52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>11/11/2016</StartDate>
  <EndDate>11/23/2016</EndDate>
  <DestinationPlan>China</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Tat keung</Firstname>
    <Middlename>S</Middlename>
    <Lastname>Tam</Lastname>
    <Age>57</Age>
    <Dob>10/18/1959</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/11/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>94-638 Lumiaina st</Address1>
      <Address2>#b-203</Address2>
      <Country>United States</Country>
      <State>Hawaii</State>
      <City>Waipahu </City>
      <Postcode>96797</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>kwongronnie@yahoo.com.hk</Email>
    <Phone>
      <Home>8085516007</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Fung hei tam</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147400133447274</CreditcardNumber>
      <NameonCreditcard>Tat keung S Tam</NameonCreditcard>
      <CreditcardExpirationMonth>2</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>33.8</CreditcardAmount>
      <CreditcardCodeNumber>646</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
289ee05c
ARS-01-0030548
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0030548</PolicyNumber><UserName>289ee05c</UserName><Password>289ee05c</Password></PolicyDetails></RegistrationRes>