52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>12/16/2017</StartDate>
  <EndDate>01/03/2018</EndDate>
  <DestinationPlan>Viet Nam</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Kathryn</Firstname>
    <Middlename>J</Middlename>
    <Lastname>Lipinski</Lastname>
    <Age>31</Age>
    <Dob>12/12/1986</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/16/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1455 W 11th Ave</Address1>
      <Address2>Unit 5</Address2>
      <Country>Canada</Country>
      <State>British Columbia</State>
      <City>Vancouver</City>
      <Postcode>V6H1K9</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>lipinski.kate@gmail.com</Email>
    <Phone>
      <Home>7789946311</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4789010013927205</CreditcardNumber>
      <NameonCreditcard>Kathryn J Lipinski</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>17.1</CreditcardAmount>
      <CreditcardCodeNumber>921</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>