52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>50000</MaximumLimit>
  <StartDate>08/15/2017</StartDate>
  <EndDate>08/23/2017</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Miguel</Firstname>
    <Middlename/>
    <Lastname>Bada del Moral</Lastname>
    <Age>79</Age>
    <Dob>08/12/1937</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Yolanda</Firstname>
    <Middlename/>
    <Lastname>Garcia de Bada</Lastname>
    <Age>75</Age>
    <Dob>07/29/1941</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>08/15/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Av. Jiménez 1575</Address1>
      <Address2>Colonia México</Address2>
      <Country>Mexico</Country>
      <State/>
      <City>Veracruz</City>
      <Postcode>91756</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>xbada@uic.edu</Email>
    <Phone>
      <Home>3123718728</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Yolanda Xochitl Bada Garcia</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Daughter</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147202208262954</CreditcardNumber>
      <NameonCreditcard>XOCHITL BADA</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>129.6</CreditcardAmount>
      <CreditcardCodeNumber>883</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
6bb9b4a4
deaa9377
ARS-02-0032829
ARS-02-0032830
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0032829</PolicyNumber><UserName>6bb9b4a4</UserName><Password>6bb9b4a4</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0032830</PolicyNumber><UserName>deaa9377</UserName><Password>deaa9377</Password></PolicyDetails></RegistrationRes>