52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>2500</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>12/19/2020</StartDate>
  <EndDate>01/19/2021</EndDate>
  <DestinationPlan>Netherlands</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Ibrahima</Firstname>
    <Middlename/>
    <Lastname>Gueye</Lastname>
    <Age>36</Age>
    <Dob>07/11/1984</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/19/2020</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>123 west 119th street </Address1>
      <Address2>UNIT 2</Address2>
      <Country>United States</Country>
      <State>New York</State>
      <City>New York</City>
      <Postcode>10026</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>abrahamguey@gmail.com</Email>
    <Phone>
      <Home>6464207383</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Ibrahima Gueye</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Child</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5140220003967563</CreditcardNumber>
      <NameonCreditcard>Ibrahima  Gueye</NameonCreditcard>
      <CreditcardExpirationMonth>9</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>20.16</CreditcardAmount>
      <CreditcardCodeNumber>279</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>