52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>08/25/2017</StartDate>
  <EndDate>09/07/2017</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Thiago</Firstname>
    <Middlename>R</Middlename>
    <Lastname>Bergamaschi</Lastname>
    <Age>18</Age>
    <Dob>01/03/1999</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>08/25/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Rua Jamaru, 176</Address1>
      <Address2>Condominio Vista Alegre</Address2>
      <Country>Brazil</Country>
      <State/>
      <City>Vinhedo</City>
      <Postcode>13285-048</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>tigbergamaschi@gmail.com</Email>
    <Phone>
      <Home>5519999320960</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Reinaldo A. Bergamaschi</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Father</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5466160317806741</CreditcardNumber>
      <NameonCreditcard>Reinaldo A Bergamaschi</NameonCreditcard>
      <CreditcardExpirationMonth>4</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>21.7</CreditcardAmount>
      <CreditcardCodeNumber>901</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
d1d7cfc1
ARS-02-0036579
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0036579</PolicyNumber><UserName>d1d7cfc1</UserName><Password>d1d7cfc1</Password></PolicyDetails></RegistrationRes>