34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>05/14/2017</StartDate>
  <EndDate>05/23/2017</EndDate>
  <DestinationPlan>Czech Republic</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Katerina</Firstname>
    <Middlename/>
    <Lastname>Suchkova</Lastname>
    <Age>32</Age>
    <Dob>09/19/1984</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Alexei</Firstname>
    <Middlename/>
    <Lastname>Denisov</Lastname>
    <Age>32</Age>
    <Dob>12/11/1984</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/14/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>9120 Juducial Dr., #7310</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>California</State>
      <City>San Diego</City>
      <Postcode>92122</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>katekson@gmail.com</Email>
    <Phone>
      <Home>3473236886</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Alexei Suchkova</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Brother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147202298385467</CreditcardNumber>
      <NameonCreditcard>Katerina  Suchkova</NameonCreditcard>
      <CreditcardExpirationMonth>3</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>18.0</CreditcardAmount>
      <CreditcardCodeNumber>451</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
6f9f3571
bb61fdfa
ARS-01-0034145
ARS-01-0034146
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0034145</PolicyNumber><UserName>6f9f3571</UserName><Password>6f9f3571</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0034146</PolicyNumber><UserName>bb61fdfa</UserName><Password>bb61fdfa</Password></PolicyDetails></RegistrationRes>