52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>12/05/2016</StartDate>
  <EndDate>12/16/2016</EndDate>
  <DestinationPlan>Israel</DestinationPlan>
  <NoOfApplicants>4</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>DORA</Firstname>
    <Middlename>M</Middlename>
    <Lastname>CARBALLO</Lastname>
    <Age>63</Age>
    <Dob>05/30/1953</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>BLANCA</Firstname>
    <Middlename/>
    <Lastname>ORTIZ</Lastname>
    <Age>58</Age>
    <Dob>06/17/1958</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>YOLANDA</Firstname>
    <Middlename/>
    <Lastname>VILLATORO</Lastname>
    <Age>56</Age>
    <Dob>09/11/1960</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>BLANCA</Firstname>
    <Middlename/>
    <Lastname>BONILLA</Lastname>
    <Age>64</Age>
    <Dob>05/31/1952</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/05/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>14164 SW 150 AVE </Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Florida</State>
      <City>MIAMI</City>
      <Postcode>33196</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>dcarbal@aol.com</Email>
    <Phone>
      <Home>7869429974</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>CHRISTOPHER CARBALLO</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Son</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5148875075846342</CreditcardNumber>
      <NameonCreditcard>DORA M CARBALLO</NameonCreditcard>
      <CreditcardExpirationMonth>9</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>140.4</CreditcardAmount>
      <CreditcardCodeNumber>855</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
991cd99f
c7423a59
f356c2bc
80445815
ARS-01-0030911
ARS-01-0030912
ARS-01-0030913
ARS-01-0030914
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0030911</PolicyNumber><UserName>991cd99f</UserName><Password>991cd99f</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0030912</PolicyNumber><UserName>c7423a59</UserName><Password>c7423a59</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0030913</PolicyNumber><UserName>f356c2bc</UserName><Password>f356c2bc</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0030914</PolicyNumber><UserName>80445815</UserName><Password>80445815</Password></PolicyDetails></RegistrationRes>