| Street | Akademicka 2A | ||
| City/Town | Gliwice | ||
| State/Province/Region | Gliwice | ||
| Zip/Postal Code | 44-100 | ||
| Phone Number | 32 237 10 00 | ||
| Country | Poland |
| Full Name | mgr inż. Marta Mróz | ||
| Gender | female | ||
| Birthday | 1980-02-18 | ||
| Social Security Number | 00230603257 |
| Credit card brand | Discover | ||
| Credit card number | 6011321621124399 | ||
| Expire | 2031/12 | ||
| CVV | 554 |