174.129.122.238
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>50000</MaximumLimit>
  <StartDate>11/02/2016</StartDate>
  <EndDate>04/20/2017</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Aldona</Firstname>
    <Middlename>O</Middlename>
    <Lastname>Misiuniene</Lastname>
    <Age>76</Age>
    <Dob>10/22/1939</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/02/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>Jonavos g. 8</Address1>
      <Address2>Geguzine</Address2>
      <Country>Lithuania</Country>
      <State/>
      <City>Kaisiadoriu Sav</City>
      <Postcode>56392</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>lstatkus@gmail.com</Email>
    <Phone>
      <Home>37034669723</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Vile Statkus</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Daughter</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>379731013231009</CreditcardNumber>
      <NameonCreditcard>Linas Statkus</NameonCreditcard>
      <CreditcardExpirationMonth>12</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>1224.0</CreditcardAmount>
      <CreditcardCodeNumber>3112</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
de30d82e
ARS-02-0030019
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0030019</PolicyNumber><UserName>de30d82e</UserName><Password>de30d82e</Password></PolicyDetails></RegistrationRes>