34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>12/21/2018</StartDate>
  <EndDate>01/26/2019</EndDate>
  <DestinationPlan>United Kingdom</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Daniel</Firstname>
    <Middlename/>
    <Lastname>Mizrahi</Lastname>
    <Age>28</Age>
    <Dob>04/06/1990</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Nolan</Firstname>
    <Middlename/>
    <Lastname>Mizrahi</Lastname>
    <Age>1</Age>
    <Dob>09/18/2018</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/21/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>11333 Espadrille Court</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Nevada</State>
      <City>Las Vegas</City>
      <Postcode>89138</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>jeska_13@hotmail.com</Email>
    <Phone>
      <Home>7025910299</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Jessica Boyd</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>372726741881007</CreditcardNumber>
      <NameonCreditcard>Jessica Boyd BBMM LLC</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2023</CreditcardExpirationYear>
      <CreditcardAmount>77.7</CreditcardAmount>
      <CreditcardCodeNumber>6506</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>