54.87.230.228
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>07/08/2016</StartDate>
  <EndDate>07/20/2016</EndDate>
  <DestinationPlan>Israel</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Elke</Firstname>
    <Middlename>R</Middlename>
    <Lastname>Moshel</Lastname>
    <Age>25</Age>
    <Dob>07/26/1990</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>07/08/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>48 ercildoune st north caulfield 3161</Address1>
      <Address2/>
      <Country>Australia</Country>
      <State/>
      <City>Melbourne</City>
      <Postcode>3161</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>elkemoshel@gmail.com</Email>
    <Phone>
      <Home>0423174982</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Boruch Moshel</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Father</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4622390441932097</CreditcardNumber>
      <NameonCreditcard>Ms Elke R Moshel</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>17.94</CreditcardAmount>
      <CreditcardCodeNumber>782</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
c8780f4c
ARS-02-0027896
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0027896</PolicyNumber><UserName>c8780f4c</UserName><Password>c8780f4c</Password></PolicyDetails></RegistrationRes>