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>11/09/2018</StartDate>
  <EndDate>11/12/2018</EndDate>
  <DestinationPlan>Haiti</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Michelle</Firstname>
    <Middlename/>
    <Lastname>Jackson</Lastname>
    <Age>43</Age>
    <Dob>10/18/1975</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/09/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>2611 Ross Ave</Address1>
      <Address2>Apt 2023</Address2>
      <Country>United States</Country>
      <State>Texas</State>
      <City>Dallas</City>
      <Postcode>75201</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>michellej_77026@yahoo.com</Email>
    <Phone>
      <Home>8176026378</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Kenneth Jackson</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Father</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4342580110452562</CreditcardNumber>
      <NameonCreditcard>Michelle  Jackson</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>7.5</CreditcardAmount>
      <CreditcardCodeNumber>127</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
96af25cc
701824959

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701824959</PolicyNumber><UserName>96af25cc</UserName><Password>96af25cc</Password></PolicyDetails></RegistrationRes>