34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>1100000</MaximumLimit>
  <StartDate>12/29/2018</StartDate>
  <EndDate>01/12/2019</EndDate>
  <DestinationPlan>St. Helena</DestinationPlan>
  <NoOfApplicants>3</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Morgane</Firstname>
    <Middlename/>
    <Lastname>Oleron</Lastname>
    <Age>32</Age>
    <Dob>07/30/1986</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Staffan</Firstname>
    <Middlename/>
    <Lastname>Taylor</Lastname>
    <Age>27</Age>
    <Dob>05/06/1991</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Ludvig</Firstname>
    <Middlename/>
    <Lastname>Linse</Lastname>
    <Age>32</Age>
    <Dob>10/24/1986</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/29/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Kommendörsgatan 9</Address1>
      <Address2/>
      <Country>Sweden</Country>
      <State/>
      <City>Stockholm</City>
      <Postcode>11448</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>gatto.francesco@gmail.com</Email>
    <Phone>
      <Home>00460704094839</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5391232166477641</CreditcardNumber>
      <NameonCreditcard>Francesco Gatto</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2023</CreditcardExpirationYear>
      <CreditcardAmount>59.1</CreditcardAmount>
      <CreditcardCodeNumber>614</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>