34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>08/16/2017</StartDate>
  <EndDate>08/28/2017</EndDate>
  <DestinationPlan>United Kingdom</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Darelle</Firstname>
    <Middlename/>
    <Lastname>Quinones</Lastname>
    <Age>29</Age>
    <Dob>03/24/1988</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>08/16/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>3243 Irwin Avenue #1B</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>New York</State>
      <City>Bronx</City>
      <Postcode>10463</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>darelle.quinones@gmail.com</Email>
    <Phone>
      <Home>9174349099</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5451984694874817</CreditcardNumber>
      <NameonCreditcard>Darelle  Quinones</NameonCreditcard>
      <CreditcardExpirationMonth>2</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>12.35</CreditcardAmount>
      <CreditcardCodeNumber>506</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
70fe760e
ARS-01-0036370
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0036370</PolicyNumber><UserName>70fe760e</UserName><Password>70fe760e</Password></PolicyDetails></RegistrationRes>