| Street | Marianska Tynice 1 | ||
| City/Town | Kralovice | ||
| State/Province/Region | Plzeň | ||
| Zip/Postal Code | 331 41 | ||
| Phone Number | 373 396 410 | ||
| Country | Czech Republic |
| Full Name | Dr. Libor Samek | ||
| Gender | male | ||
| Birthday | 1987-01-10 | ||
| Social Security Number | 132-36-6847 |
| Credit card brand | American Express | ||
| Credit card number | 377402891830302 | ||
| Expire | 2027/2 | ||
| CVV | 242 |