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>12/06/2018</StartDate>
  <EndDate>12/09/2018</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Bobby</Firstname>
    <Middlename/>
    <Lastname>Moxon</Lastname>
    <Age>30</Age>
    <Dob>01/11/1988</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Beth</Firstname>
    <Middlename/>
    <Lastname>Otto-Darko</Lastname>
    <Age>28</Age>
    <Dob>08/01/1990</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/06/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>3 The Retreat</Address1>
      <Address2>Provo Golf Club</Address2>
      <Country>Turks and Caicos</Country>
      <State/>
      <City>Providenciales</City>
      <Postcode>12</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>b.otto-darko@hotmail.co.uk</Email>
    <Phone>
      <Home>16493314418</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Catherine MacCallum</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4303824040830423</CreditcardNumber>
      <NameonCreditcard>Elizabeth H Otto-Darko</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>18.0</CreditcardAmount>
      <CreditcardCodeNumber>464</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>