34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>11/24/2017</StartDate>
  <EndDate>12/02/2017</EndDate>
  <DestinationPlan>Poland</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Edward</Firstname>
    <Middlename>P</Middlename>
    <Lastname>Cacho</Lastname>
    <Age>41</Age>
    <Dob>07/01/1976</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/24/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>C/0 HI Chicago Hostel 24 East Congress Parkway, Chicago, IL 60605</Address1>
      <Address2/>
      <Country>Philippines</Country>
      <State/>
      <City>Chicago</City>
      <Postcode>60605</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>edwardcacho2002@yahoo.com</Email>
    <Phone>
      <Home>09175814136</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5363432212502319</CreditcardNumber>
      <NameonCreditcard>Edward P Cacho</NameonCreditcard>
      <CreditcardExpirationMonth>12</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2026</CreditcardExpirationYear>
      <CreditcardAmount>13.5</CreditcardAmount>
      <CreditcardCodeNumber>868</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
98177cd8
ARS-01-0037700
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0037700</PolicyNumber><UserName>98177cd8</UserName><Password>98177cd8</Password></PolicyDetails></RegistrationRes>