| Street | Avenue Olympe Gilbart 1/A | ||
| City/Town | Liege | ||
| State/Province/Region | Liège | ||
| Zip/Postal Code | 4000 | ||
| Phone Number | 04 224 94 94 | ||
| Country | Belgium |
| Full Name | Niels Remy | ||
| Gender | male | ||
| Birthday | 1978-02-04 | ||
| Social Security Number | 75061193561 |
| Credit card brand | American Express | ||
| Credit card number | 342054593611407 | ||
| Expire | 2027/9 | ||
| CVV | 465 |