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>10/18/2018</StartDate>
  <EndDate>10/31/2018</EndDate>
  <DestinationPlan>India</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>daku</Firstname>
    <Middlename/>
    <Lastname>bagadadi</Lastname>
    <Age>19</Age>
    <Dob>03/12/1999</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>10/18/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>prem gali</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Indiana</State>
      <City>yaman</City>
      <Postcode>46237</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>dadu@darling143.com</Email>
    <Phone>
      <Home>9696969696</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>gunda</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Child</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4111111111111111</CreditcardNumber>
      <NameonCreditcard>daku  bagadadi</NameonCreditcard>
      <CreditcardExpirationMonth>3</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>10.64</CreditcardAmount>
      <CreditcardCodeNumber>123</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>