52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>2500</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>09/20/2019</StartDate>
  <EndDate>11/24/2019</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Érida Maria</Firstname>
    <Middlename>b</Middlename>
    <Lastname>Brito</Lastname>
    <Age>68</Age>
    <Dob>04/10/1951</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>09/20/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Av Benjamim Brasil, 261</Address1>
      <Address2/>
      <Country>Brazil</Country>
      <State/>
      <City>Fortaleza</City>
      <Postcode>60712-003</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>jordana_brito@msn.com</Email>
    <Phone>
      <Home>558532986705</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Francisco Hugo de Aragão Brito</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>376522349052018</CreditcardNumber>
      <NameonCreditcard>Érida M B Brito</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2023</CreditcardExpirationYear>
      <CreditcardAmount>314.16</CreditcardAmount>
      <CreditcardCodeNumber>5153</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
11b0ca87
701940876

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701940876</PolicyNumber><UserName>11b0ca87</UserName><Password>11b0ca87</Password></PolicyDetails></RegistrationRes>