52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>1100000</MaximumLimit>
  <StartDate>09/14/2018</StartDate>
  <EndDate>10/02/2018</EndDate>
  <DestinationPlan>Kazakhstan</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Bernadette</Firstname>
    <Middlename/>
    <Lastname>Alvarez-Mohr</Lastname>
    <Age>58</Age>
    <Dob>11/14/1959</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>David</Firstname>
    <Middlename/>
    <Lastname>Mohr</Lastname>
    <Age>61</Age>
    <Dob>01/18/1957</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>09/14/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>10436 Ruffner Avenue</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>California</State>
      <City>Granada Hills</City>
      <Postcode>91344</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>bernadettemohr@yahoo.com</Email>
    <Phone>
      <Home>8185156577</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Evan Mohr</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Child</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>372726774832000</CreditcardNumber>
      <NameonCreditcard>Bernadette  Alvarez</NameonCreditcard>
      <CreditcardExpirationMonth>12</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>149.91</CreditcardAmount>
      <CreditcardCodeNumber>0997</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
0a92bf22
54e73435
701852548
701852549
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701852548</PolicyNumber><UserName>0a92bf22</UserName><Password>0a92bf22</Password></PolicyDetails><PolicyDetails><PolicyNumber>701852549</PolicyNumber><UserName>54e73435</UserName><Password>54e73435</Password></PolicyDetails></RegistrationRes>