54.172.31.188
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>04/26/2016</StartDate>
  <EndDate>05/11/2016</EndDate>
  <DestinationPlan>Ukraine</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Isaac</Firstname>
    <Middlename/>
    <Lastname>Comeau</Lastname>
    <Age>26</Age>
    <Dob>10/06/1989</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>04/26/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>228 lennox park</Address1>
      <Address2/>
      <Country>Canada</Country>
      <State>Ontario</State>
      <City>Ottawa</City>
      <Postcode>k1g0k4</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>visac2008@gmail.com</Email>
    <Phone>
      <Home>8192103704</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4530912976661030</CreditcardNumber>
      <NameonCreditcard>Isaac  Comeau</NameonCreditcard>
      <CreditcardExpirationMonth>6</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>13.6</CreditcardAmount>
      <CreditcardCodeNumber>062</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
c9201239
ARS-01-0026338
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0026338</PolicyNumber><UserName>c9201239</UserName><Password>c9201239</Password></PolicyDetails></RegistrationRes>