54.242.172.204
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>05/14/2015</StartDate>
  <EndDate>07/02/2015</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Gulcheen </Firstname>
    <Middlename/>
    <Lastname>Aqil</Lastname>
    <Age>38</Age>
    <Dob>08/06/1976</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/14/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>house no:90</Address1>
      <Address2>street np: 40, G 10/4</Address2>
      <Country>Pakistan</Country>
      <State></State>
      <City>Islamabad</City>
      <Postcode>44000</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>gulcheenaqil@yahoo.com</Email>
    <Phone>
      <Home>5179747992</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Amjad Ahmad</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Significant other</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4238170541805559</CreditcardNumber>
      <NameonCreditcard>Gulcheen   Aqil</NameonCreditcard>
      <CreditcardExpirationMonth>4</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>112.5</CreditcardAmount>
      <CreditcardCodeNumber>259</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
cb688c09
ARS-02-0020983
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0020983</PolicyNumber><UserName>cb688c09</UserName><Password>cb688c09</Password></PolicyDetails></RegistrationRes>