52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>11/09/2017</StartDate>
  <EndDate>11/19/2017</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Benjamin</Firstname>
    <Middlename/>
    <Lastname>PARKES</Lastname>
    <Age>29</Age>
    <Dob>07/09/1988</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>HARUKA</Firstname>
    <Middlename/>
    <Lastname>KODA</Lastname>
    <Age>25</Age>
    <Dob>10/04/1992</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/09/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>3884-376 Nojiri</Address1>
      <Address2>Kamiminochi-gun</Address2>
      <Country>Japan</Country>
      <State/>
      <City>Shinano-Machi</City>
      <Postcode>389-1303</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>ben.parkes@mountainhomes.jp</Email>
    <Phone>
      <Home>818097136020</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Michael Parkes</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Brother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4542021667223005</CreditcardNumber>
      <NameonCreditcard>Benjamin  PARKES</NameonCreditcard>
      <CreditcardExpirationMonth>7</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>34.1</CreditcardAmount>
      <CreditcardCodeNumber>814</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
629f960b
8d6102d7
ARS-02-0037793
ARS-02-0037794
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0037793</PolicyNumber><UserName>629f960b</UserName><Password>629f960b</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0037794</PolicyNumber><UserName>8d6102d7</UserName><Password>8d6102d7</Password></PolicyDetails></RegistrationRes>