34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>02/24/2018</StartDate>
  <EndDate>03/06/2018</EndDate>
  <DestinationPlan>Japan</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Luke</Firstname>
    <Middlename/>
    <Lastname>Maxfield</Lastname>
    <Age>28</Age>
    <Dob>07/25/1989</Dob>
    <Gender>Male</Gender>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>02/24/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>5/15</Address1>
      <Address2>Waratah st</Address2>
      <Country>Australia</Country>
      <State/>
      <City>Cronulla</City>
      <Postcode>2230</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>maxfield.luke@gmail.com</Email>
    <Phone>
      <Home>61455348954</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Ian Maxfield</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Father</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>376086866732006</CreditcardNumber>
      <NameonCreditcard>Luke  Maxfield</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>13.59</CreditcardAmount>
      <CreditcardCodeNumber>9256</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
5f94c38a
ARS-01-0039502
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0039502</PolicyNumber><UserName>5f94c38a</UserName><Password>5f94c38a</Password></PolicyDetails></RegistrationRes>