34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>100</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>01/04/2018</StartDate>
  <EndDate>02/02/2018</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Diana</Firstname>
    <Middlename/>
    <Lastname>Ramos Batista</Lastname>
    <Age>46</Age>
    <Dob>10/13/1971</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>01/04/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Av Senador Teotonio Vilela 4029 Bloco 15 A apt 33</Address1>
      <Address2>Jordanopolis</Address2>
      <Country>Brazil</Country>
      <State/>
      <City>Sao Paulo</City>
      <Postcode>04833-001</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>athaydk@gmail.com</Email>
    <Phone>
      <Home>5511986476437</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Cleonice Ramos Batista</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5451984690936834</CreditcardNumber>
      <NameonCreditcard>Kelly A Wirka</NameonCreditcard>
      <CreditcardExpirationMonth>3</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>80.85</CreditcardAmount>
      <CreditcardCodeNumber>901</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
f4118bc5
ARS-02-0038227
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0038227</PolicyNumber><UserName>f4118bc5</UserName><Password>f4118bc5</Password></PolicyDetails></RegistrationRes>