| Street | prospekt Mira, 172 | ||
| City/Town | Южно-Сахалинск | ||
| State/Province/Region | Сахалинская область | ||
| Zip/Postal Code | 693007 | ||
| Phone Number | 8 (424) 245-50-00 | ||
| Country | Russia |
| Full Name | Гришина Полина Романовна | ||
| Gender | female | ||
| Birthday | 1993-06-24 | ||
| Social Security Number | 594120003540 |
| Credit card brand | Unionpay | ||
| Credit card number | 6208356643103685 | ||
| Expire | 2028/9 | ||
| CVV | 721 |