52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>01/04/2018</StartDate>
  <EndDate>04/12/2018</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Ben</Firstname>
    <Middlename>O</Middlename>
    <Lastname>Hackworth</Lastname>
    <Age>24</Age>
    <Dob>11/03/1993</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>01/04/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>80 Tempe Cres</Address1>
      <Address2/>
      <Country>Australia</Country>
      <State/>
      <City>Googong</City>
      <Postcode>2620</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>ben@ywamsanfrancisco.org</Email>
    <Phone>
      <Home>61404249303</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Joshua Hackworth</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Brother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5217291334784348</CreditcardNumber>
      <NameonCreditcard>Ben  Hackworth</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>152.46</CreditcardAmount>
      <CreditcardCodeNumber>101</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
ec8cb26d
ARS-02-0038695
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0038695</PolicyNumber><UserName>ec8cb26d</UserName><Password>ec8cb26d</Password></PolicyDetails></RegistrationRes>