52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>1000</DeductibleAmount>
  <MaximumLimit>2000000</MaximumLimit>
  <StartDate>03/25/2019</StartDate>
  <EndDate>04/02/2019</EndDate>
  <DestinationPlan>Israel</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>JACOB</Firstname>
    <Middlename/>
    <Lastname>ZENWIRTH</Lastname>
    <Age>69</Age>
    <Dob>06/28/1949</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>KREINDY</Firstname>
    <Middlename/>
    <Lastname>ZENWIRTH</Lastname>
    <Age>69</Age>
    <Dob>09/03/1949</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>03/25/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1733 52 ST</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>New York</State>
      <City>BROOKLYN</City>
      <Postcode>11204</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>JZ1565@OPTIMUM.NET</Email>
    <Phone>
      <Home>7186333506</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>NAFTALI ZENWIRTH</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Son</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4179030009188750</CreditcardNumber>
      <NameonCreditcard>JACOB  ZENWIRTH</NameonCreditcard>
      <CreditcardExpirationMonth>6</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>107.28</CreditcardAmount>
      <CreditcardCodeNumber>050</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
374daa2f
ae9690a6
701929931
701929932
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701929931</PolicyNumber><UserName>374daa2f</UserName><Password>374daa2f</Password></PolicyDetails><PolicyDetails><PolicyNumber>701929932</PolicyNumber><UserName>ae9690a6</UserName><Password>ae9690a6</Password></PolicyDetails></RegistrationRes>