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>12/01/2017</StartDate>
  <EndDate>12/07/2017</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Tunyaporn</Firstname>
    <Middlename/>
    <Lastname>Dechavas</Lastname>
    <Age>31</Age>
    <Dob>11/03/1986</Dob>
    <Gender>Female</Gender>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/01/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>8 soi Eurwattanasakul 32, Pattanakarn Rd., </Address1>
      <Address2>Suan luang</Address2>
      <Country>Thailand</Country>
      <State/>
      <City>Bangkok</City>
      <Postcode>10250</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>pdechavas@gmail.com</Email>
    <Phone>
      <Home>66814998990</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Wanida Dechavas</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5344420400024372</CreditcardNumber>
      <NameonCreditcard>Tunyaporn  Dechavas</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>18.66</CreditcardAmount>
      <CreditcardCodeNumber>992</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
259e555b
ARS-02-0038089
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0038089</PolicyNumber><UserName>259e555b</UserName><Password>259e555b</Password></PolicyDetails></RegistrationRes>