54.198.116.54
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>100</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>07/23/2014</StartDate>
  <EndDate>07/29/2014</EndDate>
  <DestinationPlan>Colombia</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Simon</Firstname>
    <Middlename>M</Middlename>
    <Lastname>Fagg</Lastname>
    <Age>38</Age>
    <Dob>01/30/1976</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>07/23/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>460w 42nd st</Address1>
      <Address2>One mima tower 53h</Address2>
      <Country>United States</Country>
      <State>New York</State>
      <City>NYC </City>
      <Postcode>10036</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>fagg.simon@gmail.com</Email>
    <Phone>
      <Home>2019129593</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName></AdDBeneficiaryName>
    <AdDBeneficiaryRelationship></AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>379773035401004</CreditcardNumber>
      <NameonCreditcard>Simon M Fagg</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2015</CreditcardExpirationYear>
      <CreditcardAmount>11.86</CreditcardAmount>
      <CreditcardCodeNumber>9952</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
1fbfd603
ARS-01-0017424
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0017424</PolicyNumber><UserName>1fbfd603</UserName><Password>1fbfd603</Password></PolicyDetails></RegistrationRes>