52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>100</DeductibleAmount>
  <MaximumLimit>50000</MaximumLimit>
  <StartDate>02/11/2020</StartDate>
  <EndDate>02/22/2020</EndDate>
  <DestinationPlan>Panama</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Henri</Firstname>
    <Middlename>N</Middlename>
    <Lastname>Bueninck</Lastname>
    <Age>72</Age>
    <Dob>05/10/1947</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>02/11/2020</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Calderon de la Barca 122/202</Address1>
      <Address2>Col. Polanco</Address2>
      <Country>Mexico</Country>
      <State/>
      <City>Ciudad de México</City>
      <Postcode>11550</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>marcobueninck@gmail.com</Email>
    <Phone>
      <Home>5527274659</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Viveca Rothman</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5178058017461008</CreditcardNumber>
      <NameonCreditcard>Henri N Bueninck</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2023</CreditcardExpirationYear>
      <CreditcardAmount>75.9</CreditcardAmount>
      <CreditcardCodeNumber>031</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
cc24c05f
802045237

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>802045237</PolicyNumber><UserName>cc24c05f</UserName><Password>cc24c05f</Password></PolicyDetails></RegistrationRes>