52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>500</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>04/22/2017</StartDate>
  <EndDate>05/15/2017</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Yin</Firstname>
    <Middlename/>
    <Lastname>Shen</Lastname>
    <Age>52</Age>
    <Dob>04/21/1964</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>04/22/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>8-5AShiyueYuan, Shiji Cheng</Address1>
      <Address2/>
      <Country>China</Country>
      <State/>
      <City>Beijing</City>
      <Postcode>100097</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>yinshen421@hotmail.com</Email>
    <Phone>
      <Home>4085089021</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Mei Shen</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Sister</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4033610024663444</CreditcardNumber>
      <NameonCreditcard>Yin  Shen</NameonCreditcard>
      <CreditcardExpirationMonth>7</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>98.93</CreditcardAmount>
      <CreditcardCodeNumber>590</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
e62248b3
ARS-02-0033359
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0033359</PolicyNumber><UserName>e62248b3</UserName><Password>e62248b3</Password></PolicyDetails></RegistrationRes>