52.91.53.224
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>01/28/2016</StartDate>
  <EndDate>03/09/2016</EndDate>
  <DestinationPlan>Singapore</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Maritza </Firstname>
    <Middlename>L</Middlename>
    <Lastname>Gutierrez Valencia</Lastname>
    <Age>36</Age>
    <Dob>12/15/1979</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>01/28/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>CLL Carlos Jongitud Barrios #136</Address1>
      <Address2>Col. Fovissste 2</Address2>
      <Country>Mexico</Country>
      <State/>
      <City>Puerto Vallarta, Jalisco</City>
      <Postcode>48313</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>maritzalineygutierrezvalencia@gmail.com</Email>
    <Phone>
      <Home>3221944856</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Delia Valencia Hernandez</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4313073337449277</CreditcardNumber>
      <NameonCreditcard>Albert R. Sloan</NameonCreditcard>
      <CreditcardExpirationMonth>12</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>119.28</CreditcardAmount>
      <CreditcardCodeNumber>956</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
a8b27b13
ARS-02-0024709
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0024709</PolicyNumber><UserName>a8b27b13</UserName><Password>a8b27b13</Password></PolicyDetails></RegistrationRes>