54.242.172.204
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>100</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>05/11/2015</StartDate>
  <EndDate>06/22/2015</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Sudhaben</Firstname>
    <Middlename>P</Middlename>
    <Lastname>Patel</Lastname>
    <Age>59</Age>
    <Dob>05/04/1956</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/11/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>AT &amp; PO. AMALSADI </Address1>
      <Address2>TO.MANDVI</Address2>
      <Country>India</Country>
      <State></State>
      <City>SURAT  GUJARAT</City>
      <Postcode>394350</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>anandinternational@cox.net</Email>
    <Phone>
      <Home>011919979760850</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName></AdDBeneficiaryName>
    <AdDBeneficiaryRelationship></AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5466160285842397</CreditcardNumber>
      <NameonCreditcard>KAYOKO PATEL</NameonCreditcard>
      <CreditcardExpirationMonth>8</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>191.57</CreditcardAmount>
      <CreditcardCodeNumber>402</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
8625c4d5
ARS-02-0020930
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0020930</PolicyNumber><UserName>8625c4d5</UserName><Password>8625c4d5</Password></PolicyDetails></RegistrationRes>