52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>11/26/2018</StartDate>
  <EndDate>02/01/2019</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Sergio Vitor</Firstname>
    <Middlename/>
    <Lastname>Barbosa Freitas</Lastname>
    <Age>14</Age>
    <Dob>07/24/2004</Dob>
    <Gender>Male</Gender>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/26/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>6991 Clough Pike</Address1>
      <Address2/>
      <Country>Brazil</Country>
      <State/>
      <City>Cincinnati</City>
      <Postcode>45244</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>brian.bartal@gmail.com</Email>
    <Phone>
      <Home>9722138375</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Brian Bartal</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Nephew</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147400182921906</CreditcardNumber>
      <NameonCreditcard>Brian Bartal</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>108.73</CreditcardAmount>
      <CreditcardCodeNumber>602</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
bdf89555
701825659

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701825659</PolicyNumber><UserName>bdf89555</UserName><Password>bdf89555</Password></PolicyDetails></RegistrationRes>