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>12/24/2016</StartDate>
  <EndDate>01/08/2017</EndDate>
  <DestinationPlan>Netherlands</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Rabinarayan </Firstname>
    <Middlename/>
    <Lastname>Gupta</Lastname>
    <Age>29</Age>
    <Dob>01/11/1987</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/24/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>2231 Mclaughlin Avenue</Address1>
      <Address2>Apt 2</Address2>
      <Country>India</Country>
      <State/>
      <City>San Jose</City>
      <Postcode>95122</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>rabigupta87@gmail.com</Email>
    <Phone>
      <Home>6692430404</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Amol Patange</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Friends</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4229665000005931</CreditcardNumber>
      <NameonCreditcard>Rabinarayan   Gupta</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>19.84</CreditcardAmount>
      <CreditcardCodeNumber>728</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
a0cf7e6b
ARS-02-0030495
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0030495</PolicyNumber><UserName>a0cf7e6b</UserName><Password>a0cf7e6b</Password></PolicyDetails></RegistrationRes>