34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>100</DeductibleAmount>
  <MaximumLimit>2000000</MaximumLimit>
  <StartDate>01/27/2021</StartDate>
  <EndDate>01/31/2021</EndDate>
  <DestinationPlan>Ukraine</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>chaim</Firstname>
    <Middlename>h</Middlename>
    <Lastname>stein</Lastname>
    <Age>25</Age>
    <Dob>09/25/1995</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>01/27/2021</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>53 walton st.</Address1>
      <Address2>#303</Address2>
      <Country>United States</Country>
      <State>New York</State>
      <City>brooklyn</City>
      <Postcode>11206</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>chaimhstein@gmail.com</Email>
    <Phone>
      <Home>7183845983</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>leah stein</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4207670242641093</CreditcardNumber>
      <NameonCreditcard>chaim h stein</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2025</CreditcardExpirationYear>
      <CreditcardAmount>9.02</CreditcardAmount>
      <CreditcardCodeNumber>318</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
b9f75a79
802052130

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>802052130</PolicyNumber><UserName>b9f75a79</UserName><Password>b9f75a79</Password></PolicyDetails></RegistrationRes>