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>12/02/2018</StartDate>
  <EndDate>12/27/2018</EndDate>
  <DestinationPlan>South Africa</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Patricia</Firstname>
    <Middlename>J</Middlename>
    <Lastname>Rothman</Lastname>
    <Age>79</Age>
    <Dob>07/18/1939</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/02/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>3800 Washington Road</Address1>
      <Address2>Apt 211</Address2>
      <Country>United States</Country>
      <State>Florida</State>
      <City>West Palm Beach</City>
      <Postcode>33405</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>patricia@nexus-hq.com</Email>
    <Phone>
      <Home>9549072551</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>David Jacobs</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4259072989648083</CreditcardNumber>
      <NameonCreditcard>David Jacobs</NameonCreditcard>
      <CreditcardExpirationMonth>4</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>149.5</CreditcardAmount>
      <CreditcardCodeNumber>585</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
9cb3568a
701825855

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701825855</PolicyNumber><UserName>9cb3568a</UserName><Password>9cb3568a</Password></PolicyDetails></RegistrationRes>