54.198.116.54
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>50000</MaximumLimit>
  <StartDate>08/29/2014</StartDate>
  <EndDate>10/12/2014</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>vladimir</Firstname>
    <Middlename/>
    <Lastname>iulaev</Lastname>
    <Age>78</Age>
    <Dob>10/11/1935</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>valentina</Firstname>
    <Middlename/>
    <Lastname>uilaeva</Lastname>
    <Age>78</Age>
    <Dob>03/21/1936</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>08/29/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>ulitza mira</Address1>
      <Address2>4A - 8</Address2>
      <Country>Russian Federation</Country>
      <State></State>
      <City>vladimir</City>
      <Postcode>600020</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>yulaev@hotmail.com</Email>
    <Phone>
      <Home>70922325955</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>yuri yulaev</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Child</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4147340033377264</CreditcardNumber>
      <NameonCreditcard>yuri yulaev</NameonCreditcard>
      <CreditcardExpirationMonth>9</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2015</CreditcardExpirationYear>
      <CreditcardAmount>730.8</CreditcardAmount>
      <CreditcardCodeNumber>592</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
62c1392b
154e4ff1
ARS-02-0017838
ARS-02-0017839
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0017838</PolicyNumber><UserName>62c1392b</UserName><Password>62c1392b</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0017839</PolicyNumber><UserName>154e4ff1</UserName><Password>154e4ff1</Password></PolicyDetails></RegistrationRes>