174.129.122.238
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>09/18/2016</StartDate>
  <EndDate>01/17/2017</EndDate>
  <DestinationPlan>India</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Michael</Firstname>
    <Middlename>S</Middlename>
    <Lastname>Capaldo</Lastname>
    <Age>33</Age>
    <Dob>04/24/1983</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Thalita</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Forray</Lastname>
    <Age>26</Age>
    <Dob>01/06/1990</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>09/18/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Unit 2 - 2042 Bayswater street</Address1>
      <Address2/>
      <Country>Canada</Country>
      <State>British Columbia</State>
      <City>Vancouver</City>
      <Postcode>V6K 4A8</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>mikecapaldo@hotmail.com</Email>
    <Phone>
      <Home>7788797370</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Christi Pope</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4789011102153802</CreditcardNumber>
      <NameonCreditcard>Michael Capaldo</NameonCreditcard>
      <CreditcardExpirationMonth>8</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>247.66</CreditcardAmount>
      <CreditcardCodeNumber>170</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
bc7163d0
627afe2c
ARS-01-0029397
ARS-01-0029398
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0029397</PolicyNumber><UserName>bc7163d0</UserName><Password>bc7163d0</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0029398</PolicyNumber><UserName>627afe2c</UserName><Password>627afe2c</Password></PolicyDetails></RegistrationRes>