54.198.247.239
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>08/29/2014</StartDate>
  <EndDate>09/27/2014</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Marina</Firstname>
    <Middlename/>
    <Lastname>Qutamy</Lastname>
    <Age>54</Age>
    <Dob>10/22/1959</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>George</Firstname>
    <Middlename/>
    <Lastname>Batshon</Lastname>
    <Age>63</Age>
    <Dob>06/02/1951</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>08/29/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>PO Box 625</Address1>
      <Address2></Address2>
      <Country>Jordan</Country>
      <State></State>
      <City>Amman</City>
      <Postcode>11118</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>hussamb@yahoo.com</Email>
    <Phone>
      <Home>96265164782</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Hussam Batshon</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Son</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4036902108718922</CreditcardNumber>
      <NameonCreditcard>Hussam Batshon</NameonCreditcard>
      <CreditcardExpirationMonth>3</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>264.9</CreditcardAmount>
      <CreditcardCodeNumber>123</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
e0d7847d
8925274f
ARS-02-0017778
ARS-02-0017779
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0017778</PolicyNumber><UserName>e0d7847d</UserName><Password>e0d7847d</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0017779</PolicyNumber><UserName>8925274f</UserName><Password>8925274f</Password></PolicyDetails></RegistrationRes>