52.91.53.224
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>01/13/2016</StartDate>
  <EndDate>02/03/2016</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Constanza</Firstname>
    <Middlename>a</Middlename>
    <Lastname>Castro Rocha</Lastname>
    <Age>25</Age>
    <Dob>12/04/1990</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>01/13/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Carlos Dias 97 House 3</Address1>
      <Address2/>
      <Country>Chile</Country>
      <State/>
      <City>Los Andes</City>
      <Postcode>2100000</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>constanza.castro.rocha@outlook.com</Email>
    <Phone>
      <Home>1156342428631</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4256280010129394</CreditcardNumber>
      <NameonCreditcard>Emilio G Castro</NameonCreditcard>
      <CreditcardExpirationMonth>7</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>30.36</CreditcardAmount>
      <CreditcardCodeNumber>181</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
b74b5c5c
ARS-02-0024306
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0024306</PolicyNumber><UserName>b74b5c5c</UserName><Password>b74b5c5c</Password></PolicyDetails></RegistrationRes>