54.87.230.228
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>08/12/2016</StartDate>
  <EndDate>08/28/2016</EndDate>
  <DestinationPlan>Spain</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Klaas</Firstname>
    <Middlename>E</Middlename>
    <Lastname>Max</Lastname>
    <Age>41</Age>
    <Dob>02/10/1975</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Juan Carlos</Firstname>
    <Middlename/>
    <Lastname>Fuentes Rosales</Lastname>
    <Age>45</Age>
    <Dob>03/10/1971</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>08/12/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>5 Tudor City Place, Apt. 212</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>New York</State>
      <City>New York</City>
      <Postcode>10017</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>klaas.max@web.de</Email>
    <Phone>
      <Home>3478827219</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Juan Carlos Fuentes Rosales // Klaas Edzard Adriaan Max</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Significant other</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4266841421858448</CreditcardNumber>
      <NameonCreditcard>Klaas E Max</NameonCreditcard>
      <CreditcardExpirationMonth>4</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>51.0</CreditcardAmount>
      <CreditcardCodeNumber>944</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
66146ded
5dd41f31
ARS-01-0028830
ARS-01-0028831
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0028830</PolicyNumber><UserName>66146ded</UserName><Password>66146ded</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0028831</PolicyNumber><UserName>5dd41f31</UserName><Password>5dd41f31</Password></PolicyDetails></RegistrationRes>