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>07/19/2018</StartDate>
  <EndDate>07/23/2018</EndDate>
  <DestinationPlan>Ireland</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Daniel</Firstname>
    <Middlename>L</Middlename>
    <Lastname>Burke</Lastname>
    <Age>27</Age>
    <Dob>07/17/1991</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>07/19/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>8429 Willow Forge Rd.</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Virginia</State>
      <City>Springfield</City>
      <Postcode>22152</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>burkedaniel91@yahoo.com</Email>
    <Phone>
      <Home>5714220380</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Heidi Burke</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4000220631158975</CreditcardNumber>
      <NameonCreditcard>Daniel</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>3.8</CreditcardAmount>
      <CreditcardCodeNumber>523</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
72bdd704
201890313

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>201890313</PolicyNumber><UserName>72bdd704</UserName><Password>72bdd704</Password></PolicyDetails></RegistrationRes>