| Street | 3 Chome-4-8 Hakata Ekimae | ||
| City/Town | 福岡市 | ||
| State/Province/Region | 福岡県 | ||
| Zip/Postal Code | 812-0011 | ||
| Phone Number | 092-474-2730 | ||
| Country | Japan |
| Full Name | 渚 翼 | ||
| Gender | male | ||
| Birthday | 1976-02-18 | ||
| Social Security Number |
| Credit card brand | Discover | ||
| Credit card number | 6011021676103369 | ||
| Expire | 2028/9 | ||
| CVV | 475 |