54.234.109.243
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>04/02/2015</StartDate>
  <EndDate>04/10/2015</EndDate>
  <DestinationPlan>Philippines</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Zoey</Firstname>
    <Middlename/>
    <Lastname>Coombe</Lastname>
    <Age>25</Age>
    <Dob>01/18/1990</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>04/02/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1504 elite sports residence 7 </Address1>
      <Address2>Dubai sports city</Address2>
      <Country>United Arab Emirates</Country>
      <State></State>
      <City>Dubai</City>
      <Postcode>282477</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>zoey@thestudiodubai.com</Email>
    <Phone>
      <Home>971552500955</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Leticia Coombe </AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5409789577528908</CreditcardNumber>
      <NameonCreditcard>Zoey  Coombe</NameonCreditcard>
      <CreditcardExpirationMonth>7</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>12.42</CreditcardAmount>
      <CreditcardCodeNumber>848</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
114ffef2
ARS-02-0020441
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0020441</PolicyNumber><UserName>114ffef2</UserName><Password>114ffef2</Password></PolicyDetails></RegistrationRes>