52.90.156.213
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>02/21/2016</StartDate>
  <EndDate>03/08/2016</EndDate>
  <DestinationPlan>Mexico</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Alexandre</Firstname>
    <Middlename/>
    <Lastname>Alami</Lastname>
    <Age>36</Age>
    <Dob>03/21/1979</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Genie Louise</Firstname>
    <Middlename/>
    <Lastname>Alami</Lastname>
    <Age>34</Age>
    <Dob>05/15/1981</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>02/21/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>PH10 - 1689 13TH AVE EAST</Address1>
      <Address2/>
      <Country>Canada</Country>
      <State>British Columbia</State>
      <City>Vancouver</City>
      <Postcode>V5N0A5</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>alex.alami@gmail.com</Email>
    <Phone>
      <Home>6047870797</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Alexandre Alami</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Parents-in-law</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4349120025337518</CreditcardNumber>
      <NameonCreditcard>Alexandre Alami</NameonCreditcard>
      <CreditcardExpirationMonth>9</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>52.36</CreditcardAmount>
      <CreditcardCodeNumber>884</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
814ed968
06876d11
ARS-01-0025257
ARS-01-0025258
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0025257</PolicyNumber><UserName>814ed968</UserName><Password>814ed968</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0025258</PolicyNumber><UserName>06876d11</UserName><Password>06876d11</Password></PolicyDetails></RegistrationRes>