52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>50000</MaximumLimit>
  <StartDate>04/15/2021</StartDate>
  <EndDate>04/22/2021</EndDate>
  <DestinationPlan>Israel</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Nilly</Firstname>
    <Middlename/>
    <Lastname>Pergament</Lastname>
    <Age>71</Age>
    <Dob>05/04/1949</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>04/15/2021</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>635 Cooper Rd.</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>New Jersey</State>
      <City>West Berlin</City>
      <Postcode>08091</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>galitsaadia@icloud.com</Email>
    <Phone>
      <Home>7138208686</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Galit Saadia</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Niece</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4347698041266540</CreditcardNumber>
      <NameonCreditcard>Nilly  Pergament</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2026</CreditcardExpirationYear>
      <CreditcardAmount>57.5</CreditcardAmount>
      <CreditcardCodeNumber>603</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
2ca7164d
691802053756

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>691802053756</PolicyNumber><UserName>2ca7164d</UserName><Password>2ca7164d</Password></PolicyDetails></RegistrationRes>