54.172.31.188
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>03/14/2016</StartDate>
  <EndDate>05/08/2016</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Hsiao-chi </Firstname>
    <Middlename/>
    <Lastname>Ho</Lastname>
    <Age>38</Age>
    <Dob>09/29/1977</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>03/14/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>No19, Aly2, Ln53,</Address1>
      <Address2>Xinsheng Rd. Yonghe Dist., </Address2>
      <Country>Taiwan</Country>
      <State/>
      <City>New Taipei City </City>
      <Postcode>234</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>lovesaroundtheworld365@gmail.com</Email>
    <Phone>
      <Home>886910333164</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Mei-Yun Yang</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>371291540571003</CreditcardNumber>
      <NameonCreditcard>HC HO</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>105.28</CreditcardAmount>
      <CreditcardCodeNumber>3631</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
c56b188c
ARS-02-0025542
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0025542</PolicyNumber><UserName>c56b188c</UserName><Password>c56b188c</Password></PolicyDetails></RegistrationRes>