54.160.242.53
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>10/10/2014</StartDate>
  <EndDate>10/15/2014</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Kristine</Firstname>
    <Middlename/>
    <Lastname>Ayesiga</Lastname>
    <Age>36</Age>
    <Dob>12/23/1977</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>10/10/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>196 Wightman Road</Address1>
      <Address2></Address2>
      <Country>United Kingdom</Country>
      <State></State>
      <City>Hornsey London</City>
      <Postcode>N8OBU</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>gkashambuzi@yahoo.com</Email>
    <Phone>
      <Home>9146996132</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName></AdDBeneficiaryName>
    <AdDBeneficiaryRelationship></AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4616570047863535</CreditcardNumber>
      <NameonCreditcard>Gertrude Kashambuzi</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2016</CreditcardExpirationYear>
      <CreditcardAmount>16.88</CreditcardAmount>
      <CreditcardCodeNumber>990</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
9456056f
ARS-02-0018367
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0018367</PolicyNumber><UserName>9456056f</UserName><Password>9456056f</Password></PolicyDetails></RegistrationRes>