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>06/17/2021</StartDate>
  <EndDate>07/17/2021</EndDate>
  <DestinationPlan>Sint Maarten</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Chavain</Firstname>
    <Middlename/>
    <Lastname>Atmowijono</Lastname>
    <Age>28</Age>
    <Dob>02/17/1993</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/17/2021</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>L.B. Scott Road 81</Address1>
      <Address2/>
      <Country>Bonaire</Country>
      <State/>
      <City>Sint Maarten </City>
      <Postcode>01721</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>catmowijono@wwr.jajo.com</Email>
    <Phone>
      <Home>17215200590</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Jodi Lacle </AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Not recorded</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5589810010023687</CreditcardNumber>
      <NameonCreditcard>Pierre  Montesant</NameonCreditcard>
      <CreditcardExpirationMonth>2</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2024</CreditcardExpirationYear>
      <CreditcardAmount>23.56</CreditcardAmount>
      <CreditcardCodeNumber>622</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
fd304316
691802077956

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>691802077956</PolicyNumber><UserName>fd304316</UserName><Password>fd304316</Password></PolicyDetails></RegistrationRes>