52.90.156.213
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>02/20/2016</StartDate>
  <EndDate>12/31/2016</EndDate>
  <DestinationPlan>Italy</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Brooke</Firstname>
    <Middlename>S</Middlename>
    <Lastname>Gillott</Lastname>
    <Age>23</Age>
    <Dob>08/14/1992</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>02/20/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>9/228 Mckenzie street</Address1>
      <Address2/>
      <Country>Australia</Country>
      <State/>
      <City>rangeville</City>
      <Postcode>4350</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>brooke-sarah@hotmail.com</Email>
    <Phone>
      <Home>6504546543</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Sharon Gillott</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5287573027009058</CreditcardNumber>
      <NameonCreditcard>Brooke S Gillott</NameonCreditcard>
      <CreditcardExpirationMonth>3</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>268.6</CreditcardAmount>
      <CreditcardCodeNumber>612</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
360fd2a4
ARS-01-0025252
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0025252</PolicyNumber><UserName>360fd2a4</UserName><Password>360fd2a4</Password></PolicyDetails></RegistrationRes>