54.221.58.28
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>09/08/2014</StartDate>
  <EndDate>02/01/2015</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Furmit</Firstname>
    <Middlename/>
    <Lastname>Kaur</Lastname>
    <Age>62</Age>
    <Dob>08/15/1952</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>09/08/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Vill. Alamgir </Address1>
      <Address2>Po Kala Bakra </Address2>
      <Country>India</Country>
      <State></State>
      <City>Dist. Jalandar Punjab</City>
      <Postcode>Punjab</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>c_bansi@hotmail.com</Email>
    <Phone>
      <Home>8057661246</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName></AdDBeneficiaryName>
    <AdDBeneficiaryRelationship></AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4217661497216952</CreditcardNumber>
      <NameonCreditcard>Charnjit Bansi</NameonCreditcard>
      <CreditcardExpirationMonth>6</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2015</CreditcardExpirationYear>
      <CreditcardAmount>702.66</CreditcardAmount>
      <CreditcardCodeNumber>257</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
f0093a4b
ARS-02-0018013
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0018013</PolicyNumber><UserName>f0093a4b</UserName><Password>f0093a4b</Password></PolicyDetails></RegistrationRes>