34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>100</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>08/27/2017</StartDate>
  <EndDate>09/10/2017</EndDate>
  <DestinationPlan>Trinidad and Tobago</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Jair</Firstname>
    <Middlename>J</Middlename>
    <Lastname>Tjon En Fa</Lastname>
    <Age>23</Age>
    <Dob>10/19/1993</Dob>
    <Gender>Male</Gender>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>08/27/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>7855 W 10th Av</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Florida</State>
      <City>Hialeah</City>
      <Postcode>33014</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>epfrankel@yahoo.com</Email>
    <Phone>
      <Home>7863971607</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Deborah Leckie</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5440280218279680</CreditcardNumber>
      <NameonCreditcard>Frankel Eddy P</NameonCreditcard>
      <CreditcardExpirationMonth>12</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>16.3</CreditcardAmount>
      <CreditcardCodeNumber>488</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
c22de3f5
ARS-01-0036573
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0036573</PolicyNumber><UserName>c22de3f5</UserName><Password>c22de3f5</Password></PolicyDetails></RegistrationRes>