54.83.122.65
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>06/30/2015</StartDate>
  <EndDate>07/10/2015</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Vafa</Firstname>
    <Middlename/>
    <Lastname>Akhavan</Lastname>
    <Age>56</Age>
    <Dob>10/26/1958</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Gissoo</Firstname>
    <Middlename/>
    <Lastname>Akhavan</Lastname>
    <Age>53</Age>
    <Dob>01/02/1962</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/30/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>11 Tresillian Road</Address1>
      <Address2></Address2>
      <Country>Canada</Country>
      <State>Ontario</State>
      <City>Toronto</City>
      <Postcode>M3H 1L5</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>vafa@akhavan.net</Email>
    <Phone>
      <Home>6473030203</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Gissoo Akhavan</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5466160346227257</CreditcardNumber>
      <NameonCreditcard>Vafa akhavan</NameonCreditcard>
      <CreditcardExpirationMonth>2</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2016</CreditcardExpirationYear>
      <CreditcardAmount>89.1</CreditcardAmount>
      <CreditcardCodeNumber>818</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
71667fa8
07de4cc0
ARS-02-0021905
ARS-02-0021906
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0021905</PolicyNumber><UserName>71667fa8</UserName><Password>71667fa8</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0021906</PolicyNumber><UserName>07de4cc0</UserName><Password>07de4cc0</Password></PolicyDetails></RegistrationRes>