52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>2500</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>12/23/2016</StartDate>
  <EndDate>01/23/2017</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Manju</Firstname>
    <Middlename/>
    <Lastname>Kumar</Lastname>
    <Age>66</Age>
    <Dob>04/07/1950</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/23/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>6A Shankaralaya, Sai Amrut Gold City</Address1>
      <Address2>Paithan Road</Address2>
      <Country>India</Country>
      <State/>
      <City>Aurangabad</City>
      <Postcode>431005</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>ckumaronline@yahoo.com</Email>
    <Phone>
      <Home>7604773976</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Chetan Kumar</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Child</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4100390500643719</CreditcardNumber>
      <NameonCreditcard>Chetan Kumar</NameonCreditcard>
      <CreditcardExpirationMonth>7</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>116.48</CreditcardAmount>
      <CreditcardCodeNumber>330</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
57be6cf1
ARS-02-0031360
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0031360</PolicyNumber><UserName>57be6cf1</UserName><Password>57be6cf1</Password></PolicyDetails></RegistrationRes>