52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>50000</MaximumLimit>
  <StartDate>11/13/2018</StartDate>
  <EndDate>11/30/2018</EndDate>
  <DestinationPlan>India</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Elliot</Firstname>
    <Middlename>B</Middlename>
    <Lastname>Koffman</Lastname>
    <Age>76</Age>
    <Dob>05/07/1942</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Caryn</Firstname>
    <Middlename>J</Middlename>
    <Lastname>Koffman</Lastname>
    <Age>75</Age>
    <Dob>05/12/1943</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/13/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>4215 65th Ter E</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Florida</State>
      <City>Sarasota</City>
      <Postcode>34243</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>koffman@temple.edu</Email>
    <Phone>
      <Home>9413608377</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Caryn Koffman</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147202288869173</CreditcardNumber>
      <NameonCreditcard>Elliot B. Koffman</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>207.0</CreditcardAmount>
      <CreditcardCodeNumber>911</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
896d2e8e
91be8856
701825078
701825079
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701825078</PolicyNumber><UserName>896d2e8e</UserName><Password>896d2e8e</Password></PolicyDetails><PolicyDetails><PolicyNumber>701825079</PolicyNumber><UserName>91be8856</UserName><Password>91be8856</Password></PolicyDetails></RegistrationRes>