34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>09/22/2019</StartDate>
  <EndDate>12/16/2019</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Veronica</Firstname>
    <Middlename/>
    <Lastname>Torres Torres</Lastname>
    <Age>27</Age>
    <Dob>03/07/1992</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>09/22/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Cto. Rio Ometepec  #21 Col. Paseos de Churubusco</Address1>
      <Address2/>
      <Country>Mexico</Country>
      <State/>
      <City>Mexico City</City>
      <Postcode>09030</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>verot_t@hotmail.com</Email>
    <Phone>
      <Home>5554679534</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Wenceslao Torres Arreguin</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Father</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4782002047717865</CreditcardNumber>
      <NameonCreditcard>Bertha Rangel</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>132.44</CreditcardAmount>
      <CreditcardCodeNumber>248</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>