34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>09/28/2017</StartDate>
  <EndDate>02/01/2018</EndDate>
  <DestinationPlan>Ecuador</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>COLLEEN</Firstname>
    <Middlename>C</Middlename>
    <Lastname>NARLOCK</Lastname>
    <Age>26</Age>
    <Dob>08/12/1991</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>09/28/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>410/163 INKERMAN ST</Address1>
      <Address2/>
      <Country>Australia</Country>
      <State/>
      <City>ST KILDA VIC</City>
      <Postcode>3182</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>JCLING10@GMAIL.COM</Email>
    <Phone>
      <Home>593983436229</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>JEANETTE NARLOCK</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4388576045840991</CreditcardNumber>
      <NameonCreditcard>COLLEEN C NARLOCK</NameonCreditcard>
      <CreditcardExpirationMonth>3</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>150.81</CreditcardAmount>
      <CreditcardCodeNumber>153</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
78bbf162
ARS-01-0037183
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0037183</PolicyNumber><UserName>78bbf162</UserName><Password>78bbf162</Password></PolicyDetails></RegistrationRes>