54.83.122.65
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>06/04/2015</StartDate>
  <EndDate>06/02/2016</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Linda</Firstname>
    <Middlename>M</Middlename>
    <Lastname>Mukhongo</Lastname>
    <Age>22</Age>
    <Dob>11/14/1992</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/04/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>℅ Greenstein</Address1>
      <Address2>24 wildwood drive</Address2>
      <Country>Kenya</Country>
      <State></State>
      <City>west lebanon, nh</City>
      <Postcode>03784</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>greenstein@kingcon.com</Email>
    <Phone>
      <Home>6036433981</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>lewis greenstein</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Friends</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147097621706102</CreditcardNumber>
      <NameonCreditcard>lewis j greenstein</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>503.7</CreditcardAmount>
      <CreditcardCodeNumber>240</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
faa69d28
ARS-02-0021431
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0021431</PolicyNumber><UserName>faa69d28</UserName><Password>faa69d28</Password></PolicyDetails></RegistrationRes>