54.173.37.134
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>03/10/2016</StartDate>
  <EndDate>05/31/2016</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Habiballah</Firstname>
    <Middlename/>
    <Lastname>Shojaeisaadi</Lastname>
    <Age>33</Age>
    <Dob>04/28/1982</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>03/10/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>App#3, 803 Rue Des Lilas Est</Address1>
      <Address2/>
      <Country>Canada</Country>
      <State>Quebec</State>
      <City>Quebec City</City>
      <Postcode>G1J1B4</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>shojaei-h@hotmail.com</Email>
    <Phone>
      <Home>4182558330</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Somayeh Golzari Movafagh</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5160750028248925</CreditcardNumber>
      <NameonCreditcard>H  Shojaeisaadi</NameonCreditcard>
      <CreditcardExpirationMonth>12</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>156.04</CreditcardAmount>
      <CreditcardCodeNumber>336</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
8a3dc503
ARS-02-0025501
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0025501</PolicyNumber><UserName>8a3dc503</UserName><Password>8a3dc503</Password></PolicyDetails></RegistrationRes>