52.45.148.122
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  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>12/16/2016</StartDate>
  <EndDate>12/20/2016</EndDate>
  <DestinationPlan>United Kingdom</DestinationPlan>
  <NoOfApplicants>4</NoOfApplicants>
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  <Applicant>
    <Firstname>Tyronie</Firstname>
    <Middlename>T</Middlename>
    <Lastname>Rowe</Lastname>
    <Age>28</Age>
    <Dob>03/17/1988</Dob>
    <SportsRider>yes</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Nathan</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Campbell</Lastname>
    <Age>29</Age>
    <Dob>11/28/1987</Dob>
    <SportsRider>yes</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Kenneth</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Walker</Lastname>
    <Age>27</Age>
    <Dob>06/20/1989</Dob>
    <SportsRider>yes</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Antonio</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Baker</Lastname>
    <Age>29</Age>
    <Dob>03/21/1987</Dob>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/16/2016</HomeCountryDepartureDate>
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    <ResidenceAddress>
      <Address1>18 Bond Street Kingston 14 Jamaica </Address1>
      <Address2>28 nauls Mill house </Address2>
      <Country>Jamaica</Country>
      <State/>
      <City>Coventry </City>
      <Postcode>Cv1 4bz </Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>bobbytyquan.rowe@live.com</Email>
    <Phone>
      <Home>18764635808</Home>
    </Phone>
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  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
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  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147788571155437</CreditcardNumber>
      <NameonCreditcard>Jeffrey P Hagan</NameonCreditcard>
      <CreditcardExpirationMonth>3</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>24.7</CreditcardAmount>
      <CreditcardCodeNumber>0242</CreditcardCodeNumber>
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</RegistrationXML>