| Street | Jl. Pariwisata Pantai Panjang, | ||
| City/Town | Bengkulu | ||
| State/Province/Region | Bengkulu | ||
| Zip/Postal Code | 38225 | ||
| Phone Number | 0878-9490-5092 | ||
| Country | Indonesia |
| Full Name | Genta Laksita | ||
| Gender | female | ||
| Birthday | 1989-06-06 | ||
| Social Security Number |
| Credit card brand | EnRoute | ||
| Credit card number | 2014977445924862 | ||
| Expire | 2027/4 | ||
| CVV | 976 |