54.226.34.195
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>12000</MaximumLimit>
  <StartDate>02/18/2015</StartDate>
  <EndDate>03/11/2015</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Ghulam</Firstname>
    <Middlename/>
    <Lastname>Fatima</Lastname>
    <Age>86</Age>
    <Dob>01/01/1929</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>02/18/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>3 Lawrie Lane </Address1>
      <Address2></Address2>
      <Country>United Kingdom</Country>
      <State></State>
      <City>Lindfield</City>
      <Postcode>RH16 2SG</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>fahdquddus@yahoo.com</Email>
    <Phone>
      <Home>0016463219966</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>MUhammad Idrees</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Child</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>371714898052003</CreditcardNumber>
      <NameonCreditcard>fahd quddus</NameonCreditcard>
      <CreditcardExpirationMonth>8</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>313.06</CreditcardAmount>
      <CreditcardCodeNumber>6359</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
ffd60945
ARS-02-0019759
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0019759</PolicyNumber><UserName>ffd60945</UserName><Password>ffd60945</Password></PolicyDetails></RegistrationRes>