52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>1100000</MaximumLimit>
  <StartDate>02/09/2019</StartDate>
  <EndDate>02/16/2019</EndDate>
  <DestinationPlan>Canada</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Yosi</Firstname>
    <Middlename/>
    <Lastname>Bekker Heusler</Lastname>
    <Age>36</Age>
    <Dob>08/28/1982</Dob>
    <Gender>Male</Gender>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>02/09/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Rua Brig. Haroldo Veloso 341</Address1>
      <Address2>Apt 101</Address2>
      <Country>Brazil</Country>
      <State/>
      <City>Sao Paulo</City>
      <Postcode>04533-080</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>yosileonardo@gmail.com</Email>
    <Phone>
      <Home>11941547751</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Simony Gandelman Lipceac Bekker</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4792131250867147</CreditcardNumber>
      <NameonCreditcard>Yosi Bekker Heusler</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>31.41</CreditcardAmount>
      <CreditcardCodeNumber>107</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
7ea5ced3
701929202

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701929202</PolicyNumber><UserName>7ea5ced3</UserName><Password>7ea5ced3</Password></PolicyDetails></RegistrationRes>