52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>10/18/2017</StartDate>
  <EndDate>10/23/2017</EndDate>
  <DestinationPlan>Switzerland</DestinationPlan>
  <NoOfApplicants>3</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Samuel</Firstname>
    <Middlename>D</Middlename>
    <Lastname>Beck</Lastname>
    <Age>67</Age>
    <Dob>01/10/1950</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>RUCHEL</Firstname>
    <Middlename>M</Middlename>
    <Lastname>Beck</Lastname>
    <Age>59</Age>
    <Dob>01/30/1958</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Devora</Firstname>
    <Middlename>L</Middlename>
    <Lastname>Beck</Lastname>
    <Age>20</Age>
    <Dob>07/23/1997</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>10/18/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>924 east 10 street</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>New York</State>
      <City>Brooklyn</City>
      <Postcode>11230</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>ruchelbeck@gmail.com</Email>
    <Phone>
      <Home>7186921945</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Yisroel beck</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Child</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>371298647011007</CreditcardNumber>
      <NameonCreditcard>Ruchel Beck</NameonCreditcard>
      <CreditcardExpirationMonth>9</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>43.44</CreditcardAmount>
      <CreditcardCodeNumber>3346</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
181de069
fefa4c59
63d67977
ARS-01-0037482
ARS-01-0037483
ARS-01-0037484
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0037482</PolicyNumber><UserName>181de069</UserName><Password>181de069</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0037483</PolicyNumber><UserName>fefa4c59</UserName><Password>fefa4c59</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0037484</PolicyNumber><UserName>63d67977</UserName><Password>63d67977</Password></PolicyDetails></RegistrationRes>