54.80.29.182
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>05/13/2014</StartDate>
  <EndDate>05/17/2014</EndDate>
  <DestinationPlan>Canada</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>srikanth</Firstname>
    <Middlename/>
    <Lastname>Manchala</Lastname>
    <Age>46</Age>
    <Dob>05/29/1967</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/13/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>trianz</Address1>
      <Address2>3979 freedom circle</Address2>
      <Country>United States</Country>
      <State>California</State>
      <City>santa clara</City>
      <Postcode>95054</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>joshy.vm@trianz.com</Email>
    <Phone>
      <Home>4083875800</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>laxmi srikanth</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>378299224832081</CreditcardNumber>
      <NameonCreditcard>Jayanthi boothapaty</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>14.0</CreditcardAmount>
      <CreditcardCodeNumber>9194</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
3dd7fc31
ARS-02-0016476
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0016476</PolicyNumber><UserName>3dd7fc31</UserName><Password>3dd7fc31</Password></PolicyDetails></RegistrationRes>