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>12/25/2019</StartDate>
  <EndDate>01/03/2020</EndDate>
  <DestinationPlan>India</DestinationPlan>
  <NoOfApplicants>3</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Alexander</Firstname>
    <Middlename>T</Middlename>
    <Lastname>Campbell</Lastname>
    <Age>59</Age>
    <Dob>06/07/1960</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Susan</Firstname>
    <Middlename>E</Middlename>
    <Lastname>MurrayCampbell</Lastname>
    <Age>55</Age>
    <Dob>10/14/1964</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Graham</Firstname>
    <Middlename>E</Middlename>
    <Lastname>Campbell</Lastname>
    <Age>18</Age>
    <Dob>10/04/2001</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/25/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>9 Merriman Point Road</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>New Hampshire</State>
      <City>Center Sandwich</City>
      <Postcode>03227</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>todcampbell@yahoo.com</Email>
    <Phone>
      <Home>9787298438</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Tod Campbell</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Estate</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147202125935831</CreditcardNumber>
      <NameonCreditcard>Alexander Campbell</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>59.6</CreditcardAmount>
      <CreditcardCodeNumber>736</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>