54.226.61.71
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>500</DeductibleAmount>
  <MaximumLimit>1100000</MaximumLimit>
  <StartDate>02/05/2015</StartDate>
  <EndDate>04/17/2015</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Konstantin</Firstname>
    <Middlename/>
    <Lastname>Talitskiy</Lastname>
    <Age>33</Age>
    <Dob>05/01/1981</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>02/05/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Apt.20, 71 Leninskiy Ave.</Address1>
      <Address2></Address2>
      <Country>Russian Federation</Country>
      <State></State>
      <City>Moscow</City>
      <Postcode>119296</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>talitskiy@mail.ru</Email>
    <Phone>
      <Home>0079166528816</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Elina Kotanova</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5469380012499041</CreditcardNumber>
      <NameonCreditcard>KONSTANTIN TALITSKIY</NameonCreditcard>
      <CreditcardExpirationMonth>6</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2016</CreditcardExpirationYear>
      <CreditcardAmount>208.66</CreditcardAmount>
      <CreditcardCodeNumber>616</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
626ad44e
ARS-02-0019611
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0019611</PolicyNumber><UserName>626ad44e</UserName><Password>626ad44e</Password></PolicyDetails></RegistrationRes>