34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>11/09/2019</StartDate>
  <EndDate>11/09/2019</EndDate>
  <DestinationPlan>Mexico</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Clare</Firstname>
    <Middlename/>
    <Lastname>Kennedy</Lastname>
    <Age>31</Age>
    <Dob>05/31/1988</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Brook</Firstname>
    <Middlename/>
    <Lastname>Tozer</Lastname>
    <Age>30</Age>
    <Dob>12/24/1988</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/09/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>8310 Regents Road, 3F</Address1>
      <Address2>3F</Address2>
      <Country>United States</Country>
      <State>California</State>
      <City>San Diego</City>
      <Postcode>92122</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>clare.m.kennedy@gmail.com</Email>
    <Phone>
      <Home>8582479934</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>379250909711016</CreditcardNumber>
      <NameonCreditcard>Clare M A Kennedy</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2023</CreditcardExpirationYear>
      <CreditcardAmount>9.0</CreditcardAmount>
      <CreditcardCodeNumber>3838</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>