54.86.99.59
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>500</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>04/14/2016</StartDate>
  <EndDate>10/11/2016</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Mingxi</Firstname>
    <Middlename/>
    <Lastname>Zhong</Lastname>
    <Age>62</Age>
    <Dob>01/29/1954</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>04/14/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>122 Shuiyin Road</Address1>
      <Address2>Building 2 Apartment 203</Address2>
      <Country>China</Country>
      <State/>
      <City>Guangzhou</City>
      <Postcode>510075</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>zhiyangzhong@gmail.com</Email>
    <Phone>
      <Home>8587741265</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Hong Huang</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4128003846255910</CreditcardNumber>
      <NameonCreditcard>Zhiyang Zhong</NameonCreditcard>
      <CreditcardExpirationMonth>12</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2016</CreditcardExpirationYear>
      <CreditcardAmount>778.66</CreditcardAmount>
      <CreditcardCodeNumber>135</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
ff4a4fc7
ARS-02-0026016
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0026016</PolicyNumber><UserName>ff4a4fc7</UserName><Password>ff4a4fc7</Password></PolicyDetails></RegistrationRes>