52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>12/20/2019</StartDate>
  <EndDate>12/30/2019</EndDate>
  <DestinationPlan>Netherlands</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Klaas</Firstname>
    <Middlename>E</Middlename>
    <Lastname>Max</Lastname>
    <Age>44</Age>
    <Dob>02/10/1975</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Juan Carlos</Firstname>
    <Middlename/>
    <Lastname>Fuentes</Lastname>
    <Age>48</Age>
    <Dob>03/10/1971</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/20/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>5 Tudor City Place, Apt. 212</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>New York</State>
      <City>New York</City>
      <Postcode>10017</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>kmax@mail.rockefeller.edu</Email>
    <Phone>
      <Home>3478827219</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Gertrud Visser </AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4266841421858448</CreditcardNumber>
      <NameonCreditcard>KLAAS MAX</NameonCreditcard>
      <CreditcardExpirationMonth>4</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2023</CreditcardExpirationYear>
      <CreditcardAmount>33.0</CreditcardAmount>
      <CreditcardCodeNumber>431</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
faa3dfda
faa38556
802043652
802043653
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>802043652</PolicyNumber><UserName>faa3dfda</UserName><Password>faa3dfda</Password></PolicyDetails><PolicyDetails><PolicyNumber>802043653</PolicyNumber><UserName>faa38556</UserName><Password>faa38556</Password></PolicyDetails></RegistrationRes>