52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>12/15/2016</StartDate>
  <EndDate>06/12/2017</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>HANNA</Firstname>
    <Middlename/>
    <Lastname>CHARLIONAK</Lastname>
    <Age>61</Age>
    <Dob>11/30/1955</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/15/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>22/4 Lepelskaya Str</Address1>
      <Address2/>
      <Country>Belarus</Country>
      <State/>
      <City>Begoml</City>
      <Postcode>211730</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>zhenick@gmail.com</Email>
    <Phone>
      <Home>16504502132</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Yauhen Bahdanau</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Son</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5424181077589112</CreditcardNumber>
      <NameonCreditcard>Yauhen Bahdanau</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>810.0</CreditcardAmount>
      <CreditcardCodeNumber>356</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
73f26d00
ARS-02-0031142
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0031142</PolicyNumber><UserName>73f26d00</UserName><Password>73f26d00</Password></PolicyDetails></RegistrationRes>