52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>06/17/2017</StartDate>
  <EndDate>07/09/2017</EndDate>
  <DestinationPlan>Canada</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Simon</Firstname>
    <Middlename/>
    <Lastname>Beauchemin</Lastname>
    <Age>42</Age>
    <Dob>09/23/1974</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Senenje</Firstname>
    <Middlename/>
    <Lastname>Afonso da Silva</Lastname>
    <Age>25</Age>
    <Dob>06/29/1991</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/17/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Rua Eng. Mário de Gusmão, 1295</Address1>
      <Address2>Edf Charles Chaplin, Apt 201</Address2>
      <Country>Brazil</Country>
      <State/>
      <City>Maceió</City>
      <Postcode>57035-000</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>simonbaush@hotmail.com</Email>
    <Phone>
      <Home>5582993130181</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4984535119753272</CreditcardNumber>
      <NameonCreditcard>Simon  Beauchemin</NameonCreditcard>
      <CreditcardExpirationMonth>4</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>84.87</CreditcardAmount>
      <CreditcardCodeNumber>614</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
1728c9c7
b8c6216e
ARS-02-0032873
ARS-02-0032874
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0032873</PolicyNumber><UserName>1728c9c7</UserName><Password>1728c9c7</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0032874</PolicyNumber><UserName>b8c6216e</UserName><Password>b8c6216e</Password></PolicyDetails></RegistrationRes>