34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>2500</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>01/21/2017</StartDate>
  <EndDate>01/20/2018</EndDate>
  <DestinationPlan>Greece</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Ioannis</Firstname>
    <Middlename>J</Middlename>
    <Lastname>Georgiou</Lastname>
    <Age>50</Age>
    <Dob>01/10/1967</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>01/21/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>400 E Colonial Dr</Address1>
      <Address2>Apt 1302</Address2>
      <Country>United States</Country>
      <State>Florida</State>
      <City>Orlando</City>
      <Postcode>32803</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>john67b@hotmail.com</Email>
    <Phone>
      <Home>4076812022</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Nongyao Khongklin</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Friends</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5141810211060927</CreditcardNumber>
      <NameonCreditcard>Ioannis J Georgiou</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>786.94</CreditcardAmount>
      <CreditcardCodeNumber>232</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
f9b0f4c0
ARS-01-0031849
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0031849</PolicyNumber><UserName>f9b0f4c0</UserName><Password>f9b0f4c0</Password></PolicyDetails></RegistrationRes>