34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>1100000</MaximumLimit>
  <StartDate>09/25/2020</StartDate>
  <EndDate>11/21/2020</EndDate>
  <DestinationPlan>Kenya</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Roy</Firstname>
    <Middlename/>
    <Lastname>Gross</Lastname>
    <Age>59</Age>
    <Dob>10/04/1960</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>09/25/2020</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>551 N. Loma Drove</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>California</State>
      <City>Lodi</City>
      <Postcode>95242</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>Pastorroygross@gmail.com</Email>
    <Phone>
      <Home>2099929342</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Jonathan Gross</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Child</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4207781072726118</CreditcardNumber>
      <NameonCreditcard>Roy  A Gross</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>182.12</CreditcardAmount>
      <CreditcardCodeNumber>050</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
822309bd
802049902

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>802049902</PolicyNumber><UserName>822309bd</UserName><Password>822309bd</Password></PolicyDetails></RegistrationRes>