| Street | Jalan Ikan Kakap | ||
| City/Town | Bandar Lampung | ||
| State/Province/Region | Lampung | ||
| Zip/Postal Code | 34223 | ||
| Phone Number | (0721) 481734 | ||
| Country | Indonesia |
| Full Name | Siti Nuraini M.Farm | ||
| Gender | female | ||
| Birthday | 1985-10-05 | ||
| Social Security Number |
| Credit card brand | Discover | ||
| Credit card number | 6011473941809462 | ||
| Expire | 2030/8 | ||
| CVV | 172 |