52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>12000</MaximumLimit>
  <StartDate>12/23/2019</StartDate>
  <EndDate>01/03/2020</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Elisabeth</Firstname>
    <Middlename/>
    <Lastname>Wicha</Lastname>
    <Age>80</Age>
    <Dob>12/23/1939</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/23/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Armando Jaramillo 1206 Depto 92</Address1>
      <Address2/>
      <Country>Chile</Country>
      <State/>
      <City>Santiago</City>
      <Postcode>94303</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>flarrain@gmail.com</Email>
    <Phone>
      <Home>56995034897</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5524860541312792</CreditcardNumber>
      <NameonCreditcard>Francisco Larrain</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>147.0</CreditcardAmount>
      <CreditcardCodeNumber>265</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
bf57e1d6
802043705

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>802043705</PolicyNumber><UserName>bf57e1d6</UserName><Password>bf57e1d6</Password></PolicyDetails></RegistrationRes>