| Street | 2 Chome-4-23 Yokoyama | ||
| City/Town | 岩国市 | ||
| State/Province/Region | 山口県 | ||
| Zip/Postal Code | 740-0041 | ||
| Phone Number | 0827-43-3200 | ||
| Country | Japan |
| Full Name | 佐藤 和也 | ||
| Gender | male | ||
| Birthday | 1993-02-24 | ||
| Social Security Number |
| Credit card brand | American Express | ||
| Credit card number | 345695755110963 | ||
| Expire | 2030/3 | ||
| CVV | 483 |