184.72.211.106
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>500</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>09/03/2016</StartDate>
  <EndDate>09/05/2016</EndDate>
  <DestinationPlan>Dominican Republic</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Ana</Firstname>
    <Middlename>E</Middlename>
    <Lastname>Guzman</Lastname>
    <Age>53</Age>
    <Dob>09/16/1962</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Gabino</Firstname>
    <Middlename>L</Middlename>
    <Lastname>Guzman Jr</Lastname>
    <Age>34</Age>
    <Dob>01/20/1982</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>09/03/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>2170 University Ave Apt 2L</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>New York</State>
      <City>Bronx</City>
      <Postcode>10453</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>cemeve@hotmail.com</Email>
    <Phone>
      <Home>6463812604</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Gabino Guzman Sr</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5524330793274264</CreditcardNumber>
      <NameonCreditcard>Ana E Guzman</NameonCreditcard>
      <CreditcardExpirationMonth>6</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>18.45</CreditcardAmount>
      <CreditcardCodeNumber>415</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
18e2635c
fd8b6816
ARS-01-0029344
ARS-01-0029345
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0029344</PolicyNumber><UserName>18e2635c</UserName><Password>18e2635c</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0029345</PolicyNumber><UserName>fd8b6816</UserName><Password>fd8b6816</Password></PolicyDetails></RegistrationRes>