34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>04/26/2018</StartDate>
  <EndDate>07/04/2018</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Homa</Firstname>
    <Middlename>(</Middlename>
    <Lastname>Darmani</Lastname>
    <Age>56</Age>
    <Dob>06/30/1961</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>04/26/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>59 Saeed Beeno Street, </Address1>
      <Address2>Khalda</Address2>
      <Country>Jordan</Country>
      <State/>
      <City>Jordan</City>
      <Postcode>11821</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>darmani@just.edu.jo</Email>
    <Phone>
      <Home>9096460061</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Amer Al-Hiyasat</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Son</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5362903474655210</CreditcardNumber>
      <NameonCreditcard>Homa A Darmani</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>315.0</CreditcardAmount>
      <CreditcardCodeNumber>819</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
2e55bb06
ARS-02-0040519
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0040519</PolicyNumber><UserName>2e55bb06</UserName><Password>2e55bb06</Password></PolicyDetails></RegistrationRes>