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>11/09/2018</StartDate>
  <EndDate>11/16/2018</EndDate>
  <DestinationPlan>Chile</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Erwin</Firstname>
    <Middlename/>
    <Lastname>Andia</Lastname>
    <Age>43</Age>
    <Dob>07/12/1975</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/09/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>9903 COSTA DEL SOL BLVD</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Florida</State>
      <City>DORAL</City>
      <Postcode>33178</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>eandia@forexchile.cl</Email>
    <Phone>
      <Home>3055041870</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5218921002752537</CreditcardNumber>
      <NameonCreditcard>Erwin Andia</NameonCreditcard>
      <CreditcardExpirationMonth>6</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>14.4</CreditcardAmount>
      <CreditcardCodeNumber>693</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
d4a6c65d
701824949

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701824949</PolicyNumber><UserName>d4a6c65d</UserName><Password>d4a6c65d</Password></PolicyDetails></RegistrationRes>