54.242.172.204
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>04/18/2015</StartDate>
  <EndDate>05/17/2015</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Woo Sik</Firstname>
    <Middlename/>
    <Lastname>Kim</Lastname>
    <Age>66</Age>
    <Dob>03/22/1949</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Jung ja</Firstname>
    <Middlename/>
    <Lastname>Yoo</Lastname>
    <Age>64</Age>
    <Dob>12/18/1950</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>04/18/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>3005 SE Morrison St. APT 3</Address1>
      <Address2></Address2>
      <Country>Korea (South)</Country>
      <State></State>
      <City>Portland</City>
      <Postcode>97214</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>successfulaging@gmail.com</Email>
    <Phone>
      <Home>7342762580</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Hyunjee Kim</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Daughter</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4211566107792555</CreditcardNumber>
      <NameonCreditcard>Hyun J Kim</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>323.4</CreditcardAmount>
      <CreditcardCodeNumber>961</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
8b82b9e8
1487ed4f
ARS-02-0020665
ARS-02-0020666
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0020665</PolicyNumber><UserName>8b82b9e8</UserName><Password>8b82b9e8</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0020666</PolicyNumber><UserName>1487ed4f</UserName><Password>1487ed4f</Password></PolicyDetails></RegistrationRes>