34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>09/17/2017</StartDate>
  <EndDate>09/24/2017</EndDate>
  <DestinationPlan>Ukraine</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Moses</Firstname>
    <Middlename/>
    <Lastname>Stossel</Lastname>
    <Age>20</Age>
    <Dob>02/26/1997</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>09/17/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>35 Phyllis Terrace </Address1>
      <Address2>Apt E</Address2>
      <Country>United States</Country>
      <State>New York</State>
      <City>Monsey</City>
      <Postcode>10952</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>stossel153@gmail.com</Email>
    <Phone>
      <Home>8456645563</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5178058524756452</CreditcardNumber>
      <NameonCreditcard>Moses  Stossel</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>6.08</CreditcardAmount>
      <CreditcardCodeNumber>088</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
eb58a5c3
ARS-01-0036986
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0036986</PolicyNumber><UserName>eb58a5c3</UserName><Password>eb58a5c3</Password></PolicyDetails></RegistrationRes>