34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>12/27/2019</StartDate>
  <EndDate>01/06/2020</EndDate>
  <DestinationPlan>Vietnam</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>An</Firstname>
    <Middlename>T</Middlename>
    <Lastname>La</Lastname>
    <Age>28</Age>
    <Dob>01/01/1991</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/27/2019</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>13741 Clinton St SPC 55</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>California</State>
      <City>Garden Grove</City>
      <Postcode>92843</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>anthaila9@gmail.com</Email>
    <Phone>
      <Home>7144173849</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Anh, Le Kim Kieu</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147099806912810</CreditcardNumber>
      <NameonCreditcard>An T La</NameonCreditcard>
      <CreditcardExpirationMonth>2</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2024</CreditcardExpirationYear>
      <CreditcardAmount>8.36</CreditcardAmount>
      <CreditcardCodeNumber>358</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
d6fc6b98
802043805

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>802043805</PolicyNumber><UserName>d6fc6b98</UserName><Password>d6fc6b98</Password></PolicyDetails></RegistrationRes>