174.129.122.238
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>09/01/2016</StartDate>
  <EndDate>09/11/2016</EndDate>
  <DestinationPlan>Australia</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Maria</Firstname>
    <Middlename/>
    <Lastname>Nowak</Lastname>
    <Age>24</Age>
    <Dob>05/29/1992</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>09/01/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>3545 N Pulaski Rd </Address1>
      <Address2>Apt 301</Address2>
      <Country>United States</Country>
      <State>Illinois</State>
      <City>Chicago</City>
      <Postcode>60641</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>PPLLAAZZMMAA@GMAIL.COM</Email>
    <Phone>
      <Home>3124591851</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4775402900121024</CreditcardNumber>
      <NameonCreditcard>Maria Nowak</NameonCreditcard>
      <CreditcardExpirationMonth>2</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>8.36</CreditcardAmount>
      <CreditcardCodeNumber>443</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
fa33d0b2
ARS-01-0029297
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0029297</PolicyNumber><UserName>fa33d0b2</UserName><Password>fa33d0b2</Password></PolicyDetails></RegistrationRes>