54.167.122.208
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>10/05/2014</StartDate>
  <EndDate>10/11/2014</EndDate>
  <DestinationPlan>Cayman Islands</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>willy</Firstname>
    <Middlename>v</Middlename>
    <Lastname>giger</Lastname>
    <Age>61</Age>
    <Dob>02/07/1953</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>10/05/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Block 9 Lot 9 Savannah Glen E 3 </Address1>
      <Address2>Abilay Norte - Oton</Address2>
      <Country>Philippines</Country>
      <State></State>
      <City>Iloilo City</City>
      <Postcode>5020</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>willygiger@hotmail.com</Email>
    <Phone>
      <Home>639204291384</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Bena Barredo</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Fiance</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5140116100005960</CreditcardNumber>
      <NameonCreditcard>willy v giger</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>33.46</CreditcardAmount>
      <CreditcardCodeNumber>640</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
e733d7e4
ARS-02-0018316
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0018316</PolicyNumber><UserName>e733d7e4</UserName><Password>e733d7e4</Password></PolicyDetails></RegistrationRes>