54.160.242.53
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>11/25/2014</StartDate>
  <EndDate>12/01/2014</EndDate>
  <DestinationPlan>Belgium</DestinationPlan>
  <NoOfApplicants>3</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Seung</Firstname>
    <Middlename>J</Middlename>
    <Lastname>Lee</Lastname>
    <Age>39</Age>
    <Dob>02/23/1975</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Gree</Firstname>
    <Middlename/>
    <Lastname>Park</Lastname>
    <Age>67</Age>
    <Dob>12/09/1946</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Woon Soon</Firstname>
    <Middlename/>
    <Lastname>Park</Lastname>
    <Age>52</Age>
    <Dob>07/09/1962</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/25/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>75 S. Reynolds St. #202</Address1>
      <Address2></Address2>
      <Country>United States</Country>
      <State>Virginia</State>
      <City>Alexandria</City>
      <Postcode>22304</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>seung7@Gmail.com</Email>
    <Phone>
      <Home>7034057878</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>David Pongrace</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Significant other</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4388540028333408</CreditcardNumber>
      <NameonCreditcard>Seung J Lee</NameonCreditcard>
      <CreditcardExpirationMonth>4</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2015</CreditcardExpirationYear>
      <CreditcardAmount>66.71</CreditcardAmount>
      <CreditcardCodeNumber>955</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
8eb53c1c
4256e0c4
2afe1e8d
ARS-01-0018837
ARS-01-0018838
ARS-01-0018839
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0018837</PolicyNumber><UserName>8eb53c1c</UserName><Password>8eb53c1c</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0018838</PolicyNumber><UserName>4256e0c4</UserName><Password>4256e0c4</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0018839</PolicyNumber><UserName>2afe1e8d</UserName><Password>2afe1e8d</Password></PolicyDetails></RegistrationRes>