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>07/19/2017</StartDate>
  <EndDate>08/03/2017</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>IURII</Firstname>
    <Middlename/>
    <Lastname>KACHMAR</Lastname>
    <Age>38</Age>
    <Dob>03/14/1979</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>ROMAN</Firstname>
    <Middlename/>
    <Lastname>KACHMAR</Lastname>
    <Age>8</Age>
    <Dob>09/25/2008</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>07/19/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>вулиця Шота Руставелі, 32 / STREET SHOTA RUSTAVELI 32</Address1>
      <Address2/>
      <Country>Ukraine</Country>
      <State/>
      <City>KALUSH</City>
      <Postcode>77300</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>NEOGAB909@GMAIL.COM</Email>
    <Phone>
      <Home>9175597735</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>olexandra kachmar</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4071661100381883</CreditcardNumber>
      <NameonCreditcard>BOGDAN NAVROTSKYY</NameonCreditcard>
      <CreditcardExpirationMonth>1</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>55.68</CreditcardAmount>
      <CreditcardCodeNumber>546</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
7b62af7b
264c1a04
ARS-02-0035584
ARS-02-0035585
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0035584</PolicyNumber><UserName>7b62af7b</UserName><Password>7b62af7b</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0035585</PolicyNumber><UserName>264c1a04</UserName><Password>264c1a04</Password></PolicyDetails></RegistrationRes>