52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>07/19/2017</StartDate>
  <EndDate>07/22/2017</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>luis</Firstname>
    <Middlename>l</Middlename>
    <Lastname>garcia</Lastname>
    <Age>44</Age>
    <Dob>03/13/1973</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>07/19/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>prolongacion c sucre, edif. capri, apto 72</Address1>
      <Address2/>
      <Country>Venezuela</Country>
      <State/>
      <City>caracas</City>
      <Postcode>1060</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>luislorenzogarcia@gmail.com</Email>
    <Phone>
      <Home>584243000069</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Luisana Garcia</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Sister</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4737029959033003</CreditcardNumber>
      <NameonCreditcard>luis l garcia</NameonCreditcard>
      <CreditcardExpirationMonth>7</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>12.25</CreditcardAmount>
      <CreditcardCodeNumber>499</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
f2bd95e6
ARS-02-0035682
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0035682</PolicyNumber><UserName>f2bd95e6</UserName><Password>f2bd95e6</Password></PolicyDetails></RegistrationRes>