54.80.29.182
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>08/09/2014</StartDate>
  <EndDate>08/31/2014</EndDate>
  <DestinationPlan>Australia</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>ALVARO</Firstname>
    <Middlename/>
    <Lastname>CABRERA</Lastname>
    <Age>30</Age>
    <Dob>05/10/1983</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>08/09/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>FERNANDO 86 #4, ALAMOS, BENITO JUAREZ , MEXICO CITY</Address1>
      <Address2></Address2>
      <Country>Mexico</Country>
      <State></State>
      <City>MEXICO CITY</City>
      <Postcode>03400</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>alvarohematohgm@gmail.com</Email>
    <Phone>
      <Home>0445554582581</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>ROSA GARCIA VARGAS</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4772102392661627</CreditcardNumber>
      <NameonCreditcard>ALVARO  CABRERA</NameonCreditcard>
      <CreditcardExpirationMonth>12</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>43.24</CreditcardAmount>
      <CreditcardCodeNumber>211</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
704f8e78
ARS-02-0016116
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0016116</PolicyNumber><UserName>704f8e78</UserName><Password>704f8e78</Password></PolicyDetails></RegistrationRes>