34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>50000</MaximumLimit>
  <StartDate>09/27/2018</StartDate>
  <EndDate>11/03/2018</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Matthias</Firstname>
    <Middlename/>
    <Lastname>Kofler</Lastname>
    <Age>74</Age>
    <Dob>03/07/1944</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>09/27/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1 Nemesia Drive</Address1>
      <Address2>Berghof Estate</Address2>
      <Country>South Africa</Country>
      <State/>
      <City>ONRUS Western Cape</City>
      <Postcode>7201</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>kofler@kofler.tv</Email>
    <Phone>
      <Home>270826860692</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Christine Kofler</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Discover</CreditcardType>
      <CreditcardNumber>6011208874547428</CreditcardNumber>
      <NameonCreditcard>Josef G Kofler</NameonCreditcard>
      <CreditcardExpirationMonth>12</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>273.6</CreditcardAmount>
      <CreditcardCodeNumber>624</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
ab3859f6
701821494

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701821494</PolicyNumber><UserName>ab3859f6</UserName><Password>ab3859f6</Password></PolicyDetails></RegistrationRes>