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>08/31/2017</StartDate>
  <EndDate>09/06/2017</EndDate>
  <DestinationPlan>Maldives</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Samantha</Firstname>
    <Middlename/>
    <Lastname>Huncharek</Lastname>
    <Age>27</Age>
    <Dob>02/19/1990</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Vincent</Firstname>
    <Middlename/>
    <Lastname>Flores</Lastname>
    <Age>30</Age>
    <Dob>04/24/1987</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>08/31/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>278 Mott St</Address1>
      <Address2>Apt 5C</Address2>
      <Country>United States</Country>
      <State>New York</State>
      <City>New York</City>
      <Postcode>10012</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>vincent.s.flores@gmail.com</Email>
    <Phone>
      <Home>8176826399</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Isabelle Flores</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Sister</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147202270377268</CreditcardNumber>
      <NameonCreditcard>Vincent Flores</NameonCreditcard>
      <CreditcardExpirationMonth>8</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>14.53</CreditcardAmount>
      <CreditcardCodeNumber>112</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
9690f869
0b60ac88
ARS-01-0036689
ARS-01-0036690
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0036689</PolicyNumber><UserName>9690f869</UserName><Password>9690f869</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0036690</PolicyNumber><UserName>0b60ac88</UserName><Password>0b60ac88</Password></PolicyDetails></RegistrationRes>