52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>2500</DeductibleAmount>
  <MaximumLimit>12000</MaximumLimit>
  <StartDate>07/03/2021</StartDate>
  <EndDate>07/31/2021</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Gustavo</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Marroquin</Lastname>
    <Age>80</Age>
    <Dob>12/02/1940</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>07/03/2021</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>2 Calle B 2-24 Zona 5 </Address1>
      <Address2>Colonia Santa Marta</Address2>
      <Country>Guatemala</Country>
      <State/>
      <City>Mixco</City>
      <Postcode>01057</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>kiki.fuentesm@gmail.com</Email>
    <Phone>
      <Home>19548098265</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Clara Luz Marroquin de Marroquin</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4430400089311298</CreditcardNumber>
      <NameonCreditcard>MANUEL FUENTES</NameonCreditcard>
      <CreditcardExpirationMonth>4</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2024</CreditcardExpirationYear>
      <CreditcardAmount>248.68</CreditcardAmount>
      <CreditcardCodeNumber>277</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
c0ff46a2
691802078255

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>691802078255</PolicyNumber><UserName>c0ff46a2</UserName><Password>c0ff46a2</Password></PolicyDetails></RegistrationRes>