34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>10/18/2020</StartDate>
  <EndDate>11/24/2020</EndDate>
  <DestinationPlan>Chad</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Martin</Firstname>
    <Middlename>M</Middlename>
    <Lastname>Galliard De Lavernee</Lastname>
    <Age>31</Age>
    <Dob>08/18/1989</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>10/18/2020</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>10 rue de Penthièvre</Address1>
      <Address2/>
      <Country>France</Country>
      <State/>
      <City>Paris</City>
      <Postcode>75008</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>mdelavernee@safer-access.com</Email>
    <Phone>
      <Home>33783867853</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Albéric GALLIARD DE LAVERNEE</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Father</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4463423100067921</CreditcardNumber>
      <NameonCreditcard>MICHAEL SIMPSON</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>41.04</CreditcardAmount>
      <CreditcardCodeNumber>975</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
89c9f099
802050340

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>802050340</PolicyNumber><UserName>89c9f099</UserName><Password>89c9f099</Password></PolicyDetails></RegistrationRes>