52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>04/14/2017</StartDate>
  <EndDate>04/21/2017</EndDate>
  <DestinationPlan>France</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Jonas</Firstname>
    <Middlename/>
    <Lastname>Simon</Lastname>
    <Age>35</Age>
    <Dob>09/27/1981</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>04/14/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>5406 Auth Road Unit 527</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Maryland</State>
      <City>Camp Springs</City>
      <Postcode>20746</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>johnybrvo@yahoo.co.uk</Email>
    <Phone>
      <Home>2025072677</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4060956022940086</CreditcardNumber>
      <NameonCreditcard>Jonas P  Simon</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>7.2</CreditcardAmount>
      <CreditcardCodeNumber>007</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
aa6a9d66
ARS-01-0032284
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0032284</PolicyNumber><UserName>aa6a9d66</UserName><Password>aa6a9d66</Password></PolicyDetails></RegistrationRes>