52.91.49.203
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>02/16/2016</StartDate>
  <EndDate>12/21/2016</EndDate>
  <DestinationPlan>Morocco</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Jose</Firstname>
    <Middlename>N</Middlename>
    <Lastname>De Abreu</Lastname>
    <Age>37</Age>
    <Dob>02/02/1979</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>02/16/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Ave. Victor Batista</Address1>
      <Address2>Urbanizacion Alto Verde, Etapa 7 Ed. 5 Piso 3 #3D</Address2>
      <Country>Venezuela</Country>
      <State/>
      <City>Los Teques</City>
      <Postcode>1202</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>jisaquita@gmail.com</Email>
    <Phone>
      <Home>582122429073</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Luisa De Abreu</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Sister</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4400669912758190</CreditcardNumber>
      <NameonCreditcard>Jose N De Abreu Isaquita</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>310.0</CreditcardAmount>
      <CreditcardCodeNumber>708</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
1485b3ae
ARS-01-0025162
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0025162</PolicyNumber><UserName>1485b3ae</UserName><Password>1485b3ae</Password></PolicyDetails></RegistrationRes>