52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>50000</MaximumLimit>
  <StartDate>06/15/2019</StartDate>
  <EndDate>07/04/2019</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Galina</Firstname>
    <Middlename/>
    <Lastname>Miloslavsky</Lastname>
    <Age>77</Age>
    <Dob>05/09/1942</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/15/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>125 pugsley Ave </Address1>
      <Address2>Apt 616</Address2>
      <Country>Canada</Country>
      <State>Ontario</State>
      <City>Richmond hill</City>
      <Postcode>L4c8w5</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>lilfaintinggoat@yahoo.com</Email>
    <Phone>
      <Home>7603549177</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>irina silvers</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Child</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147202327682298</CreditcardNumber>
      <NameonCreditcard>Irina silvers</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>144.0</CreditcardAmount>
      <CreditcardCodeNumber>484</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
d9e53b91
701936950

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701936950</PolicyNumber><UserName>d9e53b91</UserName><Password>d9e53b91</Password></PolicyDetails></RegistrationRes>