34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>09/30/2017</StartDate>
  <EndDate>10/07/2017</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>CHRISTINE</Firstname>
    <Middlename/>
    <Lastname>HOCKER</Lastname>
    <Age>60</Age>
    <Dob>11/24/1956</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>09/30/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Calle Zafiro #41C</Address1>
      <Address2/>
      <Country>Mexico</Country>
      <State/>
      <City>Villa Obregon </City>
      <Postcode>48980</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>christinemariehocker@gmail.com</Email>
    <Phone>
      <Home>3151108176</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Sharon Breitweiser</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Sister</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5206949018650399</CreditcardNumber>
      <NameonCreditcard>CHRISTINE M Hocker</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>36.0</CreditcardAmount>
      <CreditcardCodeNumber>060</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>