34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>03/10/2017</StartDate>
  <EndDate>03/19/2017</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Bo</Firstname>
    <Middlename/>
    <Lastname>Bian</Lastname>
    <Age>23</Age>
    <Dob>10/14/1993</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>03/10/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>1765 Long Rd Apt A</Address1>
      <Address2>102 University Vlg A</Address2>
      <Country>China</Country>
      <State/>
      <City>Ames</City>
      <Postcode>50010</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>bianbo93@gmail.com</Email>
    <Phone>
      <Home>5155205646</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4186464222693638</CreditcardNumber>
      <NameonCreditcard>Bo  Bian</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>12.4</CreditcardAmount>
      <CreditcardCodeNumber>335</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
9cc554a0
ARS-02-0032592
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0032592</PolicyNumber><UserName>9cc554a0</UserName><Password>9cc554a0</Password></PolicyDetails></RegistrationRes>