34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>11/03/2017</StartDate>
  <EndDate>11/13/2017</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Livia</Firstname>
    <Middlename>C</Middlename>
    <Lastname>Pereira</Lastname>
    <Age>27</Age>
    <Dob>02/21/1990</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Felippe</Firstname>
    <Middlename>N</Middlename>
    <Lastname>Rocha</Lastname>
    <Age>27</Age>
    <Dob>10/21/1990</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/03/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Estrada da Agua Grande 303</Address1>
      <Address2>Bloco 2, Ap 701</Address2>
      <Country>Brazil</Country>
      <State/>
      <City>Rio de Janeiro</City>
      <Postcode>21230362</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>squaremouth@nardi.me</Email>
    <Phone>
      <Home>5521985762734</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4859107398512902</CreditcardNumber>
      <NameonCreditcard>Felippe N Rocha</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>27.28</CreditcardAmount>
      <CreditcardCodeNumber>826</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
a866010c
f41b216c
ARS-02-0037712
ARS-02-0037713
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0037712</PolicyNumber><UserName>a866010c</UserName><Password>a866010c</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0037713</PolicyNumber><UserName>f41b216c</UserName><Password>f41b216c</Password></PolicyDetails></RegistrationRes>