54.90.161.130
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>08/13/2015</StartDate>
  <EndDate>08/20/2015</EndDate>
  <DestinationPlan>France</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Teoni</Firstname>
    <Middlename>J</Middlename>
    <Lastname>Petterwood</Lastname>
    <Age>17</Age>
    <Dob>09/01/1997</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>08/13/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>25 Cessnock close</Address1>
      <Address2>Mermaid Waters</Address2>
      <Country>Australia</Country>
      <State/>
      <City>Gold Coast</City>
      <Postcode>4218 </Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>Teoni.petterwood@hotmil.com</Email>
    <Phone>
      <Home>0414414402</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Anthony Petterwood</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Father</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5237480859510081</CreditcardNumber>
      <NameonCreditcard>Teoni J Petterwood</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>6.8</CreditcardAmount>
      <CreditcardCodeNumber>561</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
c734a7d4
ARS-01-0022655
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0022655</PolicyNumber><UserName>c734a7d4</UserName><Password>c734a7d4</Password></PolicyDetails></RegistrationRes>