52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>1100000</MaximumLimit>
  <StartDate>06/19/2017</StartDate>
  <EndDate>07/12/2017</EndDate>
  <DestinationPlan>Korea (South)</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>L'abri</Firstname>
    <Middlename/>
    <Lastname>Keevy</Lastname>
    <Age>17</Age>
    <Dob>10/10/1999</Dob>
    <Gender>Female</Gender>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/19/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>6203 broadway st</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Indiana</State>
      <City>Indianapolis</City>
      <Postcode>46220</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>jkeevyathome@gmail.com</Email>
    <Phone>
      <Home>5082588507</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4400660397295808</CreditcardNumber>
      <NameonCreditcard>Juleen Perry Keevy</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>40.56</CreditcardAmount>
      <CreditcardCodeNumber>548</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
c374b80d
ARS-01-0034947
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0034947</PolicyNumber><UserName>c374b80d</UserName><Password>c374b80d</Password></PolicyDetails></RegistrationRes>