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>11/16/2019</StartDate>
  <EndDate>02/15/2020</EndDate>
  <DestinationPlan>Mexico</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Frederic</Firstname>
    <Middlename/>
    <Lastname>Kodjayan</Lastname>
    <Age>40</Age>
    <Dob>02/20/1979</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/16/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>12 bd de la granfe thumine</Address1>
      <Address2/>
      <Country>France</Country>
      <State/>
      <City>Aix en provence</City>
      <Postcode>13090</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>Frederic.kodjayan@gmail.com</Email>
    <Phone>
      <Home>0767823272</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Sonia Kodjayan</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4017423991484277</CreditcardNumber>
      <NameonCreditcard>Frederic  Kodjayan</NameonCreditcard>
      <CreditcardExpirationMonth>2</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>138.0</CreditcardAmount>
      <CreditcardCodeNumber>916</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>