52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>50000</MaximumLimit>
  <StartDate>10/01/2018</StartDate>
  <EndDate>10/07/2018</EndDate>
  <DestinationPlan>Ethiopia</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Clarence</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Jacobson</Lastname>
    <Age>78</Age>
    <Dob>02/23/1940</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>10/01/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Ahad HaAm 7</Address1>
      <Address2/>
      <Country>Israel</Country>
      <State/>
      <City>Tiberias</City>
      <Postcode>14111</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>caj11952@gmail.com</Email>
    <Phone>
      <Home>972547239877</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Christine jacobson</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5466160288424763</CreditcardNumber>
      <NameonCreditcard>clarence  jacobson</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>40.25</CreditcardAmount>
      <CreditcardCodeNumber>885</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
ea4d91b0
701824047

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701824047</PolicyNumber><UserName>ea4d91b0</UserName><Password>ea4d91b0</Password></PolicyDetails></RegistrationRes>