54.172.31.188
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>06/29/2016</StartDate>
  <EndDate>08/28/2016</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Adam</Firstname>
    <Middlename>S</Middlename>
    <Lastname>Al-Darwish</Lastname>
    <Age>12</Age>
    <Dob>07/31/2003</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/29/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1836 62 Ave SE</Address1>
      <Address2/>
      <Country>Canada</Country>
      <State>Alberta</State>
      <City>Calgary</City>
      <Postcode>T2C 0B6</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>sedarwish@gmail.com</Email>
    <Phone>
      <Home>4037088522</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Saleh Al Darwish</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Father</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4692278570207354</CreditcardNumber>
      <NameonCreditcard>Emily R Sloane</NameonCreditcard>
      <CreditcardExpirationMonth>9</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>81.74</CreditcardAmount>
      <CreditcardCodeNumber>317</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
35bb01be
ARS-02-0026628
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0026628</PolicyNumber><UserName>35bb01be</UserName><Password>35bb01be</Password></PolicyDetails></RegistrationRes>