184.72.211.106
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>09/01/2016</StartDate>
  <EndDate>11/15/2016</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Galina</Firstname>
    <Middlename>S</Middlename>
    <Lastname>Kryazhimskaya</Lastname>
    <Age>65</Age>
    <Dob>12/10/1950</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>09/01/2016</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>skryazhi@gmail.com</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>4400666482409196</CreditcardNumber>
      <NameonCreditcard>Sergey Kryazhimskiy</NameonCreditcard>
      <CreditcardExpirationMonth>6</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>395.2</CreditcardAmount>
      <CreditcardCodeNumber>729</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
72be3d2b
ARS-02-0029285
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0029285</PolicyNumber><UserName>72be3d2b</UserName><Password>72be3d2b</Password></PolicyDetails></RegistrationRes>