34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>11/28/2019</StartDate>
  <EndDate>12/09/2019</EndDate>
  <DestinationPlan>Brazil</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Mayra</Firstname>
    <Middlename>D</Middlename>
    <Lastname>Rocha Porcoro</Lastname>
    <Age>27</Age>
    <Dob>12/10/1991</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/28/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>41 Whitaker Ave</Address1>
      <Address2>Floor 2</Address2>
      <Country>United States</Country>
      <State>New Jersey</State>
      <City>Woodland Park</City>
      <Postcode>07424</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>mayrarochaa@gmail.com</Email>
    <Phone>
      <Home>3473319661</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Dominic-James Porcoro</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4347698032573508</CreditcardNumber>
      <NameonCreditcard>Dominic Porcoro</NameonCreditcard>
      <CreditcardExpirationMonth>2</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>9.12</CreditcardAmount>
      <CreditcardCodeNumber>710</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
c96411a8
701942968

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701942968</PolicyNumber><UserName>c96411a8</UserName><Password>c96411a8</Password></PolicyDetails></RegistrationRes>