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>08/07/2021</StartDate>
  <EndDate>09/04/2021</EndDate>
  <DestinationPlan>Estonia</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>THILINI</Firstname>
    <Middlename>N</Middlename>
    <Lastname>WIJESINGHE</Lastname>
    <Age>36</Age>
    <Dob>07/22/1985</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>08/07/2021</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>621 WOOLLEY AVE</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>New York</State>
      <City>STATEN ISLAND</City>
      <Postcode>10314</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>NICKWIJESINGHE@GMAIL.COM</Email>
    <Phone>
      <Home>9179699433</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>NICK WIJESINGHE</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>379828748411003</CreditcardNumber>
      <NameonCreditcard>THILINI N WIJESINGHE</NameonCreditcard>
      <CreditcardExpirationMonth>7</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2026</CreditcardExpirationYear>
      <CreditcardAmount>27.26</CreditcardAmount>
      <CreditcardCodeNumber>3214</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
81dbfdc1
691802104304

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>691802104304</PolicyNumber><UserName>81dbfdc1</UserName><Password>81dbfdc1</Password></PolicyDetails></RegistrationRes>