52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>02/23/2017</StartDate>
  <EndDate>03/02/2017</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>OKAN</Firstname>
    <Middlename/>
    <Lastname>HACIOLA</Lastname>
    <Age>38</Age>
    <Dob>06/22/1978</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>02/23/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Turkmen Mah.Hulya Kocyigit Blv.</Address1>
      <Address2>Green Paradise sit.C1 Blok 3/9  09400 </Address2>
      <Country>Turkey</Country>
      <State/>
      <City>Kusadasi</City>
      <Postcode>09400</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>lclarke@provenancegems.com</Email>
    <Phone>
      <Home>00902566182251</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>372721723962057</CreditcardNumber>
      <NameonCreditcard>LIANNE CLARKE</NameonCreditcard>
      <CreditcardExpirationMonth>12</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>13.12</CreditcardAmount>
      <CreditcardCodeNumber>9904</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
04d7cf94
ARS-02-0032077
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0032077</PolicyNumber><UserName>04d7cf94</UserName><Password>04d7cf94</Password></PolicyDetails></RegistrationRes>