34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>1100000</MaximumLimit>
  <StartDate>01/28/2017</StartDate>
  <EndDate>02/14/2017</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Solomon</Firstname>
    <Middlename>S</Middlename>
    <Lastname>Lee</Lastname>
    <Age>47</Age>
    <Dob>11/12/1969</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>01/28/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>150 Alton Towers Cir Unit 611</Address1>
      <Address2/>
      <Country>Canada</Country>
      <State>Ontario</State>
      <City>Scarborough</City>
      <Postcode>M1V4X7</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>gzhang6@foxmail.com</Email>
    <Phone>
      <Home>9789124738</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Yuan Zhang</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147202288873951</CreditcardNumber>
      <NameonCreditcard>Yuan Zhang</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>79.56</CreditcardAmount>
      <CreditcardCodeNumber>313</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
8f26efcd
ARS-02-0031989
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0031989</PolicyNumber><UserName>8f26efcd</UserName><Password>8f26efcd</Password></PolicyDetails></RegistrationRes>