52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>09/08/2017</StartDate>
  <EndDate>09/17/2017</EndDate>
  <DestinationPlan>Denmark</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Helle</Firstname>
    <Middlename/>
    <Lastname>Groothaert Jensen</Lastname>
    <Age>34</Age>
    <Dob>12/12/1982</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Zoe</Firstname>
    <Middlename/>
    <Lastname>Groothaert</Lastname>
    <Age>1</Age>
    <Dob>02/12/2016</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>09/08/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>5431 42nd Ave SW</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Washington</State>
      <City>Seattle</City>
      <Postcode>98136</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>hellejensen@fastmail.fm</Email>
    <Phone>
      <Home>4155723339</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Alexander Groothaert</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147202290895075</CreditcardNumber>
      <NameonCreditcard>Helle  Groothaert Jensen</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>16.0</CreditcardAmount>
      <CreditcardCodeNumber>142</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
4cb07442
86fc343f
ARS-01-0036850
ARS-01-0036851
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0036850</PolicyNumber><UserName>4cb07442</UserName><Password>4cb07442</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0036851</PolicyNumber><UserName>86fc343f</UserName><Password>86fc343f</Password></PolicyDetails></RegistrationRes>