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>09/15/2021</StartDate>
  <EndDate>09/30/2021</EndDate>
  <DestinationPlan>France</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>ALDJIA</Firstname>
    <Middlename/>
    <Lastname>BRAHIMI</Lastname>
    <Age>31</Age>
    <Dob>04/28/1990</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>09/15/2021</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>7412 Royalty Way apt 202</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Kansas</State>
      <City>MERRIAM</City>
      <Postcode>66203</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>BRAHIMIK1988@GMAIL.COM</Email>
    <Phone>
      <Home>9133517249</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Tinhinane Brahimi </AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Sister</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4287283000798866</CreditcardNumber>
      <NameonCreditcard>aldjia brahimi</NameonCreditcard>
      <CreditcardExpirationMonth>4</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2024</CreditcardExpirationYear>
      <CreditcardAmount>14.4</CreditcardAmount>
      <CreditcardCodeNumber>072</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
a6f90b16
691802098067

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>691802098067</PolicyNumber><UserName>a6f90b16</UserName><Password>a6f90b16</Password></PolicyDetails></RegistrationRes>