34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>1000</DeductibleAmount>
  <MaximumLimit>2000000</MaximumLimit>
  <StartDate>03/10/2018</StartDate>
  <EndDate>03/23/2018</EndDate>
  <DestinationPlan>Italy</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>jifat</Firstname>
    <Middlename/>
    <Lastname>windmiller</Lastname>
    <Age>58</Age>
    <Dob>09/07/1959</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>03/10/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>272 henry st #b</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>New York</State>
      <City>brooklyn</City>
      <Postcode>11201</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>jifawind@gmail.com</Email>
    <Phone>
      <Home>7189300930</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>yishay windmiller</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Brother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>371299856961007</CreditcardNumber>
      <NameonCreditcard>jifat  windmiller</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>51.74</CreditcardAmount>
      <CreditcardCodeNumber>6337</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
dd1a068b
ARS-01-0039751
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0039751</PolicyNumber><UserName>dd1a068b</UserName><Password>dd1a068b</Password></PolicyDetails></RegistrationRes>