34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>02/14/2017</StartDate>
  <EndDate>05/14/2017</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>NATASA</Firstname>
    <Middlename/>
    <Lastname>DORDEVIC</Lastname>
    <Age>40</Age>
    <Dob>05/31/1976</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>DARKO</Firstname>
    <Middlename/>
    <Lastname>DORDEVIC</Lastname>
    <Age>37</Age>
    <Dob>10/21/1979</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>02/14/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Kustiljska 32</Address1>
      <Address2/>
      <Country>Serbia</Country>
      <State/>
      <City>Serbia</City>
      <Postcode>00000</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>lclarke@provenancegems.com</Email>
    <Phone>
      <Home>381621106467</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>368.1</CreditcardAmount>
      <CreditcardCodeNumber>9904</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
5fdfd04f
0c3f6fc5
ARS-02-0032212
ARS-02-0032213
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0032212</PolicyNumber><UserName>5fdfd04f</UserName><Password>5fdfd04f</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0032213</PolicyNumber><UserName>0c3f6fc5</UserName><Password>0c3f6fc5</Password></PolicyDetails></RegistrationRes>