52.91.53.224
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>12/23/2015</StartDate>
  <EndDate>01/11/2016</EndDate>
  <DestinationPlan>Sweden</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Chanelle</Firstname>
    <Middlename/>
    <Lastname>Le Roux </Lastname>
    <Age>26</Age>
    <Dob>04/20/1989</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/23/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Unit 21</Address1>
      <Address2>14 Broadway</Address2>
      <Country>South Africa</Country>
      <State/>
      <City>Glenelg South</City>
      <Postcode>5045</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>chanelleleroux@yahoo.com</Email>
    <Phone>
      <Home>0450002483</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4239549006368105</CreditcardNumber>
      <NameonCreditcard>Chanelle  Le Roux </NameonCreditcard>
      <CreditcardExpirationMonth>2</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>27.6</CreditcardAmount>
      <CreditcardCodeNumber>464</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
5f7c1e2c
ARS-02-0023722
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0023722</PolicyNumber><UserName>5f7c1e2c</UserName><Password>5f7c1e2c</Password></PolicyDetails></RegistrationRes>