52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>500</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>12/21/2017</StartDate>
  <EndDate>01/03/2018</EndDate>
  <DestinationPlan>Oman</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Marcel</Firstname>
    <Middlename/>
    <Lastname>Blonk</Lastname>
    <Age>54</Age>
    <Dob>05/20/1963</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Angela</Firstname>
    <Middlename/>
    <Lastname>Liu</Lastname>
    <Age>55</Age>
    <Dob>12/10/1962</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/21/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>20 Howell Dr</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>New Jersey</State>
      <City>West Orange</City>
      <Postcode>07052</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>squaremouth@blonk.org</Email>
    <Phone>
      <Home>2066194312</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147099309620100</CreditcardNumber>
      <NameonCreditcard>Marcel  Blonk</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>77.62</CreditcardAmount>
      <CreditcardCodeNumber>644</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
6c40feef
51f485f3
ARS-01-0037744
ARS-01-0037745
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0037744</PolicyNumber><UserName>6c40feef</UserName><Password>6c40feef</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0037745</PolicyNumber><UserName>51f485f3</UserName><Password>51f485f3</Password></PolicyDetails></RegistrationRes>