52.91.49.203
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>12/18/2015</StartDate>
  <EndDate>01/19/2016</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Hanna</Firstname>
    <Middlename/>
    <Lastname>SEVERYNA </Lastname>
    <Age>13</Age>
    <Dob>11/14/2002</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/18/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>85-3-24 Lynkov St.</Address1>
      <Address2/>
      <Country>Belarus</Country>
      <State/>
      <City>Minsk</City>
      <Postcode>220124</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>dacneflowers@gmail.com</Email>
    <Phone>
      <Home>7328144092</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>377296972892003</CreditcardNumber>
      <NameonCreditcard>Oleg Sinkin</NameonCreditcard>
      <CreditcardExpirationMonth>3</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2020</CreditcardExpirationYear>
      <CreditcardAmount>55.28</CreditcardAmount>
      <CreditcardCodeNumber>5673</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
603b6349
ARS-02-0024080
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0024080</PolicyNumber><UserName>603b6349</UserName><Password>603b6349</Password></PolicyDetails></RegistrationRes>