34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>01/05/2017</StartDate>
  <EndDate>01/15/2017</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>BLANCA</Firstname>
    <Middlename/>
    <Lastname>CUESTA VANEGAS</Lastname>
    <Age>56</Age>
    <Dob>01/28/1960</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>01/05/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>CALLE 9B  # 69 B 83 </Address1>
      <Address2/>
      <Country>Colombia</Country>
      <State/>
      <City>BOGOTA</City>
      <Postcode>0000</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>nanys051203@hotmail.com</Email>
    <Phone>
      <Home>5712605751</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>ROSA MARIA CUESTA </AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Sister</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5406912697420953</CreditcardNumber>
      <NameonCreditcard>ROSA MARIA CUESTA V </NameonCreditcard>
      <CreditcardExpirationMonth>8</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>39.6</CreditcardAmount>
      <CreditcardCodeNumber>334</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
eae52746
ARS-02-0031495
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0031495</PolicyNumber><UserName>eae52746</UserName><Password>eae52746</Password></PolicyDetails></RegistrationRes>