184.72.211.106
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>10/29/2016</StartDate>
  <EndDate>11/04/2016</EndDate>
  <DestinationPlan>Austria</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Vladimir</Firstname>
    <Middlename/>
    <Lastname>Ivanov</Lastname>
    <Age>40</Age>
    <Dob>12/03/1975</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>10/29/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>12 Arcadia Rd</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Massachusetts</State>
      <City>Andover</City>
      <Postcode>01810</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>vlad@gnshealthcare.com</Email>
    <Phone>
      <Home>6179474958</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>SOPHIA IVANOV</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Spouse</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Discover</CreditcardType>
      <CreditcardNumber>6011001728429699</CreditcardNumber>
      <NameonCreditcard>Vladimir  Ivanov</NameonCreditcard>
      <CreditcardExpirationMonth>10</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>10.5</CreditcardAmount>
      <CreditcardCodeNumber>822</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
76b7d845
ARS-01-0030300
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0030300</PolicyNumber><UserName>76b7d845</UserName><Password>76b7d845</Password></PolicyDetails></RegistrationRes>