54.172.31.188
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>05/27/2016</StartDate>
  <EndDate>05/29/2016</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Gabriel</Firstname>
    <Middlename/>
    <Lastname>Vidal Herrera</Lastname>
    <Age>15</Age>
    <Dob>08/20/2000</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/27/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>3485 Avenue Ellendale apt 5</Address1>
      <Address2/>
      <Country>Canada</Country>
      <State>Quebec</State>
      <City>Montréal</City>
      <Postcode>H3S 1W8</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>ingguillermovidal@gmail.com</Email>
    <Phone>
      <Home>4388771454</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Guillermo Vidal</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Father</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5258975003968972</CreditcardNumber>
      <NameonCreditcard>Guillermo Vidal</NameonCreditcard>
      <CreditcardExpirationMonth>6</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>8.38</CreditcardAmount>
      <CreditcardCodeNumber>834</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
8758ced5
ARS-02-0026569
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0026569</PolicyNumber><UserName>8758ced5</UserName><Password>8758ced5</Password></PolicyDetails></RegistrationRes>