52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>1100000</MaximumLimit>
  <StartDate>02/05/2017</StartDate>
  <EndDate>02/11/2017</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>anna</Firstname>
    <Middlename>c</Middlename>
    <Lastname>esperante gomes</Lastname>
    <Age>37</Age>
    <Dob>07/12/1979</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>02/05/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Callejon Mirador #82 cl-4</Address1>
      <Address2>residencial villas del tezal, el Tezal</Address2>
      <Country>Mexico</Country>
      <State/>
      <City>Cabo San Lucas</City>
      <Postcode>23454</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>anna.carpaccio@gmail.com</Email>
    <Phone>
      <Home>526241605936</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4266841440862546</CreditcardNumber>
      <NameonCreditcard>anna c esperante gomes</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>26.43</CreditcardAmount>
      <CreditcardCodeNumber>330</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
5b909b2e
ARS-02-0032099
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0032099</PolicyNumber><UserName>5b909b2e</UserName><Password>5b909b2e</Password></PolicyDetails></RegistrationRes>