34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>12/25/2018</StartDate>
  <EndDate>01/11/2019</EndDate>
  <DestinationPlan>Peru</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>DANIEL</Firstname>
    <Middlename>J</Middlename>
    <Lastname>GOBIN</Lastname>
    <Age>68</Age>
    <Dob>12/10/1950</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Akiko</Firstname>
    <Middlename>J</Middlename>
    <Lastname>Toshimitsu</Lastname>
    <Age>49</Age>
    <Dob>02/09/1969</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/25/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>2650 S. Wolfcreek Road</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Indiana</State>
      <City>Columbus</City>
      <Postcode>47201</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>djg@uriel.us</Email>
    <Phone>
      <Home>8123446196</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>371512209535009</CreditcardNumber>
      <NameonCreditcard>Daniel Gobin</NameonCreditcard>
      <CreditcardExpirationMonth>9</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2023</CreditcardExpirationYear>
      <CreditcardAmount>108.9</CreditcardAmount>
      <CreditcardCodeNumber>7652</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
c1d814f5
1f679c43
701826658
701826659
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701826658</PolicyNumber><UserName>c1d814f5</UserName><Password>c1d814f5</Password></PolicyDetails><PolicyDetails><PolicyNumber>701826659</PolicyNumber><UserName>1f679c43</UserName><Password>1f679c43</Password></PolicyDetails></RegistrationRes>