34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>1100000</MaximumLimit>
  <StartDate>05/03/2018</StartDate>
  <EndDate>05/08/2018</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Stephen</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Worrall</Lastname>
    <Age>51</Age>
    <Dob>01/21/1967</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/03/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>F403 La Tour Daikanyama, Shibuya-ku</Address1>
      <Address2>13-1 Uguisudanicho</Address2>
      <Country>Japan</Country>
      <State/>
      <City>Tokyo</City>
      <Postcode>150-0032</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>steveworrall67@gmail.com</Email>
    <Phone>
      <Home>00819098221499</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Tamlyn Worrall</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4907158105059580</CreditcardNumber>
      <NameonCreditcard>Stephen A Worrall</NameonCreditcard>
      <CreditcardExpirationMonth>9</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>39.0</CreditcardAmount>
      <CreditcardCodeNumber>564</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
d3acedde
ARS-02-0040371
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0040371</PolicyNumber><UserName>d3acedde</UserName><Password>d3acedde</Password></PolicyDetails></RegistrationRes>