54.234.136.133
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>09/05/2015</StartDate>
  <EndDate>09/07/2015</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>emily</Firstname>
    <Middlename>l</Middlename>
    <Lastname>medrano</Lastname>
    <Age>42</Age>
    <Dob>12/01/1972</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>jodie avianna</Firstname>
    <Middlename>l</Middlename>
    <Lastname>medrano</Lastname>
    <Age>12</Age>
    <Dob>04/08/2003</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>09/05/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>suite 105-32 st. dennis drive</Address1>
      <Address2/>
      <Country>Canada</Country>
      <State>Ontario</State>
      <City>north york</City>
      <Postcode>m3c 1g5</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>yayingllaneta@yahoo.com</Email>
    <Phone>
      <Home>6479950332</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>marco lian l. medrano</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Child</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5446122232795941</CreditcardNumber>
      <NameonCreditcard>odilon d. medrano</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>20.15</CreditcardAmount>
      <CreditcardCodeNumber>360</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
01940724
5efd9a99
ARS-02-0022946
ARS-02-0022947
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0022946</PolicyNumber><UserName>01940724</UserName><Password>01940724</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0022947</PolicyNumber><UserName>5efd9a99</UserName><Password>5efd9a99</Password></PolicyDetails></RegistrationRes>