52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>08/27/2017</StartDate>
  <EndDate>01/03/2018</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Peter</Firstname>
    <Middlename>R</Middlename>
    <Lastname>stacy</Lastname>
    <Age>58</Age>
    <Dob>12/14/1958</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Caroline</Firstname>
    <Middlename>L</Middlename>
    <Lastname>Nevill</Lastname>
    <Age>51</Age>
    <Dob>12/18/1965</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>08/27/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>49d Adolphus Road</Address1>
      <Address2/>
      <Country>United Kingdom</Country>
      <State/>
      <City>London</City>
      <Postcode>N4 2AX</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>theblackjunk@gmail.com</Email>
    <Phone>
      <Home>07780617986</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4462744377509019</CreditcardNumber>
      <NameonCreditcard>Peter R stacy</NameonCreditcard>
      <CreditcardExpirationMonth>4</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>936.0</CreditcardAmount>
      <CreditcardCodeNumber>383</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>