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>10/21/2016</StartDate>
  <EndDate>12/16/2016</EndDate>
  <DestinationPlan>Canada</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Yoko</Firstname>
    <Middlename/>
    <Lastname>Hirano</Lastname>
    <Age>46</Age>
    <Dob>08/27/1970</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>One</Firstname>
    <Middlename/>
    <Lastname>Hirano</Lastname>
    <Age>8</Age>
    <Dob>06/15/2008</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>10/21/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>3 old farm rd</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>New York</State>
      <City>Scarsdale</City>
      <Postcode>10583</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>family@yokoichi.org</Email>
    <Phone>
      <Home>9143432261</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Koichi hirano</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4313074101831435</CreditcardNumber>
      <NameonCreditcard>Koichi Hirano</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>205.2</CreditcardAmount>
      <CreditcardCodeNumber>756</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
9580fa66
b6e6e05a
ARS-02-0030214
ARS-02-0030215
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0030214</PolicyNumber><UserName>9580fa66</UserName><Password>9580fa66</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0030215</PolicyNumber><UserName>b6e6e05a</UserName><Password>b6e6e05a</Password></PolicyDetails></RegistrationRes>