34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>100</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>11/20/2018</StartDate>
  <EndDate>11/30/2018</EndDate>
  <DestinationPlan>Japan</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Amir</Firstname>
    <Middlename/>
    <Lastname>Khansari</Lastname>
    <Age>35</Age>
    <Dob>08/14/1983</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/20/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1239 Evergreen Ave  Apt A1</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>California</State>
      <City>Fullerton</City>
      <Postcode>92835</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>amirsdi66@gmail.com</Email>
    <Phone>
      <Home>7144004071</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Maryam Afshar ( khansari ) </AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Sister</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4100390110243140</CreditcardNumber>
      <NameonCreditcard>Amir  Khansari</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>13.07</CreditcardAmount>
      <CreditcardCodeNumber>565</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
3fd9762b
701825390

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701825390</PolicyNumber><UserName>3fd9762b</UserName><Password>3fd9762b</Password></PolicyDetails></RegistrationRes>