| Street | 29 Rue du Temple | ||
| City/Town | La Rochelle | ||
| State/Province/Region | Charente-Maritime | ||
| Zip/Postal Code | 17000 | ||
| Phone Number | 05 46 41 48 88 | ||
| Country | France |
| Full Name | Pierre Le Pruvost | ||
| Gender | male | ||
| Birthday | 1981-03-10 | ||
| Social Security Number | 019-29-9443 |
| Credit card brand | JCB | ||
| Credit card number | 3545733932967419 | ||
| Expire | 2029/2 | ||
| CVV | 364 |