52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>09/15/2017</StartDate>
  <EndDate>10/05/2017</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>INGRID</Firstname>
    <Middlename>Y</Middlename>
    <Lastname>PEREZ</Lastname>
    <Age>42</Age>
    <Dob>05/27/1975</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>09/15/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>SAN AGUSTIN SUR, RESD JARDIN BOTANICO, BUCARE, 23B</Address1>
      <Address2/>
      <Country>Venezuela</Country>
      <State/>
      <City>CARACAS</City>
      <Postcode>1010</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>ingridyanethperez@gmail.com</Email>
    <Phone>
      <Home>584166317673</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>JAVIER SILVA</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse's child</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5312600005386585</CreditcardNumber>
      <NameonCreditcard>INGRID YANETH PEREZ</NameonCreditcard>
      <CreditcardExpirationMonth>9</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>51.45</CreditcardAmount>
      <CreditcardCodeNumber>736</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
196bd0df
ARS-02-0036905
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0036905</PolicyNumber><UserName>196bd0df</UserName><Password>196bd0df</Password></PolicyDetails></RegistrationRes>