52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>02/27/2019</StartDate>
  <EndDate>04/14/2019</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Rafael</Firstname>
    <Middlename/>
    <Lastname>Chaves Lopes</Lastname>
    <Age>36</Age>
    <Dob>04/03/1982</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>02/27/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>47 Quai de Juillet</Address1>
      <Address2/>
      <Country>France</Country>
      <State/>
      <City>Caen</City>
      <Postcode>14000</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>rafa@bizu.vc</Email>
    <Phone>
      <Home>33783625550</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Maria Cristina Salgueiro Chaves</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4533046608462256</CreditcardNumber>
      <NameonCreditcard>Rafael  Chaves Lopes</NameonCreditcard>
      <CreditcardExpirationMonth>2</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>121.26</CreditcardAmount>
      <CreditcardCodeNumber>311</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
9eb2ad61
701930216

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701930216</PolicyNumber><UserName>9eb2ad61</UserName><Password>9eb2ad61</Password></PolicyDetails></RegistrationRes>