52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>06/14/2018</StartDate>
  <EndDate>06/23/2018</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Albeena</Firstname>
    <Middlename/>
    <Lastname>Sofi</Lastname>
    <Age>25</Age>
    <Dob>10/01/1992</Dob>
    <Gender>Female</Gender>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/14/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>H77 Sheffield 3 </Address1>
      <Address2>80 Hoyle St</Address2>
      <Country>United Kingdom</Country>
      <State/>
      <City>Sheffield</City>
      <Postcode>S37LG</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>albeenasofi@gmail.com</Email>
    <Phone>
      <Home>9175306041</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Samit Dharia</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Other</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4266841542978281</CreditcardNumber>
      <NameonCreditcard>Samit S Dharia</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>20.02</CreditcardAmount>
      <CreditcardCodeNumber>260</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
53273c0d
ARS-02-0041845
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0041845</PolicyNumber><UserName>53273c0d</UserName><Password>53273c0d</Password></PolicyDetails></RegistrationRes>