54.242.172.204
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>03/25/2015</StartDate>
  <EndDate>04/01/2015</EndDate>
  <DestinationPlan>United Kingdom</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Rowena Anthea</Firstname>
    <Middlename/>
    <Lastname>Palacios</Lastname>
    <Age>38</Age>
    <Dob>10/30/1976</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>03/25/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>17 Cecilville Street</Address1>
      <Address2>White Plains</Address2>
      <Country>Philippines</Country>
      <State></State>
      <City>Quezon City</City>
      <Postcode>1110</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>razada2@gmail.com</Email>
    <Phone>
      <Home>6329115376</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Michael Arthur Sioson Palacios</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5488093929263247</CreditcardNumber>
      <NameonCreditcard>Rowena A Azada-Palacios</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>8.0</CreditcardAmount>
      <CreditcardCodeNumber>784</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
c3e71fc5
ARS-01-0020258
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0020258</PolicyNumber><UserName>c3e71fc5</UserName><Password>c3e71fc5</Password></PolicyDetails></RegistrationRes>