54.160.242.53
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>1000</DeductibleAmount>
  <MaximumLimit>50000</MaximumLimit>
  <StartDate>10/25/2014</StartDate>
  <EndDate>04/13/2015</EndDate>
  <DestinationPlan>Taiwan</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Jen Shin</Firstname>
    <Middlename/>
    <Lastname>Own</Lastname>
    <Age>71</Age>
    <Dob>04/16/1943</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>10/25/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>71 Pontiac St.</Address1>
      <Address2></Address2>
      <Country>Canada</Country>
      <State>Quebec</State>
      <City>Bromont</City>
      <Postcode>J2L1J2</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>musico11@yahoo.com</Email>
    <Phone>
      <Home>14505343913</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Mau Chit YUNG</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Son</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5210150000651289</CreditcardNumber>
      <NameonCreditcard>MAUCHIT YUNG</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>882.36</CreditcardAmount>
      <CreditcardCodeNumber>473</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
f388cd4a
ARS-01-0018513
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0018513</PolicyNumber><UserName>f388cd4a</UserName><Password>f388cd4a</Password></PolicyDetails></RegistrationRes>