <EndDate>08/09/2019</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>3</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Benjamin</Firstname>
    <Middlename>P</Middlename>
    <Lastname>Austin</Lastname>
    <Age>37</Age>
    <Dob>08/14/1981</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Allegra </Firstname>
    <Middlename>M</Middlename>
    <Lastname>Crawford</Lastname>
    <Age>32</Age>
    <Dob>10/30/1986</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Darcy</Firstname>
    <Middlename>M</Middlename>
    <Lastname>Austin-Crawford</Lastname>
    <Age>8</Age>
    <Dob>02/27/2011</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>08/04/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>P.O. Box 964</Address1>
      <Address2/>
      <Country>Cayman Islands</Country>
      <State/>
      <City>Georgetown </City>
      <Postcode>KY1-1503</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>bpa11@hotmail.com</Email>
    <Phone>
      <Home>3453266817</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5314192000908314</CreditcardNumber>
      <NameonCreditcard>B P Austin</NameonCreditcard>
      <CreditcardExpirationMonth>2</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>33.23</CreditcardAmount>
      <CreditcardCodeNumber>710</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>