184.72.211.106
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>50000</MaximumLimit>
  <StartDate>11/14/2016</StartDate>
  <EndDate>03/22/2017</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>kenneth</Firstname>
    <Middlename>a</Middlename>
    <Lastname>robinson</Lastname>
    <Age>74</Age>
    <Dob>11/27/1941</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>patricia</Firstname>
    <Middlename>a</Middlename>
    <Lastname>robinson</Lastname>
    <Age>74</Age>
    <Dob>08/28/1942</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/14/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>#515-133 matheson ave e</Address1>
      <Address2/>
      <Country>Canada</Country>
      <State>Manitoba</State>
      <City>winnipeg</City>
      <Postcode>r2w 5m7</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>pinawapa@hotmail.com</Email>
    <Phone>
      <Home>2046155940</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5316363610099533</CreditcardNumber>
      <NameonCreditcard>kenneth a robinson</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>1857.6</CreditcardAmount>
      <CreditcardCodeNumber>286</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
bac0343d
c96ed3b9
ARS-02-0030230
ARS-02-0030231
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0030230</PolicyNumber><UserName>bac0343d</UserName><Password>bac0343d</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0030231</PolicyNumber><UserName>c96ed3b9</UserName><Password>c96ed3b9</Password></PolicyDetails></RegistrationRes>