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{
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},
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},
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},
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},
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},
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},
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},
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},
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},
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},
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},
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"DateOfBirthString": "01-01-0001",
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"AgeEntry": "",
"HealthCareConCard": "",
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"NdisEligible": false,
"NdisNumber": "",
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"IsSamePreviousFundDetailsFromMainMember": false,
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},
"Dependants": [],
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"HeardAboutText": ""
},
"SalesChannel": {
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"PromotionCode": "",
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},
"MemberServiceOnline": {
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},
"CoverDetails": {
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"CoverType": "",
"AgeOfDependantRange": "",
"CoverTypeApiValue": "",
"Excess": "",
"HospitalProductId": null,
"HospitalParagonId": null,
"HospitalProductName": null,
"ExtrasProductId": null,
"ExtrasParagonId": null,
"ExtrasProductName": null,
"CoverFromDate": "",
"CoverFromDateValue": "0001-01-01T00:00:00",
"ImmediateStart": ""
},
"DeductionDetails": {
"AccountInfo": {
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"BankAccountType": ""
},
"DeductionType": "",
"DeductionBillingGroupId": ""
},
"ClaimBenefitPayment": {
"ChequeOnly": "N",
"AccountInfo": {
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"AccountBSB": "",
"AccountNumber": "",
"AccountName": "",
"AccountExpiryDate": "",
"BankAccountType": ""
}
},
"RebateRegistration": {
"MedicareCardDetails": {
"FirstName": "",
"Surname": "",
"Upi": "",
"MedicareNumber": "",
"ExpiryDate": "",
"CardColour": "",
"ElectronicRebate": "",
"HasElectronicRebate": false
},
"AllEligibile": "",
"IsAllEligible": false,
"SendRegistration": "N",
"RebateTierId": ""
},
"AgentDetails": {
"HaveAgent": "N",
"AgencyGroupId": "",
"OsAgentId": ""
},
"VisaDetails": {
"Purpose": 0,
"VisaType": "",
"VisaTypeDescription": "",
"CountryName": "",
"CountryCode": "",
"PassportNumber": "",
"PassportCountryCode": "",
"InAustralia": false,
"CommencementDate": null,
"ExpiryDate": null
},
"SpouseAuth": "",
"Residency": "",
"MemberStatus": "",
"Cover": "",
"LeadCapture": "",
"PregnancyOnly": "false",
"Frequency": "",
"PrivacyNoContact": "",
"IsSameHomePostalAddress": "",
"JoinReasonId": "",
"OtherJoinReason": "",
"HaveHealthCareCard": "",
"HaveAustralianAddress": "",
"FirstName": "",
"MobileNumber": "",
"EmailAddress": ""
}
<?xml version="1.0" encoding="utf-16"?>
<p21ns:membershipApplication xmlns:p21ns="http://networklogic.com.au/p21online/version-1">
<membershipDetails spouseAuth="" privacyNoContact="N" joinReasonId="" otherJoinReason="">
<dependantDetails title="" firstName="" otherName="" surname="" gender="" relationship="1" dateOfBirth="01-01-0001" HealthCareConCard="" ComencementDt="" EndDt="">
<addressDetails addressType="H" addressLine1="" addressLine2="" addressLine3="" suburb="" state="" postcode="" />
<contactDetails contactType="E" emailAddress="" />
</dependantDetails>
<agentDetails haveAgent="N" agencyGroupId="" />
<eligibilityGroup heardAbout="" heardAboutText="" />
<salesChannel promotionCode="" salesChannelId="2" />
<memberServiceOnline autoRegister="Y" />
<coverDetails coverType="" hospitalProductId="" hospitalProduct="" extrasProductId="" extrasProduct="" coverStartType="1" />
<deductionDetails deductionType="" deductionBillingGroupId="">
<accountInfo accountType="D" accountBSB="" accountNumber="" accountName="" bankaccountType="" />
</deductionDetails>
<claimBenefitPayment chequeOnly="N">
<accountInfo accountBSB="" accountNumber="" accountName="" />
</claimBenefitPayment>
<rebateRegistration allEligibile="" sendRegistration="N" rebateTierId="" electronicRebate="">
<medicareCardDetails firstName="" surname="" medicareNumber="" expiryDate="" cardColour="" />
</rebateRegistration>
</membershipDetails>
</p21ns:membershipApplication>
CoverType=&State=&MainAge=&MainDOBDay=&MainDOBMonth=&MainDOBYear=&MainDOB=01/01/0001&ProductType=product&PregnancyOnly=false
BillingFreq=&EffectiveDate=25%2f12%2f2025&CoverType=&State=&Excess=0&MainAge=&MainDOBDay=&MainDOBMonth=&MainDOBYear=&MainDOB=01%2f01%2f0001&GovtRebateTier=&ParagonHospId=0&ParagonExtrasId=0
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