34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>100</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>08/08/2017</StartDate>
  <EndDate>08/18/2017</EndDate>
  <DestinationPlan>Japan</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Kim</Firstname>
    <Middlename>M</Middlename>
    <Lastname>Konings</Lastname>
    <Age>28</Age>
    <Dob>06/19/1989</Dob>
    <Gender>Female</Gender>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>08/08/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>2-14 Techno jungang-daero 6-gil, Utopia #301</Address1>
      <Address2>Yuga-myeon, Dalseong-gun</Address2>
      <Country>Korea (South)</Country>
      <State/>
      <City>Daegu</City>
      <Postcode>43014</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>kimkonings@gmail.com</Email>
    <Phone>
      <Home>821079252428</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Pamela Jane Konings</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5389200024104750</CreditcardNumber>
      <NameonCreditcard>Konings Kim Martina</NameonCreditcard>
      <CreditcardExpirationMonth>12</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>11.96</CreditcardAmount>
      <CreditcardCodeNumber>380</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>