52.90.170.232
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>06/07/2016</StartDate>
  <EndDate>06/22/2016</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Alciones</Firstname>
    <Middlename>L</Middlename>
    <Lastname>Marques</Lastname>
    <Age>62</Age>
    <Dob>08/05/1953</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>José Geraldo</Firstname>
    <Middlename/>
    <Lastname>Marques</Lastname>
    <Age>57</Age>
    <Dob>10/16/1958</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/07/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Rua Agena 146</Address1>
      <Address2/>
      <Country>Brazil</Country>
      <State/>
      <City>Belo Horizonte</City>
      <Postcode>30360730</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>lilian@uchicago.edu</Email>
    <Phone>
      <Home>13123512131</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5262260059078925</CreditcardNumber>
      <NameonCreditcard>Lilian Patrus Marques</NameonCreditcard>
      <CreditcardExpirationMonth>8</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>176.0</CreditcardAmount>
      <CreditcardCodeNumber>775</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
c9afd20f
f831afd5
ARS-02-0027116
ARS-02-0027117
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0027116</PolicyNumber><UserName>c9afd20f</UserName><Password>c9afd20f</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0027117</PolicyNumber><UserName>f831afd5</UserName><Password>f831afd5</Password></PolicyDetails></RegistrationRes>