52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>1100000</MaximumLimit>
  <StartDate>07/31/2017</StartDate>
  <EndDate>08/06/2017</EndDate>
  <DestinationPlan>Dominican Republic</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Jason</Firstname>
    <Middlename>K</Middlename>
    <Lastname>Styles</Lastname>
    <Age>31</Age>
    <Dob>11/25/1985</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>07/31/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>#17 Gleniston Gardens</Address1>
      <Address2>P.O. Box N-9337</Address2>
      <Country>Bahamas</Country>
      <State/>
      <City>Nassau</City>
      <Postcode>00000</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>jason.styles85@gmail.com</Email>
    <Phone>
      <Home>12423957024</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Anna-clara Stuart</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4185506005994087</CreditcardNumber>
      <NameonCreditcard>Anna Stuart</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>21.14</CreditcardAmount>
      <CreditcardCodeNumber>549</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
afc08505
ARS-02-0035962
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0035962</PolicyNumber><UserName>afc08505</UserName><Password>afc08505</Password></PolicyDetails></RegistrationRes>