52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>07/03/2017</StartDate>
  <EndDate>07/18/2017</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Benitha</Firstname>
    <Middlename>J</Middlename>
    <Lastname>vlok</Lastname>
    <Age>37</Age>
    <Dob>09/05/1979</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>07/03/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>8 Kloofhill</Address1>
      <Address2>2 summerseat close</Address2>
      <Country>South Africa</Country>
      <State/>
      <City>cape town</City>
      <Postcode>8001</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>benithavlok@gmail.com</Email>
    <Phone>
      <Home>27714534837</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Jeanne Newton</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4790125004429420</CreditcardNumber>
      <NameonCreditcard>benitha  vlok</NameonCreditcard>
      <CreditcardExpirationMonth>6</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>51.6</CreditcardAmount>
      <CreditcardCodeNumber>304</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
df7c4526
ARS-02-0035330
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0035330</PolicyNumber><UserName>df7c4526</UserName><Password>df7c4526</Password></PolicyDetails></RegistrationRes>