34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>12/22/2016</StartDate>
  <EndDate>01/02/2017</EndDate>
  <DestinationPlan>Oman</DestinationPlan>
  <NoOfApplicants>3</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Angelo</Firstname>
    <Middlename/>
    <Lastname>Di Leonforte</Lastname>
    <Age>31</Age>
    <Dob>07/02/1985</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Mauro</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Romano</Lastname>
    <Age>49</Age>
    <Dob>06/03/1967</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Antonino</Firstname>
    <Middlename>C</Middlename>
    <Lastname>Petralia</Lastname>
    <Age>50</Age>
    <Dob>02/07/1966</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/22/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Via San Giuseppe 53 </Address1>
      <Address2>Assoro, Province of Enna,</Address2>
      <Country>Italy</Country>
      <State/>
      <City>Sicily</City>
      <Postcode>94010</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>jreltd2014@gmail.com</Email>
    <Phone>
      <Home>393299411767</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4670950205043000</CreditcardNumber>
      <NameonCreditcard>MARGARET TZAN ROTZERS</NameonCreditcard>
      <CreditcardExpirationMonth>12</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>60.0</CreditcardAmount>
      <CreditcardCodeNumber>509</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>