52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>110000</MaximumLimit>
  <StartDate>05/08/2018</StartDate>
  <EndDate>05/28/2018</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>OLHA</Firstname>
    <Middlename/>
    <Lastname>NIKITIUK</Lastname>
    <Age>49</Age>
    <Dob>03/30/1969</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/08/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Erevanska str 4</Address1>
      <Address2>Apt 56</Address2>
      <Country>Ukraine</Country>
      <State/>
      <City>KYiv</City>
      <Postcode>03049</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>olga.nikituk@gmail.com</Email>
    <Phone>
      <Home>380973680829</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Andrii Nikitiuk</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Son</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4557095023067514</CreditcardNumber>
      <NameonCreditcard>Andrii  Nikitiuk</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2023</CreditcardExpirationYear>
      <CreditcardAmount>62.58</CreditcardAmount>
      <CreditcardCodeNumber>699</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
ddda6fd6
ARS-02-0040892
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0040892</PolicyNumber><UserName>ddda6fd6</UserName><Password>ddda6fd6</Password></PolicyDetails></RegistrationRes>