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>03/01/2018</StartDate>
  <EndDate>05/07/2018</EndDate>
  <DestinationPlan>Poland</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>ROBERTO</Firstname>
    <Middlename>S</Middlename>
    <Lastname>BAGNOLI</Lastname>
    <Age>51</Age>
    <Dob>07/19/1966</Dob>
    <Gender>Male</Gender>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>03/01/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>806 E WINDWARD WAY # 505</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Florida</State>
      <City>LANTANA</City>
      <Postcode>33462</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>rsbagnoli@hotmail.com</Email>
    <Phone>
      <Home>5613191877</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>PEDRO E GABRIEL BAGNOLI</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Child</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5589550060219831</CreditcardNumber>
      <NameonCreditcard>ROBERTO S BAGNOLI</NameonCreditcard>
      <CreditcardExpirationMonth>2</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>229.84</CreditcardAmount>
      <CreditcardCodeNumber>612</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
7c5b72eb
ARS-01-0039601
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0039601</PolicyNumber><UserName>7c5b72eb</UserName><Password>7c5b72eb</Password></PolicyDetails></RegistrationRes>