52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>500</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>06/25/2018</StartDate>
  <EndDate>07/02/2018</EndDate>
  <DestinationPlan>Japan</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>katherine</Firstname>
    <Middlename/>
    <Lastname>o'malley</Lastname>
    <Age>45</Age>
    <Dob>06/30/1972</Dob>
    <Gender>Female</Gender>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/25/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>9721 dansington ct</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>North Carolina</State>
      <City>raleigh</City>
      <Postcode>27615</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>komalleync@gmail.com</Email>
    <Phone>
      <Home>9194132519</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Thomas hoppe</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Significant other</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4400665949849432</CreditcardNumber>
      <NameonCreditcard>katherine  o'malley</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>18.34</CreditcardAmount>
      <CreditcardCodeNumber>477</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
c3cf90b7
ARS-01-0042155
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0042155</PolicyNumber><UserName>c3cf90b7</UserName><Password>c3cf90b7</Password></PolicyDetails></RegistrationRes>