52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>04/07/2017</StartDate>
  <EndDate>04/29/2017</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>anong</Firstname>
    <Middlename/>
    <Lastname>cheuacharoen</Lastname>
    <Age>56</Age>
    <Dob>12/29/1960</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Bunaphot</Firstname>
    <Middlename/>
    <Lastname>cheuacharoen</Lastname>
    <Age>66</Age>
    <Dob>01/01/1951</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>04/07/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>19/22 Moo 1</Address1>
      <Address2>Tambon Nongnasan</Address2>
      <Country>Thailand</Country>
      <State/>
      <City>Chaiyaphum</City>
      <Postcode>36000</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>mpsapir@yahoo.com</Email>
    <Phone>
      <Home>01166872602700</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Sararak Sapiro</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Daughter</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147341032371233</CreditcardNumber>
      <NameonCreditcard>michael sapiro</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>202.4</CreditcardAmount>
      <CreditcardCodeNumber>082</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
0a15e883
dd7fef98
ARS-02-0033183
ARS-02-0033184
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0033183</PolicyNumber><UserName>0a15e883</UserName><Password>0a15e883</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0033184</PolicyNumber><UserName>dd7fef98</UserName><Password>dd7fef98</Password></PolicyDetails></RegistrationRes>