54.160.242.53
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>2500</DeductibleAmount>
  <MaximumLimit>50000</MaximumLimit>
  <StartDate>11/27/2014</StartDate>
  <EndDate>02/26/2015</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Izet</Firstname>
    <Middlename/>
    <Lastname>Haznadar</Lastname>
    <Age>73</Age>
    <Dob>03/19/1941</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Umihana</Firstname>
    <Middlename/>
    <Lastname>Haznadar</Lastname>
    <Age>71</Age>
    <Dob>02/11/1943</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/27/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>40 Rifata Burdzovica</Address1>
      <Address2></Address2>
      <Country>Serbia</Country>
      <State></State>
      <City>Priboj</City>
      <Postcode>31330</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>lhaznadar@hotmail.com</Email>
    <Phone>
      <Home>7575537603</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Lejla Haznadar</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Daughter</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4313073837722793</CreditcardNumber>
      <NameonCreditcard>Adel Terzic</NameonCreditcard>
      <CreditcardExpirationMonth>2</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>1045.86</CreditcardAmount>
      <CreditcardCodeNumber>953</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
5a197246
922ab926
ARS-02-0018807
ARS-02-0018808
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0018807</PolicyNumber><UserName>5a197246</UserName><Password>5a197246</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0018808</PolicyNumber><UserName>922ab926</UserName><Password>922ab926</Password></PolicyDetails></RegistrationRes>