54.80.29.182
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>04/20/2014</StartDate>
  <EndDate>05/05/2014</EndDate>
  <DestinationPlan>Mexico</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Ranjan</Firstname>
    <Middlename>R</Middlename>
    <Lastname>Wijesinghe</Lastname>
    <Age>45</Age>
    <Dob>05/03/1968</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Armeen</Firstname>
    <Middlename/>
    <Lastname>Wijesinghe</Lastname>
    <Age>48</Age>
    <Dob>10/12/1965</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>04/20/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>12 Towpath Court</Address1>
      <Address2></Address2>
      <Country>United States</Country>
      <State>New Jersey</State>
      <City>Princeton</City>
      <Postcode>08540</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>ranjanwcell@gmail.com</Email>
    <Phone>
      <Home>6097211742</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Evita Mehta</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Daughter</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4117744037930281</CreditcardNumber>
      <NameonCreditcard>Ranjan R Wijesinghe</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>69.76</CreditcardAmount>
      <CreditcardCodeNumber>994</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
58ceeb4b
725bb074
ARS-01-0016034
ARS-01-0016035
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0016034</PolicyNumber><UserName>58ceeb4b</UserName><Password>58ceeb4b</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0016035</PolicyNumber><UserName>725bb074</UserName><Password>725bb074</Password></PolicyDetails></RegistrationRes>