52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>08/23/2019</StartDate>
  <EndDate>08/25/2019</EndDate>
  <DestinationPlan>Belarus</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Marcela</Firstname>
    <Middlename>S</Middlename>
    <Lastname>Cevallos</Lastname>
    <Age>29</Age>
    <Dob>08/24/1989</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>08/23/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Zwirki i Wiguri</Address1>
      <Address2/>
      <Country>Poland</Country>
      <State/>
      <City>Warsaw</City>
      <Postcode>02-089</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>marce.cevallos@hotmail.com</Email>
    <Phone>
      <Home>886311528</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4874742058050164</CreditcardNumber>
      <NameonCreditcard>Marcela Cevallos Herrera</NameonCreditcard>
      <CreditcardExpirationMonth>9</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>3.8</CreditcardAmount>
      <CreditcardCodeNumber>944</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>