34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>08/07/2017</StartDate>
  <EndDate>08/24/2017</EndDate>
  <DestinationPlan>Australia</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Nathalie</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Walgis</Lastname>
    <Age>28</Age>
    <Dob>09/13/1988</Dob>
    <Gender>Female</Gender>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>08/07/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1401 Tiger Lake Dr</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Florida</State>
      <City>Gulf Breeze</City>
      <Postcode>32563</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>nathaliewalgis@gmail.com</Email>
    <Phone>
      <Home>8506074929</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Nancy Walgis</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5217291834485503</CreditcardNumber>
      <NameonCreditcard>Nathalie Walgis</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>27.79</CreditcardAmount>
      <CreditcardCodeNumber>303</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
f35f8507
ARS-01-0036107
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0036107</PolicyNumber><UserName>f35f8507</UserName><Password>f35f8507</Password></PolicyDetails></RegistrationRes>