52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>2500</DeductibleAmount>
  <MaximumLimit>1100000</MaximumLimit>
  <StartDate>12/01/2018</StartDate>
  <EndDate>12/03/2018</EndDate>
  <DestinationPlan>Canada</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Nathallie</Firstname>
    <Middlename/>
    <Lastname>Pokasuwan</Lastname>
    <Age>34</Age>
    <Dob>10/20/1984</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/01/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>26 Worcester St</Address1>
      <Address2>apt 306</Address2>
      <Country>United States</Country>
      <State>Massachusetts</State>
      <City>boston</City>
      <Postcode>02118</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>npokasuwan@gmail.com</Email>
    <Phone>
      <Home>8027529248</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Beata Pokasuwan</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147404105883524</CreditcardNumber>
      <NameonCreditcard>Nathallie  Pokasuwan</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2023</CreditcardExpirationYear>
      <CreditcardAmount>10.57</CreditcardAmount>
      <CreditcardCodeNumber>710</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
12857c49
701825844

<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701825844</PolicyNumber><UserName>12857c49</UserName><Password>12857c49</Password></PolicyDetails></RegistrationRes>