54.160.242.53
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>11/21/2014</StartDate>
  <EndDate>12/15/2014</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Esther-Magaly</Firstname>
    <Middlename/>
    <Lastname>Udiel-Salgado</Lastname>
    <Age>33</Age>
    <Dob>02/03/1981</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/21/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Ciudad.Sandino.de.la.ajuga.del.portion.principal.de.la.colonia.de.santa.eduviges.1/c</Address1>
      <Address2>abajo.25.varas.al.lago.pulperia.Udiel.Salgado</Address2>
      <Country>Nicaragua</Country>
      <State></State>
      <City>Sandino</City>
      <Postcode>00000</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>estherudiel@hotmail.com</Email>
    <Phone>
      <Home>50522691766</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Juan.Udiel.Larios</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Father</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4737029034292103</CreditcardNumber>
      <NameonCreditcard>Esther M Udiel-Salgado</NameonCreditcard>
      <CreditcardExpirationMonth>8</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>47.0</CreditcardAmount>
      <CreditcardCodeNumber>751</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
918b02ae
ARS-02-0018744
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0018744</PolicyNumber><UserName>918b02ae</UserName><Password>918b02ae</Password></PolicyDetails></RegistrationRes>