54.86.99.59
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>05/10/2016</StartDate>
  <EndDate>07/10/2016</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Anant</Firstname>
    <Middlename>P</Middlename>
    <Lastname>Shukla</Lastname>
    <Age>64</Age>
    <Dob>07/10/1951</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Chitra</Firstname>
    <Middlename/>
    <Lastname>shukla</Lastname>
    <Age>62</Age>
    <Dob>11/01/1953</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/10/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>3154 Bose Colony</Address1>
      <Address2>Narmada Road</Address2>
      <Country>India</Country>
      <State/>
      <City>Jabalpur</City>
      <Postcode>482003</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>abhishek.dube@gmail.com</Email>
    <Phone>
      <Home>6072728680</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Preeti Shukla</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Daughter</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4388576094776849</CreditcardNumber>
      <NameonCreditcard>Abhishek Dube</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>592.72</CreditcardAmount>
      <CreditcardCodeNumber>436</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
fa85c3e4
bcd3e095
ARS-02-0026582
ARS-02-0026583
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0026582</PolicyNumber><UserName>fa85c3e4</UserName><Password>fa85c3e4</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0026583</PolicyNumber><UserName>bcd3e095</UserName><Password>bcd3e095</Password></PolicyDetails></RegistrationRes>