184.72.211.106
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>1100000</MaximumLimit>
  <StartDate>09/28/2016</StartDate>
  <EndDate>10/03/2016</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Alexander</Firstname>
    <Middlename/>
    <Lastname>Barroca</Lastname>
    <Age>27</Age>
    <Dob>03/05/1989</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>09/28/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>6 Wigmore Court</Address1>
      <Address2>Apt 200</Address2>
      <Country>Canada</Country>
      <State>Newfoundland</State>
      <City>St Johns</City>
      <Postcode>a1b 4a9</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>alexander.barroca@mail.mcgill.ca</Email>
    <Phone>
      <Home>5146964482</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Allison Knowles</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4685631801930203</CreditcardNumber>
      <NameonCreditcard>Alexander  Barroca</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>17.85</CreditcardAmount>
      <CreditcardCodeNumber>956</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
210f537e
ARS-02-0029636
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0029636</PolicyNumber><UserName>210f537e</UserName><Password>210f537e</Password></PolicyDetails></RegistrationRes>