52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>12/07/2018</StartDate>
  <EndDate>12/13/2018</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Juan Diego</Firstname>
    <Middlename/>
    <Lastname>Sanchez</Lastname>
    <Age>25</Age>
    <Dob>05/28/1993</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Diana </Firstname>
    <Middlename/>
    <Lastname>Fonseca</Lastname>
    <Age>22</Age>
    <Dob>02/28/1996</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/07/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Hatillo 2 Casa numero 6</Address1>
      <Address2>San Jose</Address2>
      <Country>Costa Rica</Country>
      <State/>
      <City>San Jose</City>
      <Postcode>10110</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>jdiego.sanchez@hotmail.com</Email>
    <Phone>
      <Home>50688534167</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Monica Lorena Vega Zuniga</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>377711582360118</CreditcardNumber>
      <NameonCreditcard>Juan Diego  Sanchez</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>21.7</CreditcardAmount>
      <CreditcardCodeNumber>4320</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>