52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>12/16/2017</StartDate>
  <EndDate>04/30/2018</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Maryna</Firstname>
    <Middlename/>
    <Lastname>Kapurova</Lastname>
    <Age>31</Age>
    <Dob>11/11/1986</Dob>
    <Gender>Female</Gender>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/16/2017</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>113 I Travnya Street</Address1>
      <Address2>Apt 65</Address2>
      <Country>Ukraine</Country>
      <State/>
      <City>Pryluky</City>
      <Postcode>17500</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>myshunechka@gmail.com</Email>
    <Phone>
      <Home>14088180485</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Zhanna Romanchenko</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Sister</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4400660678245084</CreditcardNumber>
      <NameonCreditcard>Maryna  Kapurova</NameonCreditcard>
      <CreditcardExpirationMonth>5</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2022</CreditcardExpirationYear>
      <CreditcardAmount>362.44</CreditcardAmount>
      <CreditcardCodeNumber>928</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
8c970a9d
ARS-02-0038362
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0038362</PolicyNumber><UserName>8c970a9d</UserName><Password>8c970a9d</Password></PolicyDetails></RegistrationRes>