34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>50000</MaximumLimit>
  <StartDate>05/29/2019</StartDate>
  <EndDate>06/17/2019</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>BARICA</Firstname>
    <Middlename/>
    <Lastname>LOBOR</Lastname>
    <Age>70</Age>
    <Dob>10/21/1948</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/29/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>5914 CLARENDON HILLS RD</Address1>
      <Address2/>
      <Country>Croatia (Hrvatska)</Country>
      <State/>
      <City>WILLOWBROOK</City>
      <Postcode>60527</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>d.tisljar@yahoo.com</Email>
    <Phone>
      <Home>6309566578</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>DELPHIA TISLJAR</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Sister-in-law</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147099104833734</CreditcardNumber>
      <NameonCreditcard>DELPHIA D TISLJAR</NameonCreditcard>
      <CreditcardExpirationMonth>12</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>180.0</CreditcardAmount>
      <CreditcardCodeNumber>945</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
2b5f7849
701935592

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701935592</PolicyNumber><UserName>2b5f7849</UserName><Password>2b5f7849</Password></PolicyDetails></RegistrationRes>