54.87.230.228
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>06/09/2016</StartDate>
  <EndDate>06/13/2016</EndDate>
  <DestinationPlan>Canada</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Malindima</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Sampa</Lastname>
    <Age>31</Age>
    <Dob>11/07/1984</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/09/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>3243 N Central Park Ave</Address1>
      <Address2>Unit 2</Address2>
      <Country>United States</Country>
      <State>Illinois</State>
      <City>Chicago</City>
      <Postcode>60618</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>malindima.sampa@gmail.com</Email>
    <Phone>
      <Home>3124784413</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Jaymie Sampa</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Sister</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4400663653477433</CreditcardNumber>
      <NameonCreditcard>Malindima A Sampa</NameonCreditcard>
      <CreditcardExpirationMonth>6</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>9.4</CreditcardAmount>
      <CreditcardCodeNumber>876</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
4fd2a6a3
ARS-02-0027239
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0027239</PolicyNumber><UserName>4fd2a6a3</UserName><Password>4fd2a6a3</Password></PolicyDetails></RegistrationRes>