34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>02/12/2018</StartDate>
  <EndDate>04/30/2018</EndDate>
  <DestinationPlan>St. Helena</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>antonio</Firstname>
    <Middlename>s</Middlename>
    <Lastname>sanches</Lastname>
    <Age>56</Age>
    <Dob>07/24/1961</Dob>
    <Gender>Male</Gender>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>02/12/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>RUA rui barbosa 97 apto 22</Address1>
      <Address2/>
      <Country>Brazil</Country>
      <State/>
      <City>São Caetano do Sul - State of São Paulo</City>
      <Postcode>09530240</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>silvio.novaconta@hotmail.com</Email>
    <Phone>
      <Home>55511996033642</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Victor Robles Capovila</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Child</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5521280905940893</CreditcardNumber>
      <NameonCreditcard>antonio s c sanches</NameonCreditcard>
      <CreditcardExpirationMonth>9</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>263.64</CreditcardAmount>
      <CreditcardCodeNumber>307</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
43f3db56
ARS-01-0038907
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0038907</PolicyNumber><UserName>43f3db56</UserName><Password>43f3db56</Password></PolicyDetails></RegistrationRes>