52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>06/20/2017</StartDate>
  <EndDate>07/30/2017</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Chin-Hsin</Firstname>
    <Middlename/>
    <Lastname>Chou</Lastname>
    <Age>65</Age>
    <Dob>11/13/1951</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Chih-Chiang</Firstname>
    <Middlename/>
    <Lastname>Chiang</Lastname>
    <Age>64</Age>
    <Dob>05/09/1953</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/20/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>No.107, Gong’an 2nd St., Annan Dist.</Address1>
      <Address2/>
      <Country>Taiwan</Country>
      <State/>
      <City>Tainan City</City>
      <Postcode>70960</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>chianghsu2@gmail.com</Email>
    <Phone>
      <Home>6124836910</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Hsu Chiang</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Child</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4266841287511073</CreditcardNumber>
      <NameonCreditcard>Hsu Chiang</NameonCreditcard>
      <CreditcardExpirationMonth>3</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>397.7</CreditcardAmount>
      <CreditcardCodeNumber>424</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
9b4a2c2b
33479e9e
ARS-02-0034941
ARS-02-0034942
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0034941</PolicyNumber><UserName>9b4a2c2b</UserName><Password>9b4a2c2b</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0034942</PolicyNumber><UserName>33479e9e</UserName><Password>33479e9e</Password></PolicyDetails></RegistrationRes>