54.86.99.59
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>2500</DeductibleAmount>
  <MaximumLimit>2000000</MaximumLimit>
  <StartDate>05/15/2016</StartDate>
  <EndDate>05/27/2016</EndDate>
  <DestinationPlan>Viet Nam</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Eugene</Firstname>
    <Middlename>M</Middlename>
    <Lastname>Katzin</Lastname>
    <Age>43</Age>
    <Dob>09/25/1972</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/15/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>7008 Aspen Ave.</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Maryland</State>
      <City>Takoma Park</City>
      <Postcode>20912</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>emkatzin@yahoo.com</Email>
    <Phone>
      <Home>3018912954</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Katherine Jones Katzin</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5452361002145710</CreditcardNumber>
      <NameonCreditcard>Eugene  Katzin</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>30.39</CreditcardAmount>
      <CreditcardCodeNumber>665</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
37136203
ARS-01-0026624
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0026624</PolicyNumber><UserName>37136203</UserName><Password>37136203</Password></PolicyDetails></RegistrationRes>