54.83.122.65
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>08/29/2015</StartDate>
  <EndDate>09/07/2015</EndDate>
  <DestinationPlan>France</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Qian</Firstname>
    <Middlename/>
    <Lastname>Lin</Lastname>
    <Age>30</Age>
    <Dob>08/20/1984</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>08/29/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>181 Kennedy Dr</Address1>
      <Address2>Apt 210</Address2>
      <Country>United States</Country>
      <State>Massachusetts</State>
      <City>Malden</City>
      <Postcode>02148</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>vlindada@gmail.com</Email>
    <Phone>
      <Home>5103327856</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName></AdDBeneficiaryName>
    <AdDBeneficiaryRelationship></AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>372329996581008</CreditcardNumber>
      <NameonCreditcard>Qian  Lin</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>10.0</CreditcardAmount>
      <CreditcardCodeNumber>4225</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
6fc1d120
ARS-01-0022208
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0022208</PolicyNumber><UserName>6fc1d120</UserName><Password>6fc1d120</Password></PolicyDetails></RegistrationRes>