174.129.122.238
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>09/03/2016</StartDate>
  <EndDate>09/05/2016</EndDate>
  <DestinationPlan>Bermuda</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Julian</Firstname>
    <Middlename/>
    <Lastname>Gilchrisit</Lastname>
    <Age>35</Age>
    <Dob>05/26/1981</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Catherine</Firstname>
    <Middlename>J</Middlename>
    <Lastname>Woodin</Lastname>
    <Age>34</Age>
    <Dob>03/08/1982</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>09/03/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>152 W 75th St</Address1>
      <Address2>2A</Address2>
      <Country>United States</Country>
      <State>New York</State>
      <City>New York</City>
      <Postcode>10023</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>julian.gilchrist@gmail.com</Email>
    <Phone>
      <Home>6463848893</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5466160403274473</CreditcardNumber>
      <NameonCreditcard>Julian  Gilchrisit</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>13.5</CreditcardAmount>
      <CreditcardCodeNumber>081</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
2495f2d3
849182e8
ARS-01-0029340
ARS-01-0029341
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0029340</PolicyNumber><UserName>2495f2d3</UserName><Password>2495f2d3</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0029341</PolicyNumber><UserName>849182e8</UserName><Password>849182e8</Password></PolicyDetails></RegistrationRes>