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>08/06/2017</StartDate>
  <EndDate>11/19/2017</EndDate>
  <DestinationPlan>United Kingdom</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Chanyanut</Firstname>
    <Middlename/>
    <Lastname>Temple</Lastname>
    <Age>33</Age>
    <Dob>12/12/1983</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>08/06/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>71 Praditpana Road</Address1>
      <Address2>Nang Rong</Address2>
      <Country>Thailand</Country>
      <State/>
      <City>Buriram</City>
      <Postcode>31110</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>andy_temps@yahoo.com</Email>
    <Phone>
      <Home>447961150159</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Andrew Temple</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4929102603714001</CreditcardNumber>
      <NameonCreditcard>Chanyanut  Temple</NameonCreditcard>
      <CreditcardExpirationMonth>7</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>95.4</CreditcardAmount>
      <CreditcardCodeNumber>798</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
a198b7e1
ARS-01-0036092
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0036092</PolicyNumber><UserName>a198b7e1</UserName><Password>a198b7e1</Password></PolicyDetails></RegistrationRes>