54.234.109.243
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>05/15/2015</StartDate>
  <EndDate>05/26/2015</EndDate>
  <DestinationPlan>Mexico</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Iaroslava</Firstname>
    <Middlename/>
    <Lastname>Chuiko</Lastname>
    <Age>31</Age>
    <Dob>05/19/1983</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Ivan</Firstname>
    <Middlename/>
    <Lastname>Chuyko</Lastname>
    <Age>33</Age>
    <Dob>08/10/1981</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>05/15/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>198 Van Vorst Str.</Address1>
      <Address2>707</Address2>
      <Country>Ukraine</Country>
      <State></State>
      <City>Jersey City</City>
      <Postcode>07302</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>farrinni@gmail.com</Email>
    <Phone>
      <Home>2016260059</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName></AdDBeneficiaryName>
    <AdDBeneficiaryRelationship></AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5100938330085787</CreditcardNumber>
      <NameonCreditcard>Iaroslava Chuiko</NameonCreditcard>
      <CreditcardExpirationMonth>4</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>45.12</CreditcardAmount>
      <CreditcardCodeNumber>306</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
b8b8e91a
431795f4
ARS-02-0021094
ARS-02-0021095
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0021094</PolicyNumber><UserName>b8b8e91a</UserName><Password>b8b8e91a</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0021095</PolicyNumber><UserName>431795f4</UserName><Password>431795f4</Password></PolicyDetails></RegistrationRes>