34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>100</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>10/30/2017</StartDate>
  <EndDate>11/14/2017</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>4</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>David</Firstname>
    <Middlename>J</Middlename>
    <Lastname>Dichupa</Lastname>
    <Age>69</Age>
    <Dob>09/25/1948</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Elaine </Firstname>
    <Middlename>T</Middlename>
    <Lastname>Dichupa</Lastname>
    <Age>67</Age>
    <Dob>06/30/1950</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Mary</Firstname>
    <Middlename>E</Middlename>
    <Lastname>Dichupa</Lastname>
    <Age>39</Age>
    <Dob>05/07/1978</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Elizabeth</Firstname>
    <Middlename>S</Middlename>
    <Lastname>Avila</Lastname>
    <Age>37</Age>
    <Dob>10/05/1980</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>10/30/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>2022 Dongon Street</Address1>
      <Address2/>
      <Country>Philippines</Country>
      <State/>
      <City>Manila</City>
      <Postcode>9678</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>jerrytrain@aol.com</Email>
    <Phone>
      <Home>8622527112</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Lily Alano</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Sister</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>376764227441000</CreditcardNumber>
      <NameonCreditcard>Lily DIchupa Alano</NameonCreditcard>
      <CreditcardExpirationMonth>7</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>240.76</CreditcardAmount>
      <CreditcardCodeNumber>0729</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
d24007c6
7260981a
7ac318c5
ba373351
ARS-02-0037628
ARS-02-0037629
ARS-02-0037630
ARS-02-0037631
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0037628</PolicyNumber><UserName>d24007c6</UserName><Password>d24007c6</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0037629</PolicyNumber><UserName>7260981a</UserName><Password>7260981a</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0037630</PolicyNumber><UserName>7ac318c5</UserName><Password>7ac318c5</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0037631</PolicyNumber><UserName>ba373351</UserName><Password>ba373351</Password></PolicyDetails></RegistrationRes>