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>10/30/2019</StartDate>
  <EndDate>11/10/2019</EndDate>
  <DestinationPlan>Taiwan</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Bara</Firstname>
    <Middlename/>
    <Lastname>Levitt</Lastname>
    <Age>32</Age>
    <Dob>04/09/1987</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>10/30/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>219 Cerutti Court</Address1>
      <Address2>Apt. 2L</Address2>
      <Country>United States</Country>
      <State>New Jersey</State>
      <City>West Orange</City>
      <Postcode>07052</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>LEVITTBARA@GMAIL.COM</Email>
    <Phone>
      <Home>2016181331</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Michael Levitt</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Brother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>372589163972005</CreditcardNumber>
      <NameonCreditcard>Bara  Levitt</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>10.8</CreditcardAmount>
      <CreditcardCodeNumber>0915</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
d34a5b77
701941984

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701941984</PolicyNumber><UserName>d34a5b77</UserName><Password>d34a5b77</Password></PolicyDetails></RegistrationRes>