34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>08/16/2018</StartDate>
  <EndDate>09/03/2018</EndDate>
  <DestinationPlan>Indonesia</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Brian</Firstname>
    <Middlename>K</Middlename>
    <Lastname>Montgomery</Lastname>
    <Age>30</Age>
    <Dob>03/08/1988</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Chad</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Hudson</Lastname>
    <Age>42</Age>
    <Dob>03/01/1976</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>08/16/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>912 N San Vicente Blvd</Address1>
      <Address2>Unit 4</Address2>
      <Country>United States</Country>
      <State>California</State>
      <City>West Hollywood</City>
      <Postcode>90069</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>brianmontgomery21@gmail.com</Email>
    <Phone>
      <Home>6158284900</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Cynthia Hancock</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>371755443004007</CreditcardNumber>
      <NameonCreditcard>Brian K Montgomery</NameonCreditcard>
      <CreditcardExpirationMonth>3</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2023</CreditcardExpirationYear>
      <CreditcardAmount>54.72</CreditcardAmount>
      <CreditcardCodeNumber>3194</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
d4ed755b
a14d2033
201823937
201823937
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>201823937</PolicyNumber><UserName>d4ed755b</UserName><Password>d4ed755b</Password></PolicyDetails><PolicyDetails><PolicyNumber>201823937</PolicyNumber><UserName>a14d2033</UserName><Password>a14d2033</Password></PolicyDetails></RegistrationRes>