<?xml version="1.0" encoding="UTF-8" ?>
<urn:insuredPerson xmlns:urn="urn:ru:fss:integration:types:rpu:InsuredPerson:v01" xmlns:v02="http://www.fss.ru/integration/types/person/v02" xmlns:v01="http://www.fss.ru/integration/types/common/v01">
  <urn:fullName>
    <v02:firstName>ИВАН</v02:firstName>
    <v02:lastName>ПУПКИН</v02:lastName>
    <v02:middleName>ПЕТРОВИЧ</v02:middleName>
  </urn:fullName>
  <urn:birthDate>1970-05-25</urn:birthDate>
  <urn:gender>MALE</urn:gender>
  <urn:snils>16986086133</urn:snils>
  <urn:inn>969460666222</urn:inn>
  <urn:identityDocument>
    <urn:passport>
      <urn:series>3333</urn:series>
      <urn:number>223234</urn:number>
      <urn:issueDate>2011-05-18</urn:issueDate>
      <urn:whoIssued>000-111 ОУФМС России по г. Ессентуки</urn:whoIssued>
    </urn:passport>
  </urn:identityDocument>
  <urn:regAddress>
    <urn:fiasAddress>
      <v01:houseGuid>81e36b7e-4926-4e50-9af9-97e434664e62</v01:houseGuid>
      <v01:flat>2</v01:flat>
    </urn:fiasAddress>
    <urn:postalCode>142563</urn:postalCode>
  </urn:regAddress>
  <urn:methodReceivePayment>
    <v01:bankInfo>
      <v01:bankName>САМАРСКОЕ ОТДЕЛЕНИЕ N8609 ПАО СБЕРБАНК</v01:bankName>
      <v01:bik>046614632</v01:bik>
      <v01:accountNum>40817810621404923041</v01:accountNum>
    </v01:bankInfo>
  </urn:methodReceivePayment>
</urn:insuredPerson>