52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>10/30/2018</StartDate>
  <EndDate>11/28/2018</EndDate>
  <DestinationPlan>New Zealand</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Salem</Firstname>
    <Middlename>S</Middlename>
    <Lastname>Shaklawun</Lastname>
    <Age>60</Age>
    <Dob>10/11/1958</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Amenah</Firstname>
    <Middlename>S</Middlename>
    <Lastname>Shaklawun</Lastname>
    <Age>26</Age>
    <Dob>09/07/1992</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>10/30/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>2257 West Del Oro Circle</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Arizona</State>
      <City>Mesa</City>
      <Postcode>85202</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>misrata01@yahoo.com</Email>
    <Phone>
      <Home>4802709515</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Lisa C StGeorge</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4100390498308242</CreditcardNumber>
      <NameonCreditcard>Salem S Shaklawun</NameonCreditcard>
      <CreditcardExpirationMonth>2</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>150.38</CreditcardAmount>
      <CreditcardCodeNumber>962</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
652234aa
cce943e5
701824562
701824563
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701824562</PolicyNumber><UserName>652234aa</UserName><Password>652234aa</Password></PolicyDetails><PolicyDetails><PolicyNumber>701824563</PolicyNumber><UserName>cce943e5</UserName><Password>cce943e5</Password></PolicyDetails></RegistrationRes>