34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>12/05/2017</StartDate>
  <EndDate>12/16/2017</EndDate>
  <DestinationPlan>Viet Nam</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Luke</Firstname>
    <Middlename>E</Middlename>
    <Lastname>Stacey</Lastname>
    <Age>36</Age>
    <Dob>07/15/1981</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Alastair</Firstname>
    <Middlename>C</Middlename>
    <Lastname>Colgrave</Lastname>
    <Age>44</Age>
    <Dob>05/16/1973</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/05/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>2 Stewart Street</Address1>
      <Address2>Arncliffe</Address2>
      <Country>Australia</Country>
      <State/>
      <City>Sydney</City>
      <Postcode>2205</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>fellintothesea@hotmail.com</Email>
    <Phone>
      <Home>610433552477</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Gail Stacey</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5217295258838972</CreditcardNumber>
      <NameonCreditcard>Luke E Stacey</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>49.08</CreditcardAmount>
      <CreditcardCodeNumber>280</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>