54.80.29.182
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>06/20/2014</StartDate>
  <EndDate>07/05/2014</EndDate>
  <DestinationPlan>Czech Republic</DestinationPlan>
  <NoOfApplicants>4</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Simon</Firstname>
    <Middlename/>
    <Lastname>Fuka</Lastname>
    <Age>39</Age>
    <Dob>10/25/1974</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Amarjit</Firstname>
    <Middlename/>
    <Lastname>Kaur</Lastname>
    <Age>42</Age>
    <Dob>10/20/1971</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Frantisek</Firstname>
    <Middlename/>
    <Lastname>Fuka</Lastname>
    <Age>8</Age>
    <Dob>01/02/2006</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Adela</Firstname>
    <Middlename/>
    <Lastname>Fukova</Lastname>
    <Age>4</Age>
    <Dob>06/23/2009</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/20/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>2741 Borden Street</Address1>
      <Address2></Address2>
      <Country>Canada</Country>
      <State>Saskatchewan</State>
      <City>Regina</City>
      <Postcode>S4N2L1</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>simonfuka@gmail.com</Email>
    <Phone>
      <Home>3065295138</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Jaswir Pal</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Brother-in-law</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4520010042605610</CreditcardNumber>
      <NameonCreditcard>Simon  Fuka</NameonCreditcard>
      <CreditcardExpirationMonth>3</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>88.96</CreditcardAmount>
      <CreditcardCodeNumber>622</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
e2be7c08
2ff65ac2
00ed4153
615bfad8
ARS-01-0016019
ARS-01-0016020
ARS-01-0016021
ARS-01-0016022
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0016019</PolicyNumber><UserName>e2be7c08</UserName><Password>e2be7c08</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0016020</PolicyNumber><UserName>2ff65ac2</UserName><Password>2ff65ac2</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0016021</PolicyNumber><UserName>00ed4153</UserName><Password>00ed4153</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0016022</PolicyNumber><UserName>615bfad8</UserName><Password>615bfad8</Password></PolicyDetails></RegistrationRes>