54.167.122.208
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>11/30/2014</StartDate>
  <EndDate>12/07/2014</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>3</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Ruth</Firstname>
    <Middlename/>
    <Lastname>Corpas Fernandez</Lastname>
    <Age>39</Age>
    <Dob>11/20/1974</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Francisco</Firstname>
    <Middlename/>
    <Lastname>Alba Garcia</Lastname>
    <Age>43</Age>
    <Dob>10/30/1971</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Julia</Firstname>
    <Middlename/>
    <Lastname>Alba Corpas</Lastname>
    <Age>7</Age>
    <Dob>05/07/2007</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/30/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>26, Talladores, 45600</Address1>
      <Address2></Address2>
      <Country>Spain</Country>
      <State></State>
      <City>Talavera de la Reina</City>
      <Postcode>45600</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>ruth_corpas@yahoo.es</Email>
    <Phone>
      <Home>647948665</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Julia Alba Corpas</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Daughter</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5020100003197400</CreditcardNumber>
      <NameonCreditcard>  R. Corpas Fernandez</NameonCreditcard>
      <CreditcardExpirationMonth>9</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>68.8</CreditcardAmount>
      <CreditcardCodeNumber>512</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>