| Street | 52 Rue des Arenes | ||
| City/Town | Dole | ||
| State/Province/Region | Jura | ||
| Zip/Postal Code | 39100 | ||
| Phone Number | 03 84 69 01 40 | ||
| Country | France |
| Full Name | Patrick Nguyen | ||
| Gender | male | ||
| Birthday | 1977-10-11 | ||
| Social Security Number | 629-18-7341 |
| Credit card brand | EnRoute | ||
| Credit card number | 2149529109325494 | ||
| Expire | 2030/8 | ||
| CVV | 693 |