34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>12000</MaximumLimit>
  <StartDate>05/30/2018</StartDate>
  <EndDate>06/10/2018</EndDate>
  <DestinationPlan>Zambia</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Adriana</Firstname>
    <Middlename/>
    <Lastname>Triegaardt</Lastname>
    <Age>84</Age>
    <Dob>04/16/1934</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/30/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>9 Adylinn Road</Address1>
      <Address2>Marlborough</Address2>
      <Country>Zimbabwe</Country>
      <State/>
      <City>Harare</City>
      <Postcode>0000</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>stormadriana@hotmail.com</Email>
    <Phone>
      <Home>263772374866</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Storm Kent</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Grandchild</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>375415522037487</CreditcardNumber>
      <NameonCreditcard>Miss Storm A Kent</NameonCreditcard>
      <CreditcardExpirationMonth>3</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>129.0</CreditcardAmount>
      <CreditcardCodeNumber>7782</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
6694a21b
ARS-01-0041491
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0041491</PolicyNumber><UserName>6694a21b</UserName><Password>6694a21b</Password></PolicyDetails></RegistrationRes>