| Street | 1 Chome-10-1 Chuo | ||
| City/Town | 甲府市 | ||
| State/Province/Region | 山梨県 | ||
| Zip/Postal Code | 400-0031 | ||
| Phone Number | 055-232-0110 | ||
| Country | Japan |
| Full Name | 木村 春香 | ||
| Gender | female | ||
| Birthday | 1988-05-19 | ||
| Social Security Number |
| Credit card brand | Visa | ||
| Credit card number | 4929146012875762 | ||
| Expire | 2031/2 | ||
| CVV | 544 |