54.204.126.246
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>05/03/2014</StartDate>
  <EndDate>06/02/2014</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>susanta </Firstname>
    <Middlename/>
    <Lastname>sanyal</Lastname>
    <Age>63</Age>
    <Dob>06/26/1950</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>uma</Firstname>
    <Middlename/>
    <Lastname>sanyal</Lastname>
    <Age>54</Age>
    <Dob>10/12/1959</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/03/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1/1D sunny season</Address1>
      <Address2>kamalgazi</Address2>
      <Country>India</Country>
      <State></State>
      <City>kolkata</City>
      <Postcode>700103</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>sanchita.sanyal.2012@gmail.com</Email>
    <Phone>
      <Home>4086469705</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>sanchita sanyal</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Daughter</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4888937092475401</CreditcardNumber>
      <NameonCreditcard>sanchita sanyal</NameonCreditcard>
      <CreditcardExpirationMonth>9</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2015</CreditcardExpirationYear>
      <CreditcardAmount>273.73</CreditcardAmount>
      <CreditcardCodeNumber>509</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
29aa4d83
c7543fff
ARS-02-0016220
ARS-02-0016221
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0016220</PolicyNumber><UserName>29aa4d83</UserName><Password>29aa4d83</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0016221</PolicyNumber><UserName>c7543fff</UserName><Password>c7543fff</Password></PolicyDetails></RegistrationRes>