54.87.230.228
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>50000</MaximumLimit>
  <StartDate>07/12/2016</StartDate>
  <EndDate>07/18/2016</EndDate>
  <DestinationPlan>Puerto Rico</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>JOSE </Firstname>
    <Middlename>M</Middlename>
    <Lastname>PACHANO </Lastname>
    <Age>71</Age>
    <Dob>03/13/1945</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>07/12/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>avenida Y Edificio La Guairita </Address1>
      <Address2>piso 3 apt 33. Urbanizacion El Cafetal </Address2>
      <Country>Venezuela</Country>
      <State/>
      <City>Caracas</City>
      <Postcode>1061-A</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>cristancha44@yahoo.com</Email>
    <Phone>
      <Home>011589876161</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Maritza C. Pachano </AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Daughter</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4549544753570990</CreditcardNumber>
      <NameonCreditcard>JOSE  M PACHANO ANEZ</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>71.05</CreditcardAmount>
      <CreditcardCodeNumber>959</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
446db899
ARS-02-0027957
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0027957</PolicyNumber><UserName>446db899</UserName><Password>446db899</Password></PolicyDetails></RegistrationRes>