52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>02/25/2017</StartDate>
  <EndDate>03/05/2017</EndDate>
  <DestinationPlan>Hong Kong</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>GAURET</Firstname>
    <Middlename/>
    <Lastname>SWAN</Lastname>
    <Age>13</Age>
    <Dob>11/17/2003</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>02/25/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>UNIT 1701 - 17F - GOLDIN FINANCIAL GLOBAL CENTER</Address1>
      <Address2>N 17 - KAI CHEUNG ROAD - KOWLOON BAY</Address2>
      <Country>China</Country>
      <State/>
      <City>HONG KONG</City>
      <Postcode>518000</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>helene.gauret@brunet-china.com</Email>
    <Phone>
      <Home>008613570708120</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>GAURET SWAN</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Child</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4561223003120384</CreditcardNumber>
      <NameonCreditcard>MME HELENE GAURET</NameonCreditcard>
      <CreditcardExpirationMonth>9</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>11.07</CreditcardAmount>
      <CreditcardCodeNumber>761</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
675d85c6
ARS-02-0032303
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0032303</PolicyNumber><UserName>675d85c6</UserName><Password>675d85c6</Password></PolicyDetails></RegistrationRes>