52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>04/02/2019</StartDate>
  <EndDate>04/05/2019</EndDate>
  <DestinationPlan>Mexico</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>ernest</Firstname>
    <Middlename>m</Middlename>
    <Lastname>smith</Lastname>
    <Age>66</Age>
    <Dob>10/15/1952</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>04/02/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>125 gateshead way</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Pennsylvania</State>
      <City>phoenixville</City>
      <Postcode>19460</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>ernest.smith@gmp-mail.com</Email>
    <Phone>
      <Home>6103314773</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>lidiya smith</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>372711100635004</CreditcardNumber>
      <NameonCreditcard>ernest m smith</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2023</CreditcardExpirationYear>
      <CreditcardAmount>21.25</CreditcardAmount>
      <CreditcardCodeNumber>9521</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
16af8708
701932177

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701932177</PolicyNumber><UserName>16af8708</UserName><Password>16af8708</Password></PolicyDetails></RegistrationRes>