54.234.109.243
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>50000</MaximumLimit>
  <StartDate>03/11/2015</StartDate>
  <EndDate>09/05/2015</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Guiying</Firstname>
    <Middlename/>
    <Lastname>Xu</Lastname>
    <Age>73</Age>
    <Dob>09/10/1941</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>03/11/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Xin Dong Road, Cheng Xin Building C, Apt 403</Address1>
      <Address2>Jiaoling County</Address2>
      <Country>China</Country>
      <State></State>
      <City>Meizhou Guangdong </City>
      <Postcode>514100</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>davidguo2000@yahoo.com</Email>
    <Phone>
      <Home>0014252081962</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Yu Guo</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Child</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4428682600047394</CreditcardNumber>
      <NameonCreditcard>Yu D Guo</NameonCreditcard>
      <CreditcardExpirationMonth>2</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>1453.48</CreditcardAmount>
      <CreditcardCodeNumber>470</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
617c03be
ARS-02-0019986
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0019986</PolicyNumber><UserName>617c03be</UserName><Password>617c03be</Password></PolicyDetails></RegistrationRes>