54.80.29.182
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>06/01/2014</StartDate>
  <EndDate>08/07/2014</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Herminio</Firstname>
    <Middlename>C</Middlename>
    <Lastname>Gonzalez</Lastname>
    <Age>31</Age>
    <Dob>05/18/1983</Dob>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/01/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>2nd St. #105</Address1>
      <Address2>Saint Just WD</Address2>
      <Country>Puerto Rico</Country>
      <State></State>
      <City>Trujillo Alto</City>
      <Postcode>00976</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>h_gonzalez_@hotmail.com</Email>
    <Phone>
      <Home>7873415656</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Yashica Naul Reyes Marrero</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Fiance</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5118585810035152</CreditcardNumber>
      <NameonCreditcard>Herminio C Gonzalez</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2015</CreditcardExpirationYear>
      <CreditcardAmount>191.76</CreditcardAmount>
      <CreditcardCodeNumber>583</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
9de1371b
ARS-02-0016690
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0016690</PolicyNumber><UserName>9de1371b</UserName><Password>9de1371b</Password></PolicyDetails></RegistrationRes>