54.234.109.243
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>03/20/2015</StartDate>
  <EndDate>03/29/2015</EndDate>
  <DestinationPlan>Japan</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Francisca</Firstname>
    <Middlename/>
    <Lastname>Rojas</Lastname>
    <Age>24</Age>
    <Dob>01/08/1991</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>03/20/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>233 E Wacker Dr Apt 3804</Address1>
      <Address2></Address2>
      <Country>United States</Country>
      <State>Illinois</State>
      <City>Chicago</City>
      <Postcode>60601-5115</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>frann.rojas@gmail.com</Email>
    <Phone>
      <Home>3124788708</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Alvaro Bellolio</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5262260057728570</CreditcardNumber>
      <NameonCreditcard>Francisca  Rojas</NameonCreditcard>
      <CreditcardExpirationMonth>8</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>8.5</CreditcardAmount>
      <CreditcardCodeNumber>027</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
7ac10b04
ARS-01-0020217
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0020217</PolicyNumber><UserName>7ac10b04</UserName><Password>7ac10b04</Password></PolicyDetails></RegistrationRes>