34.192.94.100
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<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>500</DeductibleAmount>
  <MaximumLimit>1100000</MaximumLimit>
  <StartDate>10/02/2017</StartDate>
  <EndDate>10/08/2017</EndDate>
  <DestinationPlan>Germany</DestinationPlan>
  <NoOfApplicants>3</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Virginia</Firstname>
    <Middlename/>
    <Lastname>Ying</Lastname>
    <Age>29</Age>
    <Dob>02/28/1988</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Mei-Chen</Firstname>
    <Middlename>S</Middlename>
    <Lastname>Ying</Lastname>
    <Age>63</Age>
    <Dob>12/07/1953</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Bill</Firstname>
    <Middlename>S</Middlename>
    <Lastname>Ying</Lastname>
    <Age>64</Age>
    <Dob>11/10/1952</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>10/02/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>17908 PIRES AVE</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>California</State>
      <City>CERRITOS</City>
      <Postcode>90703</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>tinaying777@YAHOO.COM</Email>
    <Phone>
      <Home>5628815751</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Howard Ying</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Brother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5424181100140701</CreditcardNumber>
      <NameonCreditcard>Mei Chen  Ying</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>67.27</CreditcardAmount>
      <CreditcardCodeNumber>140</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>