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>10/31/2017</StartDate>
  <EndDate>01/01/2018</EndDate>
  <DestinationPlan>Taiwan</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Quentin</Firstname>
    <Middlename/>
    <Lastname>Hassan Omar</Lastname>
    <Age>22</Age>
    <Dob>04/12/1995</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>10/31/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>3341 rue saint-paul</Address1>
      <Address2/>
      <Country>Canada</Country>
      <State>Quebec</State>
      <City>Repentigny</City>
      <Postcode>j5z4c7</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>quentin.hassan@mit.jobs</Email>
    <Phone>
      <Home>14506545778</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Ramzi Hassan Omar</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Father</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4540310523300012</CreditcardNumber>
      <NameonCreditcard>Quentin  Hassan Omar</NameonCreditcard>
      <CreditcardExpirationMonth>12</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>47.88</CreditcardAmount>
      <CreditcardCodeNumber>880</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
98962bf6
ARS-01-0037670
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0037670</PolicyNumber><UserName>98962bf6</UserName><Password>98962bf6</Password></PolicyDetails></RegistrationRes>