52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>1100000</MaximumLimit>
  <StartDate>09/23/2017</StartDate>
  <EndDate>10/07/2017</EndDate>
  <DestinationPlan>Portugal</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Richard</Firstname>
    <Middlename>J</Middlename>
    <Lastname>Acevedo</Lastname>
    <Age>51</Age>
    <Dob>06/06/1966</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Solivette</Firstname>
    <Middlename/>
    <Lastname>Maldonado</Lastname>
    <Age>50</Age>
    <Dob>12/21/1966</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>09/23/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>51 Eagan Ave</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>New York</State>
      <City>Staten Island</City>
      <Postcode>10312</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>iraqsurvivor06@yahoo.com</Email>
    <Phone>
      <Home>7189163830</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Olivia Rivera</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Daughter</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4563670214019102</CreditcardNumber>
      <NameonCreditcard>Richard J Acevedo</NameonCreditcard>
      <CreditcardExpirationMonth>8</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>94.2</CreditcardAmount>
      <CreditcardCodeNumber>022</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
82299df2
9421e641
ARS-01-0037068
ARS-01-0037069
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0037068</PolicyNumber><UserName>82299df2</UserName><Password>82299df2</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0037069</PolicyNumber><UserName>9421e641</UserName><Password>9421e641</Password></PolicyDetails></RegistrationRes>