52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>11/04/2017</StartDate>
  <EndDate>11/11/2017</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Johanna Filzura</Firstname>
    <Middlename/>
    <Lastname>MASETTO</Lastname>
    <Age>11</Age>
    <Dob>06/24/2006</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/04/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Peninsula Phase 1, Building 3, Apartment 7B</Address1>
      <Address2>Shekou District</Address2>
      <Country>China</Country>
      <State/>
      <City>Shenzhen</City>
      <Postcode>518067</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>franck.masetto@tgv-international.com</Email>
    <Phone>
      <Home>8613824387107</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4979440433272397</CreditcardNumber>
      <NameonCreditcard>Johanna Filzura  MASETTO</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>9.84</CreditcardAmount>
      <CreditcardCodeNumber>116</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
d9b6e290
ARS-02-0037652
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0037652</PolicyNumber><UserName>d9b6e290</UserName><Password>d9b6e290</Password></PolicyDetails></RegistrationRes>