| Street | Jl. Dharmawangsa I, No. 1, Jakarta | ||
| City/Town | Tangerang | ||
| State/Province/Region | Banten | ||
| Zip/Postal Code | 15138 | ||
| Phone Number | (021) 7231948 | ||
| Country | Indonesia |
| Full Name | Gangsa Budiman | ||
| Gender | male | ||
| Birthday | 1981-05-01 | ||
| Social Security Number |
| Credit card brand | American Express | ||
| Credit card number | 343587708298098 | ||
| Expire | 2027/4 | ||
| CVV | 045 |