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>05/03/2016</StartDate>
  <EndDate>05/15/2016</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>ADELAIDE</Firstname>
    <Middlename>C</Middlename>
    <Lastname>JOHNSON</Lastname>
    <Age>51</Age>
    <Dob>09/16/1964</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/03/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>29 FINUCANE CRT</Address1>
      <Address2>RALEIGH RD </Address2>
      <Country>United Kingdom</Country>
      <State/>
      <City>RICHMOND</City>
      <Postcode>TW9 2HW</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>adelaide.johnson@nhs.net</Email>
    <Phone>
      <Home>00442089405799</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>JULIE PRENDERGAST</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Sister</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5434689602821097</CreditcardNumber>
      <NameonCreditcard>JULIE J PRENDERGAST</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>52.65</CreditcardAmount>
      <CreditcardCodeNumber>873</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
ade9d1bb
ARS-02-0026087
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0026087</PolicyNumber><UserName>ade9d1bb</UserName><Password>ade9d1bb</Password></PolicyDetails></RegistrationRes>