54.234.109.243
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>05/09/2015</StartDate>
  <EndDate>05/24/2015</EndDate>
  <DestinationPlan>Portugal</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>GHISLAINE</Firstname>
    <Middlename>P</Middlename>
    <Lastname>VAMPRE</Lastname>
    <Age>61</Age>
    <Dob>10/21/1953</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/09/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>795, CORONEL OSCAR PORTO</Address1>
      <Address2>92</Address2>
      <Country>Brazil</Country>
      <State></State>
      <City>SÃO PAULO</City>
      <Postcode>04003000</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>ghivam@hotmail.com</Email>
    <Phone>
      <Home>5511988981991</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName></AdDBeneficiaryName>
    <AdDBeneficiaryRelationship></AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5489840966532978</CreditcardNumber>
      <NameonCreditcard>GIULIA M M V BATELLI</NameonCreditcard>
      <CreditcardExpirationMonth>12</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2015</CreditcardExpirationYear>
      <CreditcardAmount>72.4</CreditcardAmount>
      <CreditcardCodeNumber>826</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
e9e413af
ARS-01-0021003
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0021003</PolicyNumber><UserName>e9e413af</UserName><Password>e9e413af</Password></PolicyDetails></RegistrationRes>