184.72.211.106
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>10/05/2016</StartDate>
  <EndDate>10/11/2016</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Naoko</Firstname>
    <Middlename/>
    <Lastname>Yokoyama</Lastname>
    <Age>35</Age>
    <Dob>01/18/1981</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>10/05/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Minatoku Mita 3-3-6</Address1>
      <Address2>HF Mitaresidence 501</Address2>
      <Country>Japan</Country>
      <State/>
      <City>Tokyo</City>
      <Postcode>1080073</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>naocco118mc@gmail.com</Email>
    <Phone>
      <Home>819021736617</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Kazuko Yokoyama</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4534366939209195</CreditcardNumber>
      <NameonCreditcard>Naoko  Yokoyama</NameonCreditcard>
      <CreditcardExpirationMonth>3</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>11.48</CreditcardAmount>
      <CreditcardCodeNumber>180</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
2ee3fc4b
ARS-02-0029914
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0029914</PolicyNumber><UserName>2ee3fc4b</UserName><Password>2ee3fc4b</Password></PolicyDetails></RegistrationRes>