34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>11/04/2017</StartDate>
  <EndDate>01/23/2018</EndDate>
  <DestinationPlan>China</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Lucas</Firstname>
    <Middlename>M</Middlename>
    <Lastname>Schifres</Lastname>
    <Age>44</Age>
    <Dob>06/18/1973</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/04/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>12C Hamilton Mansion</Address1>
      <Address2>1-3 Cleveland Street</Address2>
      <Country>Hong Kong</Country>
      <State/>
      <City>Hong Kong</City>
      <Postcode>Causeway Bay</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>photolucas@gmail.com</Email>
    <Phone>
      <Home>85268784268</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4028562003492823</CreditcardNumber>
      <NameonCreditcard>Schifres Lucas Michel</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>121.5</CreditcardAmount>
      <CreditcardCodeNumber>502</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
1c369c9a
ARS-01-0036926
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0036926</PolicyNumber><UserName>1c369c9a</UserName><Password>1c369c9a</Password></PolicyDetails></RegistrationRes>