| Street | Jl. Kartika 3 Batu - Jawa Timur | ||
| City/Town | Batu | ||
| State/Province/Region | Jawa Timur | ||
| Zip/Postal Code | 65314 | ||
| Phone Number | (0341) 591666 | ||
| Country | Indonesia |
| Full Name | Yuliana Amalia Uyainah M.M. | ||
| Gender | female | ||
| Birthday | 1970-11-27 | ||
| Social Security Number |
| Credit card brand | Discover | ||
| Credit card number | 6011599721828221 | ||
| Expire | 2031/2 | ||
| CVV | 886 |