34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>01/16/2021</StartDate>
  <EndDate>02/27/2021</EndDate>
  <DestinationPlan>Barbados</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Clifford</Firstname>
    <Middlename>G</Middlename>
    <Lastname>Westland</Lastname>
    <Age>29</Age>
    <Dob>12/17/1991</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>01/16/2021</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>108 Lisgar St.</Address1>
      <Address2>Unit 407</Address2>
      <Country>Canada</Country>
      <State>Ontario</State>
      <City>Ottawa</City>
      <Postcode>K2P1E1</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>gerritwestland@hotmail.com</Email>
    <Phone>
      <Home>6467079349</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4510142240158233</CreditcardNumber>
      <NameonCreditcard>Clifford Westland</NameonCreditcard>
      <CreditcardExpirationMonth>12</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>51.06</CreditcardAmount>
      <CreditcardCodeNumber>402</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>