52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>12/14/2018</StartDate>
  <EndDate>12/22/2018</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Claudia</Firstname>
    <Middlename>B</Middlename>
    <Lastname>Negrelle</Lastname>
    <Age>37</Age>
    <Dob>04/11/1981</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/14/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>rua petit carneiro, 1235</Address1>
      <Address2/>
      <Country>Brazil</Country>
      <State/>
      <City>curitiba</City>
      <Postcode>80030001</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>d.negrelle@hotmail.com</Email>
    <Phone>
      <Home>5541999120212</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4220619581294330</CreditcardNumber>
      <NameonCreditcard>Daniel B Negrelle</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2026</CreditcardExpirationYear>
      <CreditcardAmount>18.45</CreditcardAmount>
      <CreditcardCodeNumber>245</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
4860e4c6
701826262

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701826262</PolicyNumber><UserName>4860e4c6</UserName><Password>4860e4c6</Password></PolicyDetails></RegistrationRes>