52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>07/27/2017</StartDate>
  <EndDate>07/30/2017</EndDate>
  <DestinationPlan>Mexico</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Charles</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Driscoll</Lastname>
    <Age>31</Age>
    <Dob>01/21/1986</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Emmanuel</Firstname>
    <Middlename>M</Middlename>
    <Lastname>Vonrussell</Lastname>
    <Age>29</Age>
    <Dob>01/08/1988</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>07/27/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>253 W. 102ND STREET #4</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>New York</State>
      <City>NEW YORK</City>
      <Postcode>10025</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>driscoll.charles@gmail.com</Email>
    <Phone>
      <Home>3476734749</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5362191114007261</CreditcardNumber>
      <NameonCreditcard>Charles A Driscoll</NameonCreditcard>
      <CreditcardExpirationMonth>2</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>12.25</CreditcardAmount>
      <CreditcardCodeNumber>552</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
99fdb983
f54b71aa
ARS-01-0035880
ARS-01-0035881
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0035880</PolicyNumber><UserName>99fdb983</UserName><Password>99fdb983</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0035881</PolicyNumber><UserName>f54b71aa</UserName><Password>f54b71aa</Password></PolicyDetails></RegistrationRes>