146.20.67.235
<?xml version="1.0" encoding="UTF-8"?><RegistrationXML><Token>ab243872ea596a424d1d4179c640b827</Token><ReferenceId>ec10cffd</ReferenceId><PlanId>1</PlanId><UserIp>134.238.179.79</UserIp><DeductibleAmount>0</DeductibleAmount><MaximumLimit>60000</MaximumLimit><StartDate>09/28/2023</StartDate><EndDate>10/09/2023</EndDate><NoOfApplicants>1</NoOfApplicants><DestinationPlan>Belgium</DestinationPlan><PersonalInfo><Applicants><Applicant><Firstname>Grace Ananda</Firstname><Middlename></Middlename><Lastname>Muchtar</Lastname><Dob>11/08/1997</Dob><PassportNumber>C7655849</PassportNumber><Gender>Female</Gender><SportsRider>no</SportsRider></Applicant></Applicants></PersonalInfo><DepartureInfo><HomeCountryDepartureDate>09/28/2023</HomeCountryDepartureDate></DepartureInfo><ApplicantAddress><MailForwardingAddress><MailingName>Grace Muchtar</MailingName><Address1>4615 CENTER BLVD</Address1><Address2>APT 1409</Address2><Country>United States</Country><State>NY</State><City>LONG IS CITY</City><Postcode>11109-5754</Postcode></MailForwardingAddress><ResidenceAddress><Address1>4615 Center Boulevard</Address1><Address2>Apt 1409</Address2><Country>United States</Country><State>NY</State><City>Long Island City</City><Postcode>11109</Postcode></ResidenceAddress><BillingAddress><BillingAddress1>4615 CENTER BLVD</BillingAddress1><BillingAddress2>APT 1409</BillingAddress2><BillingCountry>United States</BillingCountry><BillingState>NY</BillingState><BillingCity>LONG IS CITY</BillingCity><BillingPostcode>11109-5754</BillingPostcode></BillingAddress><Phone><Phone1>+1-9178621728</Phone1></Phone><Email>grace.a.muchtar@gmail.com</Email></ApplicantAddress><Beneficiary><AdDBeneficiaryName>Joy Muchtar</AdDBeneficiaryName><AdDBeneficiaryRelationship>Sister</AdDBeneficiaryRelationship></Beneficiary><CitizenshipCountry>Indonesia</CitizenshipCountry><CourierCharges>no</CourierCharges><PaymentMethod><CreditCard><CreditcardType>AMEX</CreditcardType><CreditcardNumber>372656513686005</CreditcardNumber><Nameoncreditcard>Grace Muchtar</Nameoncreditcard><CreditcardExpirationMonth>7</CreditcardExpirationMonth><CreditcardExpirationYear>2027</CreditcardExpirationYear><CreditcardAmount>12.0</CreditcardAmount><CreditcardCodeNumber>5866</CreditcardCodeNumber></CreditCard></PaymentMethod></RegistrationXML>
------------Response---------------
bc33b640
691802197431

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>ec10cffd</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>691802197431</PolicyNumber><UserName>bc33b640</UserName><Password>bc33b640</Password></PolicyDetails></RegistrationRes>