54.86.99.59
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>04/19/2016</StartDate>
  <EndDate>05/07/2016</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Marisol Aurea</Firstname>
    <Middlename/>
    <Lastname>Garcia pestana</Lastname>
    <Age>45</Age>
    <Dob>08/24/1970</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Maria Zizelda</Firstname>
    <Middlename>G</Middlename>
    <Lastname>Pestana Da Silva</Lastname>
    <Age>65</Age>
    <Dob>12/24/1950</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>04/19/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Calle Sur 8, Quinta 2203, Los Naranjos</Address1>
      <Address2>El Hatillo, Caracas</Address2>
      <Country>Venezuela</Country>
      <State/>
      <City>Caracas</City>
      <Postcode>1061</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>neco85@yahoo.com</Email>
    <Phone>
      <Home>584141360771</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Nelson Garcia Pestana</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Brother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4194600023841815</CreditcardNumber>
      <NameonCreditcard>Marisol Aurea  Garcia pestana</NameonCreditcard>
      <CreditcardExpirationMonth>8</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>167.2</CreditcardAmount>
      <CreditcardCodeNumber>357</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
c32276cc
072e82b4
ARS-02-0025957
ARS-02-0025958
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0025957</PolicyNumber><UserName>c32276cc</UserName><Password>c32276cc</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0025958</PolicyNumber><UserName>072e82b4</UserName><Password>072e82b4</Password></PolicyDetails></RegistrationRes>