54.221.1.109
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>50000</MaximumLimit>
  <StartDate>07/21/2014</StartDate>
  <EndDate>08/15/2014</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Sharad</Firstname>
    <Middlename>B</Middlename>
    <Lastname>Kanetkar</Lastname>
    <Age>79</Age>
    <Dob>07/24/1934</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>07/21/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>E5 Subhashree Woods</Address1>
      <Address2>Pimplesaudagar</Address2>
      <Country>India</Country>
      <State></State>
      <City>Pune</City>
      <Postcode>411027</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>uday.kanetkar@gmail.com</Email>
    <Phone>
      <Home>919820951252</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Uday Kanetkar</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Child</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147098008534166</CreditcardNumber>
      <NameonCreditcard>Uday Kanetkar</NameonCreditcard>
      <CreditcardExpirationMonth>9</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2016</CreditcardExpirationYear>
      <CreditcardAmount>211.12</CreditcardAmount>
      <CreditcardCodeNumber>294</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
d746dfb1
ARS-02-0017378
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0017378</PolicyNumber><UserName>d746dfb1</UserName><Password>d746dfb1</Password></PolicyDetails></RegistrationRes>