| Street | Jl. Tengku Panglima Polem No. 28 | ||
| City/Town | Banda Aceh | ||
| State/Province/Region | Aceh | ||
| Zip/Postal Code | 23121 | ||
| Phone Number | (0651) 638866 | ||
| Country | Indonesia |
| Full Name | Niyaga Adiarja Tarihoran | ||
| Gender | male | ||
| Birthday | 1970-10-26 | ||
| Social Security Number |
| Credit card brand | JCB | ||
| Credit card number | 3591747829712517 | ||
| Expire | 2027/3 | ||
| CVV | 487 |