52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>01/20/2018</StartDate>
  <EndDate>01/31/2018</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Nadia</Firstname>
    <Middlename>D</Middlename>
    <Lastname>Pavia</Lastname>
    <Age>45</Age>
    <Dob>01/02/1973</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>01/20/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1516 N Hobart Blvd</Address1>
      <Address2>209</Address2>
      <Country>Australia</Country>
      <State/>
      <City>Los Angeles</City>
      <Postcode>90027</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>nadiadianap@gmail.com</Email>
    <Phone>
      <Home>3233488464</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4833160133368388</CreditcardNumber>
      <NameonCreditcard>Nadia D Pavia</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>48.0</CreditcardAmount>
      <CreditcardCodeNumber>118</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
e59c7a74
ARS-02-0038927
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0038927</PolicyNumber><UserName>e59c7a74</UserName><Password>e59c7a74</Password></PolicyDetails></RegistrationRes>