54.221.58.28
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>1000</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>09/13/2014</StartDate>
  <EndDate>10/25/2014</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Fekadu</Firstname>
    <Middlename>W</Middlename>
    <Lastname>Tekile</Lastname>
    <Age>65</Age>
    <Dob>09/11/1949</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>09/13/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Wereda 11</Address1>
      <Address2>Kolfe Keranyo</Address2>
      <Country>Ethiopia</Country>
      <State></State>
      <City>addis ababa</City>
      <Postcode>none</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>audyvn@yahoo.com</Email>
    <Phone>
      <Home>15092220049</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Werkenesh Novoa</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Child</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4465420192773489</CreditcardNumber>
      <NameonCreditcard>Audy V Novoa</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2015</CreditcardExpirationYear>
      <CreditcardAmount>260.06</CreditcardAmount>
      <CreditcardCodeNumber>237</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
a5c9df0f
ARS-02-0018089
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0018089</PolicyNumber><UserName>a5c9df0f</UserName><Password>a5c9df0f</Password></PolicyDetails></RegistrationRes>