52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>10/22/2017</StartDate>
  <EndDate>02/23/2018</EndDate>
  <DestinationPlan>Germany</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Jan</Firstname>
    <Middlename/>
    <Lastname>Pfiffer</Lastname>
    <Age>35</Age>
    <Dob>02/25/1982</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>10/22/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Rua Dr Gabriel dos Santos 225</Address1>
      <Address2>apt 71</Address2>
      <Country>Brazil</Country>
      <State/>
      <City>Sao Paulo</City>
      <Postcode>01231011</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>janpfiffer@yahoo.com.br</Email>
    <Phone>
      <Home>5511993262117</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>376449362243011</CreditcardNumber>
      <NameonCreditcard>Jan  Pfiffer</NameonCreditcard>
      <CreditcardExpirationMonth>12</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>112.5</CreditcardAmount>
      <CreditcardCodeNumber>8768</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
4d6e59e9
ARS-01-0037506
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0037506</PolicyNumber><UserName>4d6e59e9</UserName><Password>4d6e59e9</Password></PolicyDetails></RegistrationRes>