34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>12000</MaximumLimit>
  <StartDate>12/16/2018</StartDate>
  <EndDate>12/24/2018</EndDate>
  <DestinationPlan>Egypt</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Shirley</Firstname>
    <Middlename/>
    <Lastname>Gaskin</Lastname>
    <Age>81</Age>
    <Dob>06/04/1937</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/16/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Ki butz maale hachamisha</Address1>
      <Address2>23 rimonim st.</Address2>
      <Country>Israel</Country>
      <State/>
      <City>Harei Yehuda</City>
      <Postcode>90835</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>shirley.gaskin3@gmail.com</Email>
    <Phone>
      <Home>0586142064</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Martin Gaskin</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4580160114167994</CreditcardNumber>
      <NameonCreditcard>Shirley  Gaskin</NameonCreditcard>
      <CreditcardExpirationMonth>3</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>96.75</CreditcardAmount>
      <CreditcardCodeNumber>798</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
039e138d
701825990

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701825990</PolicyNumber><UserName>039e138d</UserName><Password>039e138d</Password></PolicyDetails></RegistrationRes>