52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>07/17/2019</StartDate>
  <EndDate>07/21/2019</EndDate>
  <DestinationPlan>France</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Wissam</Firstname>
    <Middlename>E</Middlename>
    <Lastname>Mattar</Lastname>
    <Age>39</Age>
    <Dob>09/15/1979</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>07/17/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>7126 e osborn rd, unit 3023</Address1>
      <Address2>3023</Address2>
      <Country>United States</Country>
      <State>Arizona</State>
      <City>scottsdale</City>
      <Postcode>85251</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>wi.mattar@gmail.com</Email>
    <Phone>
      <Home>3177770691</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4400662978318280</CreditcardNumber>
      <NameonCreditcard>Wissam  Mattar</NameonCreditcard>
      <CreditcardExpirationMonth>7</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2023</CreditcardExpirationYear>
      <CreditcardAmount>4.5</CreditcardAmount>
      <CreditcardCodeNumber>618</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
59ee090a
701934235

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701934235</PolicyNumber><UserName>59ee090a</UserName><Password>59ee090a</Password></PolicyDetails></RegistrationRes>