34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>1000</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>06/05/2017</StartDate>
  <EndDate>09/30/2017</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Galina</Firstname>
    <Middlename/>
    <Lastname>Kryazhimskaya</Lastname>
    <Age>66</Age>
    <Dob>12/10/1950</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>06/05/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Bessemerstraße 36</Address1>
      <Address2>Top 14</Address2>
      <Country>Austria</Country>
      <State/>
      <City>Vienna</City>
      <Postcode>1210</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>galinaserg.kr@yandex.ru</Email>
    <Phone>
      <Home>4368181962805</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Sergey Kryazhimskiy</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Son</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4400665002198537</CreditcardNumber>
      <NameonCreditcard>Sergey Kryazhimskiy</NameonCreditcard>
      <CreditcardExpirationMonth>6</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>490.88</CreditcardAmount>
      <CreditcardCodeNumber>495</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
8a9aba28
ARS-02-0034625
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0034625</PolicyNumber><UserName>8a9aba28</UserName><Password>8a9aba28</Password></PolicyDetails></RegistrationRes>