52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>100</DeductibleAmount>
  <MaximumLimit>1100000</MaximumLimit>
  <StartDate>08/21/2018</StartDate>
  <EndDate>08/26/2018</EndDate>
  <DestinationPlan>Poland</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Robert</Firstname>
    <Middlename/>
    <Lastname>Prilmeier</Lastname>
    <Age>37</Age>
    <Dob>05/04/1981</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>08/21/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>5620 Hurst St Apt D</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Louisiana</State>
      <City>New Orleans</City>
      <Postcode>70115</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>robert.prilmeier@gmail.com</Email>
    <Phone>
      <Home>6144461739</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Li-Yi Yeh</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147202251339535</CreditcardNumber>
      <NameonCreditcard>Robert  Prilmeier</NameonCreditcard>
      <CreditcardExpirationMonth>3</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>9.11</CreditcardAmount>
      <CreditcardCodeNumber>158</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
17e3daf8
201852485

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>201852485</PolicyNumber><UserName>17e3daf8</UserName><Password>17e3daf8</Password></PolicyDetails></RegistrationRes>