54.89.137.34
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>07/10/2015</StartDate>
  <EndDate>07/01/2016</EndDate>
  <DestinationPlan>Ecuador</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Edward </Firstname>
    <Middlename/>
    <Lastname>Kohn</Lastname>
    <Age>47</Age>
    <Dob>03/14/1968</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>07/10/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>3809 Laval</Address1>
      <Address2></Address2>
      <Country>Canada</Country>
      <State>Quebec</State>
      <City>Montreal</City>
      <Postcode>H2W2H9</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>eduardo.kohn@mcgill.ca</Email>
    <Phone>
      <Home>5148877884</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName></AdDBeneficiaryName>
    <AdDBeneficiaryRelationship></AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>373958299233005</CreditcardNumber>
      <NameonCreditcard>Eduardo O  Kohn</NameonCreditcard>
      <CreditcardExpirationMonth>4</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>780.44</CreditcardAmount>
      <CreditcardCodeNumber>0991</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
daa94c49
ARS-01-0022041
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0022041</PolicyNumber><UserName>daa94c49</UserName><Password>daa94c49</Password></PolicyDetails></RegistrationRes>