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>06/05/2021</StartDate>
  <EndDate>06/06/2021</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Sabrina</Firstname>
    <Middlename>M</Middlename>
    <Lastname>Grosjean</Lastname>
    <Age>43</Age>
    <Dob>01/19/1978</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/05/2021</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Cra 18 No 91-63 (apto 302)</Address1>
      <Address2/>
      <Country>Colombia</Country>
      <State/>
      <City>Bogota</City>
      <Postcode>1102221</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>sabrina_grosjean@yahoo.fr</Email>
    <Phone>
      <Home>573123950358</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Brian McGregor</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5525580264685302</CreditcardNumber>
      <NameonCreditcard>Brian George McGregor</NameonCreditcard>
      <CreditcardExpirationMonth>7</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2024</CreditcardExpirationYear>
      <CreditcardAmount>15.31</CreditcardAmount>
      <CreditcardCodeNumber>926</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
0a28c8c9
691802077705

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>691802077705</PolicyNumber><UserName>0a28c8c9</UserName><Password>0a28c8c9</Password></PolicyDetails></RegistrationRes>