184.72.211.106
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>550000</MaximumLimit>
  <StartDate>09/28/2016</StartDate>
  <EndDate>10/05/2016</EndDate>
  <DestinationPlan>Ukraine</DestinationPlan>
  <NoOfApplicants>3</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Abraham</Firstname>
    <Middlename>S</Middlename>
    <Lastname>Hold</Lastname>
    <Age>21</Age>
    <Dob>12/22/1994</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Aron</Firstname>
    <Middlename/>
    <Lastname>Silberstein</Lastname>
    <Age>18</Age>
    <Dob>10/02/1997</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Jacob</Firstname>
    <Middlename/>
    <Lastname>Silberstein</Lastname>
    <Age>18</Age>
    <Dob>10/02/1997</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>09/28/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>18 Meron Drive #202</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>New York</State>
      <City>Monroe</City>
      <Postcode>10950</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>sarahzissel@gmail.com</Email>
    <Phone>
      <Home>8456290505</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Shaindy Silberstein</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4211566105660507</CreditcardNumber>
      <NameonCreditcard>Isaac Silberstein</NameonCreditcard>
      <CreditcardExpirationMonth>3</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>26.4</CreditcardAmount>
      <CreditcardCodeNumber>961</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
c2e85123
8a841682
69d71334
ARS-01-0029783
ARS-01-0029784
ARS-01-0029785
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0029783</PolicyNumber><UserName>c2e85123</UserName><Password>c2e85123</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0029784</PolicyNumber><UserName>8a841682</UserName><Password>8a841682</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0029785</PolicyNumber><UserName>69d71334</UserName><Password>69d71334</Password></PolicyDetails></RegistrationRes>