52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>05/28/2018</StartDate>
  <EndDate>06/04/2018</EndDate>
  <DestinationPlan>Costa Rica</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Andre</Firstname>
    <Middlename>D</Middlename>
    <Lastname>Henderson</Lastname>
    <Age>31</Age>
    <Dob>12/06/1986</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/28/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1288 Clifton ave</Address1>
      <Address2>unit A</Address2>
      <Country>United States</Country>
      <State>New Jersey</State>
      <City>Clifton</City>
      <Postcode>07012</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>andre.henderson@gmail.com</Email>
    <Phone>
      <Home>3474937895</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>William A J Henderson</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Child</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147202312316639</CreditcardNumber>
      <NameonCreditcard>Andre Henderson</NameonCreditcard>
      <CreditcardExpirationMonth>6</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>7.2</CreditcardAmount>
      <CreditcardCodeNumber>684</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
82289fcd
ARS-01-0041433
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0041433</PolicyNumber><UserName>82289fcd</UserName><Password>82289fcd</Password></PolicyDetails></RegistrationRes>